Esmolol
Max concentration : Undiluted (10 mg/ml)
Solution : NSS, NS/2, D5W, D5NS/2, D5NS
Dosing instruction: Bolus Dose 0.5-0.1 mg/kg in 1 min.
Infusion rate: 0.05-0.3 mg/kg/min
Titrate dose by 0.05 mg/kg/min q 4 mins to desired effect. Taper off slowly
Body Weight
kg.
Bolus: Esmolol (Undiluted 10 mg/ml)
Bolus dose
-
mg in 1 min.
Infusion: Esmolol 1000 mg/100 ml (10 mg/ml)
Rate (ml/hr)
Dose (mg/kg/min)
Atrial fibrillation protocol
Esmolol 0.5 mg/kg IV bolus every 3-5 min (max. 4 times) with 4-step increasing continuous drip 0.05, 0.1, 0.15, 0.2 mg/kg/min.
Esmolol 30 mg IV bolus every 3-5 min (max. 4 times) with 4-step increasing continuous drip: Esmolol 1000 mg/100 ml i.v. drip 18, 36, 54, 72 ml/h.
Milojevic, Kolia et al. “Esmolol Compared with Amiodarone in the Treatment of Recent-Onset Atrial Fibrillation (RAF): An Emergency Medicine External Validity Study.” The Journal of emergency medicine 56 3 (2019): 308-318 .