Drug: ESMOLOL HCL (Brevibloc) For ED Use Only 2.5 gm in 250 mi 0.9% NaCl (10mg/ml) Indication 1: Supraventicular tachycardia (SVT) Suggested initial dose. Maintenance dose “Titration dose. Maximum dose Regimen: [350% 500 mogikg undiuied lV push over TminuteTolowed | SO megikgimin over 4 min SO mogikgimin q 10 mi 200 megikgimin by maintenance infusion (50 mogykaymin for 4 mins) May repeat same IV push and increase infusion to 100 imegikg/min Indietion 2: Perl-operative tachycardia andlor hypertension Suggested initial dose Waintenance dose Titration dose. Maximum dose Regimen: [BD mig undluted 'V push over 30 seconds folowed by 150 meghkgimin SO meg/kaimin g 10 min 300 megikgfmin maintenance infusion, Precautions: Use with extreme caution in asthmatics, diabetics, impaired renal function or patients wth hx of hypotension, and CAD. May cause arrhythmia, angina, Ml or death if stopped abrupt. May cause hypoglycemia and mask the symptoms, Monitor: ECG, BP (hypotension), HR (bradycaria), respiratory status Comments: Potent crug, must be diluted prior tots infusion. NOT compatible wth sodium bicarbonate 5% in. Loading Dose Infusion Dose aig Re Ra (ie ties sar gi age rng el rete] ecb Tiina epee 6 Ba arog Tar wih te rg onion hare