Unique Plan Description: ED Allergic Reaction
Plan Selection Display: ED Allergic Reaction
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-01-13 16:20:49
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 10:13:28
Available at all facilities: No

ED Allergic Reaction
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
		1,000 mL, IV, STAT, 75 ml/hr
		1,000 mL, IV, STAT, 100 ml/hr
		1,000 mL, IV, STAT, 125 ml/hr
		1,000 mL, IV, STAT, 500 ml/hr
		NOTE: Start at 1mcg/min, increase by 1mcg/min q5 minutes until desired response; usual dose 1-4mcg/min; max 10mcg/minute.  Concentration of Epinephrine is 4 mcg/mL.  Protect from light.  Central line access required if continued for more than 24 hours.(NOTE)*
	EPINEPHrine 5 mg/NS 250 mL
		250 mL, IV, STAT, Increment Increase: 1 mcg/min, Increment Decrease: 1 mcg/min, Increment Freq: 3 min(s), Max Dose: 20 mcg/min
			Comment: Concentration: 20mcg/mL.  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.
		5 mg, EVERY BAG, 1 mcg/min, T;N
Medications
	predniSONE
		10 mg, Tab, BY MOUTH, Once, STAT
		20 mg, Tab, BY MOUTH, Once, STAT
		40 mg, Tab, BY MOUTH, Once, STAT
		60 mg, Tab, BY MOUTH, Once, STAT
	Decadron injectable
		10 mg, Injection, IM-IntraMUSCULAR, Once, STAT
		4 mg, Injection, IM-IntraMUSCULAR, Once, STAT
		4 mg, Injection, IV PUSH, Once, STAT
		10 mg, Injection, IV PUSH, Once, STAT
	SOLU-Medrol
		125 mg, Injection, IV PUSH, Once, STAT
		125 mg, Injection, IM-Intramuscular, Once, STAT
	Benadryl
		25 mg, Injection, IV PUSH, Once, STAT
		50 mg, Injection, IV PUSH, Once, STAT
		25 mg, Capsule, By Mouth, Once, STAT
		50 mg, Capsule, By Mouth, Once, STAT
		50 mg, Injection, IM-Intramuscular, Once, STAT
		25 mg, Injection, IM-Intramuscular, Once, STAT
	Pepcid
		20 mg, Injection, IV PUSH, Once, STAT
		20 mg, Tab, BY MOUTH, Once, STAT
	EPINEPHrine 1 mg/mL injectable solution
		0.3 mg, Injection, IM-Intramuscular, Once, STAT
		0.25 mg, Injection, IV Push, Once, STAT
		0.3 mg, Injection, SUBCUTANEOUS, Once, STAT
	albuterol-ipratropium 2.5 mg-0.5 mg/3 mL inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Once, STAT
	albuterol 2.5 mg/3 mL (0.083%) inh soln
		3 mL, Solution-Nebulization, NEBULIZED, Once, STAT
Patient Care
	Continuous Pulse Oximetry by Nurse
		T;N, Once
	Glucose POC - RN
		T;N, Once
	ED Cardiac Telemetry Monitoring
		T;N, Once
	Oxygen Therapy, Nurse to Administer
		T;N

racemic epinephrine-NS (racepinephrine)
Medications
	racepinephrine 2.25% inhalation soln
		0.5 mL, Solution-Nebulization, NEBULIZED, Once, NOW
			Comment: Mix with 3 mL sodium chloride 0.9% inh soln.
	sodium chloride 0.9% inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Once, NOW
			Comment: Mix with 0.5 mL racemic EPINEPHrine

ED Peripheral Lock Insert with Flush
	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush, 4 hr
Patient Care
	Peripheral Lock-Insert
		T;N, Once

levalbuterol (Xopenex)-ipratropium (Atrovent)
Medications
	levalbuterol 1.25 mg/3 ml inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Q8H
	ipratropium 0.02% inhalation solution
		2.5 mL, Solution-Nebulization, NEBULIZED, Q8H

*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