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Dantrolene
Dantrium ®
Usual Diluents
Standard Dilutions   [Amount of drug]  [Infusion volume]  [Infusion rate]
[20 mg vial] [60 ml sterile water without a bacteriostatic agent] 
Infusion rate: as directed
Stability / Miscellaneous
Dantrium is given by direct injection and is incompatible with D5W or NS.   Prepare just before use.  
EXP
: 6hours (RT). 

Tx severe muscle rigidity:
1 mg/kg rapid iv push, may repeat q1-3min until muscle relaxation or total dose of 10 mg/kg. When pt can tolerate po may substitute 1-2 mg/kg po qid. If refractory (NMS) consider adding bromocriptine 5 mg tid initially -if response is inadequate, increase dose rapidly to max of 10-20 mg po q6h. D/C when pt improves or CPK (nml).  

Prevention of malignant hyperthermia
: 2.5 mg/kg IV over 1 hr approximately 75 minutes prior
 


 

 

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