Unique Plan Description: CODE PEDIATRIC
Plan Selection Display: CODE PEDIATRIC
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2017-12-06 08:15:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 09:33:01
Available at all facilities: No

CODE PEDIATRIC
IV Solutions
	Sodium Chloride 0.9% Intravenous Solution (NICU Bolus)
		20 mL/kg, Solution, IV Push, Once, NOW
			Comment: Bolus over 20 minutes.
	Dextrose 10% intravenous soln (Bolus)
		5 mL/kg, Solution, IV PUSH, Once, NOW
		10 mL/kg, Solution, IV PUSH, Once, NOW
			Comment: Max of 250mL/dose
	DOPamine 400 mg/D5W 250 mL Premix IV
		400 mg, EVERY BAG, 5 mcg/kg/min
		250 mL, IV, Routine, Start: T;N, Increment Increase: 2.5 mcg/kg/min, Increment Decrease: 2.5 mcg/kg/min, Increment Freq: 10 min(s), Max Dose: 50 mcg/kg/min
			Comment: Concentration: 1600mcg/mL. .Notify MD if > 20mcg/kg/min.  If the dose has been titrated twice within the specified timeframe and goal parameter is not achieved, the titration dose can be doubled until the ordered parameter is achieved or maximum dose is reached.  IV may be re-initiated after weaning within 12hours, re-initiate at the last dosing rate that maintained Goal parameter. Discontinue order after 12hr if patient does not require IV re-initiation.
Medications
	EPINEPHrine 0.1 mg/mL injectable solution
		0.1 mL/kg, Syringe, IV Push, Q5MIN, PRN, see comment
			Comment: resuscitation
		0.1 mL/kg, Syringe, IntraOsseous, Q5MIN, PRN, see comment
			Comment: resuscitation
	sodium bicarbonate 4.2% (NICU)
		1 mEq/kg, Syringe, IV Push, Once, NOW
		1 mEq/kg, Syringe, IntraOsseous, Once, NOW
	sodium bicarbonate 8.4%
		1 mEq/kg, Injection, IV Push, Once, NOW
		1 mEq/kg, Injection, IntraOsseous, Once, NOW
	atropine
		0.02 mg/kg, Syringe, IV PUSH, Once, NOW
			Comment: May repeat x 1. Maximum single dose is 0.5mg.
		0.02 mg/kg, Syringe, IntraOsseous, Once, NOW
			Comment: May repeat x 1. Maximum single dose is 0.5mg.
	adenosine injection
		0.05 mg/kg, Injection, IV Push, Once, NOW
			Comment: Initial dose. To be given via rapid IV Push, and followed immediately with saline 			flush.
		0.1 mg/kg, Injection, IV Push, Once, NOW
			Comment: Initial dose. To be given via rapid IV Push, and followed immediately with saline 			flush.
		0.2 mg/kg, Injection, IV Push, Once, NOW
			Comment: Subsequent dose. To be given via rapid IV Push, and followed immediately with 			saline flush.  Maximum single dose is 12mg
		0.3 mg/kg, Injection, IV Push, Once, NOW
			Comment: Subsequent dose. To be given via rapid IV Push, and followed immediately with 			saline flush.  Maximum single dose is 12mg
	calcium chloride
		20 mg/kg, Syringe, IV Push, Once, NOW
			Comment: Slow IV Push, Administer via central line if possible; Maximum of 2000mg/dose;may repeat in 10 minutes if necessary.
	magnesium 1000mg/2mL
		25 mg/kg, Injection, IV Push, Once, NOW
			Comment: Infuse as a bolus if no pulse present; Maximum of 2000mg; Administer over 10-20 			minutes if pulse present.
		50 mg/kg, Injection, IV Push, Once, NOW
			Comment: Infuse as a bolus if no pulse present; Maximum of 2000mg; Administer over 10-20 			minutes if pulse present.
		25 mg/kg, Injection, IntraOsseous, Once, NOW
			Comment: Infuse as a bolus if no pulse present; Maximum of 2000mg; Administer over 10-20 			minutes if pulse present.
		50 mg/kg, Injection, IntraOsseous, Once, NOW
			Comment: Infuse as a bolus if no pulse present; Maximum of 2000mg; Administer over 10-20 			minutes if pulse present.
	naloxone
		0.1 mg/kg, Injection, IV PUSH, Once, T;N
		0.4 mg, Injection, IV Push, Once, T;N
		2 mg, Injection, IV Push, Once, T;N
		0.01 mg/kg, Injection, IV Push, Once, T;N
			Comment: for partial reversal
		0.1 mg/kg, Injection, SUBCUTANEOUS, Once, T;N
		0.4 mg, Injection, SUBCUTANEOUS, Once, T;N
		2 mg/kg, Injection, SUBCUTANEOUS, Once, T;N
		4 mg/kg, Injection, SUBCUTANEOUS, Once, T;N
	lidocaine 1% 50 mg/5 mL syringe
		1 mg/kg, Syringe, IV Push, Once, T;N
		1 mg/kg, Syringe, IntraOsseous, Once, T;N
	Dextrose 25% in Water syringe
		2 mL/kg, Syringe, IV Push, Once, T;N
			Comment: Max of 25 gm/100mL dose
		4 mL/kg, Syringe, IV Push, Once, T;N
			Comment: Max of 25 gm/100mL dose
		2 mL/kg, Syringe, IntraOsseous, Once, T;N
			Comment: Max of 25 gm/100mL dose
		4 mL/kg, Syringe, IntraOsseous, Once, T;N
			Comment: Max of 25 gm/100mL dose
	amiodarone
		5 mg/kg, Injection, IV Push, Once, T;N
			Comment: To be given via rapid IV Push; Maximum of 300mg/dose and followed immediately 			with 10mL saline flush. May repeat x 2
		300 mg, Injection, IV Push, Once, T;N
			Comment: To be given via rapid IV Push; Maximum of 300mg/dose and followed immediately 			with 10mL saline flush. May repeat x 2

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase