Solumedrol

Solumedrol 30 mg/kg then 5.4 mg/kg/hr x 23 additional hours if given within 3 hours of injury or 47 hours if given between 3 and 8 hours.

 

Bolus Dose

Place 30 mg/kg in 150 cc NS and give IV over 15 minutes (set pump to 600 cc/hr, volume to be infused 150 cc)

 

Wait 45 minutes

 

Infusion Dose

If protocol started at <3 hours from time of injury:

Mix 124 mg/kg in 1000 cc NS

Run pump at 43 cc/hr for 23 hours, with volume to be infused-989 cc/hr

 

If protocol started at 3-8 hours from time of injury:

Mix 254 mg/kg in 1000 cc NS

Run pump at 21 cc/hr for 47 hours, with volume to be infused-987 cc

 

lb Kg 30 mg/kg 124 mg/kg 254 mg/kg
  Amount to add to NS in mg
88 40 1200 4960 10160
110 50 1500 6200 12700
132 60 1800 7440 15240
154 70 2100 8680 17780
176 80 2400 9920 20320
198 90 2700 11160 22860
220 100 3000 12400 25400
  110      
  120      
  130      
  140      

 

Perform Fingersticks Q4 hours