Radial Artery Access - Vasodilator Cocktail

Vasodilator Cocktail for radial artery access:

Nicardipine 200 mcg in 2 ml
1% Lidocaine 1 ml
3-5K of Heparin
+ patient's blood

Infuse slowly as soon as access is obtained.

(Do some folks add Nitroglycerin to this cocktail?)

Terumo sheath - hydrophilic coating helps.
Propafol can be used as a lubricant.
Sterile mineral oil - if the pharmacy has it - can also be used as lubricant.

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