Nicardipine infusion

Dilution guide

Indication

Hypertensive emergency (esp neurologic), postoperative HTN.

Preparation

25 mg in 240 mL D5W or NS.

Dilution

0.1 mg/mL

Rate

Start 5 mg/h; ↑by 2.5 mg/h q5–15 min; max 15 mg/h. Reduce to 3 mg/h once BP controlled.

Monitoring

  • Continuous arterial BP
  • HR
  • Infusion-site q12h (rotate)

Common errors

  • Peripheral phlebitis — rotate site or use central line
  • Reflex tachycardia — avoid in coronary ischaemia

Pearls

  • Preferred in SAH/ICH (predictable BP)
  • Onset 5–15 min, offset 30–40 min
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