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Lorazepam 
Ativan ® 
Usual Diluents
D5W,   NS
Standard Dilutions   [Amount of drug]  [Infusion volume]  [Infusion rate]
Dilute 2 mg/ml (10 ml vials) or 4 mg/ml (10 ml) vials 1:1 with D5W or NS. May add to viaflex bag.

Alternatively: Glass bottle: 40 mg/250 ml (250ml D5W). Infusion Rate: As directed. (See comments).

Primary:
Dilution for 2 mg/ml - 10 ml vials.
= Final Concentration 1 mg/ml  ==
20 mg/20 ml  (10 ml diluent + 10ml of drug) Total volume =20ml.
40 mg/ 40 ml  (20 ml diluent + 20ml of drug) Total volume =40ml.
80 mg/ 80 ml  (40 ml diluent + 40ml of drug) Total volume =80ml.
Stability / Miscellaneous
EXP: 1 DAY (RT) 
Label: Do not Refrigerate /An in-line 0.22u filter should be used. 

Concentrations recommended by the manufacturer: 0.1 , 0.16, or 0.2 mg/ml. 
May also dilute 4 mg/ml and 2 mg/ml vials 1:1 with D5W or NS. 
Do not send if solution is yellow or contains a precipitate. 
Maximum infusion rate: 2 mg/min. 
Maximum dose/day: 480 mg (20 mg/hr). 

Dosing: Status epilepticus: 4 mg IV push (range: 2 to 8 mg). 
May repeat q5 to 15 minutes. 
Monitor patient for acidosis.
 


 

 

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