CV Aneurysm
Norepinephrine  IV  (range 0.01-0.1 mcg/kg/min) Titrate with... Nitroprusside IV  (range 0.1-2.0 mcg/kg/min) Titrate with... Labetolol 20 mg IV bolus Q 10 min (up to 300 mg max) Titrate to SBP ~ 110 mm Hg See Pain Management Protocol SBP <90 SBP >130 IV NS at TKO (2 lines if able) NTG drip* starting at  Pt<75kg =10 mcg/min, Pt>75kg =20... A. History  1) Thoracic:  relatively sudden onset, severe... A. History  1) Thoracic:  relatively sudden onset, severe... A. History  1) Thoracic:  relatively sudden onset, severe... A. History  1) Thoracic:  relatively sudden onset, severe... DOPAMINE 5-20 mcg/kg/min drip (Titrate to SBP > 90) After 2-3 L NS, begin transfusion of O- blood 250-500 cc NS boluses up to 2-3 liters total UPDATE MEDICAL CONTROL UPDATE MEDICAL CONTROL UPDATE MEDICAL CONTROL Airway support as needed. See Airway Management Protocol Routine Medical Assessment