Anticoagulation, endocrine and GI

Octreotide (Sandostatin) drip

Sandostatin

Reviewed by Alex G, BSN, RN, CEN, CCRN, CMC, NREMT-P · From the Reference tab of the app

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Dosing

Start	50 mcg bolus, then 50 mcg/h
Titrate	Fixed rate
Maximum	50 mcg/h, for 2–5 days in variceal bleeding
Common bags	500 mcg in 250 mL (2 mcg/mL); 1,000 mcg in 500 mL (2 mcg/mL)
Dose units	mcg/h

Line and administration

Peripheral or central

Watch for

High or low glucose
Bradycardia

Octreotide: full drug monographIndications, mechanism, pharmacokinetics, cautions and every dose the app lists.

In the one-pagers

LVAD BasicsComplications: bleeding, stroke, infection, RV failure: Hold warfarin (and aspirin in HeartMate II or HVAD patients), reverse only for life-threatening bleeding with a high INR, and scope early. For recurrent bleeding ISHLT 2023 lists a lower INR target, octreotide and thalidomide as options with thin evidence.

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For education and exam preparation only. Follow your institution’s protocols. Study aid: check every dose against your local protocols and medical direction, the bag label and your pump.

Octreotide (Sandostatin) drip

Dose ↔ mL/h converter

Dosing

Line and administration

Watch for

In the one-pagers

Other anticoagulation, endocrine and gi