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©Author(s) (or their employer(s)) 2026.
World J Crit Care Med. Mar 9, 2026; 15(1): 113515
Published online Mar 9, 2026. doi: 10.5492/wjccm.v15.i1.113515
Table 1 Suggested intensive care unit hemodynamics order set
Suggested ICU hemodynamics order set
Insert an arterial line and central venous catheter for unstable patients
Start norepinephrine if MAP < 65 mmHg with signs of hypoperfusion
Initiate inotrope for low-output states:
    Dobutamine 2-5 μg/kg/minute, titrated every 30-60 minutes based on invasive measures
    OR Milrinone 0.25-0.5 μg/kg/minute, titrate every 30-60 minutes based on invasive measures
Avoid nitroprusside or hydralazine in the presence of hypotension
Daily ECG
Daily electrolytes:
    Maintain K+ > 4.0 mmol/L
    Maintain Mg2+ > 2.0 mg/dL
Escalation checklist:
    Persistent hypotension despite inotrope → Add vasopressor
    Cardiac index < 2.0 L/minute/m2 after 2 hours → Consider mechanical circulatory support (see section E)
    Lactate > 4 mmol/L or worsening acidosis → Activate advanced heart failure consult


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