Norepinephrine Drip Rate Calculator

Titrate levophed precisely — enter dose in mcg/kg/min and patient weight to get the mL/hr pump rate for your norepinephrine bag. Supports 4 mg/250 mL, 8 mg/250 mL, and custom concentrations.

Norepinephrine quick reference

Dose (mcg/kg/min)Clinical target
0.01–0.1Low — MAP support, septic shock start
0.1–0.5Moderate — refractory hypotension
>0.5High — consider second pressor

Ranges are general ICU references. Titrate to MAP target per your institution's sepsis protocol.

Formula

mL/hr = (mcg/kg/min × kg × 60) ÷ mcg/mL

For standard 4 mg in 250 mL bag: concentration = 16 mcg/mL. For standard 8 mg in 250 mL bag: concentration = 32 mcg/mL.

Frequently asked questions

What is levophed's standard concentration?

4 mg in 250 mL D5W gives 16 mcg/mL. Double-strength (8 mg/250 mL = 32 mcg/mL) is common in fluid-restricted ICU patients.

How often do I titrate norepinephrine?

Typically every 5–15 minutes per MAP response in septic shock (Surviving Sepsis Campaign). Adjust to maintain target MAP ≥65 mmHg.

Can I use this for post-cardiac surgery patients?

Yes. Enter the concentration your cardiac surgery unit uses — the formula is the same regardless of indication.

Clinical Disclaimer

This calculator is designed to support clinical decision-making, not replace it. Always verify results against your institution's protocols, the patient's clinical context, and current drug references before making any clinical decisions. Never rely solely on automated calculations for critical medication dosing.