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Sedation/Analgesia, CICU, Mechanically Ventilated Patient — Benzodiazapine Conversion — Clinical Pathway: ICU

Sedation/Analgesia in Mechanically Ventilated Patient Clinical Pathway — CICU

Converting IV to Enteral Sedation- Calculating the Dose for Benzodiazepines

Continuous Medication Infusion (CMI)Enteral Agent (PO/GT/JT/NG/NJ/ND)
Midazolam 0.15 mg/kg/hr

Diazepam - 0.3 mg/kg/dose q 6h

Lorazepam - 0.2 mg/kg/dose q 4h

Midazolam < 0.15 mg/kg/hr

Midazolam___ mg/kg/hr x ___kg x 1.8 = ___mg diazepam/dose
Calculated enteral diazepam dose should be given q6h

Midazolam ___ mg/kg/hr x ___kg x 1.2 =___ mg lorazepam/dose
Calculated enteral lorazepam dose should be given q4h

Benzodiazepine conversions based on historical CHOP experience.

 

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