Unique Plan Description: Dobutamine Stress Test EKM
Plan Selection Display: Dobutamine Stress Test
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2014-08-07 17:19:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-07-26 15:10:48
Available at all facilities: No

Dobutamine Stress Test EKM
IV Solutions
	Sodium Chloride 0.9%
		500 mL, IV, Continuous
			Comment: Infuse as needed during and after procedure. Discontinue when patient stable.
	DOBUTamine 1000mg/D5W 250mL - No Titration
		250 mL, IV, T;N
			Comment: Increase by 10mcg/kg/min every 3 minutes to a max of 40mcg/kg/min or per physician direction during test.
		1,000 mg, EVERY BAG, 10 mcg/kg/min
	DOBUTamine 500mg/D5W 250mL - No Titration
		500 mg, EVERY BAG, 10 mcg/kg/min
		250 mL, IV, T;N
			Comment: Increase by 10mcg/kg/min every 3 minutes to a max of 40mcg/kg/min or per physician direction during test.
	Dobutrex 250 mg/D5W 250 mL Premix IV
		250 mL, IV, Routine, T;N, 1 Dose(s)/Time(s), 5 mcg/kg/min, See Comment
			Comment: Increase by 5mcg/kg every 3 minutes. Per weight based protocol for dobutamine stress test. When physician/extender in attendance, infuse dobutamine as directed.
		250 mg, EVERY BAG, 5 mcg/kg/min, T;N
			Comment: Increase by 5mcg/kg every 3 minutes. Per weight based protocol for dobutamine stress test. When physician/extender in attendance, infuse dobutamine as directed.
Medications
	metoprolol TARTRATE
		2.5 mg, Injection, IV PUSH, Q5MIN, PRN, see comment
			Comment: For arrhythmia/elevated HR and/or elevated blood pressure and /or chest pain with EKG changes.
	atropine
		0.1 mg, Injection, IV PUSH, Q5MIN, PRN, see comment
			Comment: 0.1mg-1mg IV push prn to elevate HR for dobutamine stress test
	Optison
		0.5 mL, Injection, IV Push, Q1MIN, PRN, see comment
			Comment: 0.5-5mL IV push not to exceed 1mL/sec; prn imaging enhancement as directed 			by physician/extender; Must flush with NS following injection.
Patient Care

Peripheral Lock - Access
Medications
	sodium chloride 0.9% flush injectable soln
		10 mL Syringe IV PUSH BID
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush
	lidocaine 1% injectable solution (MH/WH/FH)
		0.1 mL, IntraDermal, Q1H, PRN, see comment
			Comment: For IV start
	sodium chloride bacteriostatic 0.9% injectable soln
		0.1 mL, Injection, IntraDermal, Q1H, PRN, see comment
			Comment: For IV start, use if patient has lidocaine allergy.
	Sodium Chloride 0.9% IVPB Flush
		25 mL, IVPB, Q1H, PRN, IV line flush, 5 min(s)
			Comment: Use if medication not compatible with primary line or there is no primary line;  infuse 25mL.
Patient Care
	Peripheral Lock-Insert
		T;N

*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