Table 2.
Recommended protocol using the AVP (arginine vasopressin) Infusion Sliding Scale.
| Urine output, mL/kg/h | Action taken |
|---|---|
| <2 | Stop infusion till urine output is 3–4 mL/kg/h |
| 2–3 | Reduce infusion rate by 25% |
| 3–4 | Maintain infusion rate |
| 4–5 | Increase infusion rate by 25% |
| >5 | Increase infusion rate by 50% |
Aim for urine output 3–4 mL/kg/h, however, this target will be dependent on fluid balance. Calculate hourly urine output to enable titration of AVP to be done hourly. Size of increment/decrement may need to be altered depending on patient’s sensitivity to desmopressin.
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