Unique Plan Description: ED Antibiotics
Plan Selection Display: ED Antibiotics
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 19:28:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-11-02 10:32:26
Available at all facilities: Yes

ED Antibiotics
Laboratory
		Pneumonia Requires Blood Cultures(NOTE)*
Medications
	amoxicillin
		500 mg, Capsule, BY MOUTH, Once, STAT
	amoxicillin-clavulanate  875 mg-125 mg oral tablet
		1 TAB, By Mouth, Once, STAT
	Bactrim DS
		1 TAB, Tab, By Mouth, Once, STAT
	cephalexin
		500 mg, Capsule, BY MOUTH, Once, STAT
	Vibramycin
		100 mg, Capsule, BY MOUTH, Once, STAT
	levoFLOXacin
		250 mg, Tab, BY MOUTH, Once, STAT
		500 mg, Tab, BY MOUTH, Once, STAT
		750 mg, Tab, BY MOUTH, Once, STAT
	metroNIDAZOLE
		250 mg, Tab, By Mouth, Once, STAT
		500 mg, Tab, By Mouth, Once, STAT
	Cipro
		500 mg, Tab, By Mouth, Once, STAT
	Zithromax
		250 mg, Tab, BY MOUTH, Once, STAT
		500 mg, Tab, BY MOUTH, Once, STAT
		1,000 mg, Tab, By Mouth, Once, STAT
	clarithromycin
		500 mg, Tab, BY MOUTH, Once, STAT
	Ancef
		250 mg, Injection, IM-Intramuscular, Once, STAT
		1,000 mg, Injection, IM-Intramuscular, Once, STAT
	Bicillin L-A
		1,200,000 units, Suspension-Injection, IM-Intramuscular, Once, STAT
		600,000 units, Suspension-Injection, IM-Intramuscular, Once, STAT
	ampicillin IVPB
		1,000 mg, INT, IVPB, Once, STAT
	ampicillin IVPB (FH)
		1,000 mg, INT, IVPB, Once, STAT
	Unasyn IVPB
		1,500 mg, Injection-Premix, IVPB, Once, STAT
		3,000 mg, Injection-Premix, IVPB, Once, STAT
	Unasyn IVPB (FH)
		1,500 mg, INT, IVPB, Once, STAT
		3,000 mg, INT, IVPB, Once, STAT
	Ancef IVPB
		1,000 mg, Injection-Premix, IVPB, Once, STAT
		2,000 mg, Injection-Premix, IVPB, Once, STAT
	Ancef IVPB (FH)
		1,000 mg, INT, IVPB, Once, STAT
		2,000 mg, INT, IVPB, Once, STAT
	INVanz IVPB
		1,000 mg, IVPB, Once, STAT
	Rocephin IVPB
		1,000 mg, Injection-Premix, IVPB, Once, STAT
		2,000 mg, Injection-Premix, IVPB, Once, STAT
	Rocephin IVPB (FH)
		1,000 mg, INT, IVPB, Once, STAT
		2,000 mg, INT, IVPB, Once, STAT
	Cipro IVPB
		400 mg, Injection-Premix, IVPB, Once, STAT
	Levaquin IVPB
		500 mg, Injection-Premix, IVPB, Once, STAT
		750 mg, Injection-Premix, IVPB, Once, STAT
		250 mg, Injection-Premix, IVPB, Once, STAT
	Flagyl IVPB
		500 mg, Injection-Premix, IVPB, Once, STAT
	Zosyn IVPB
		4.5 gm, Injection-Premix, IVPB, Once, STAT, Infuse Over 30 min(s)
	Zosyn IVPB (FH)
		4.5 gm, INT, IVPB, Once, STAT, Infuse Over 30 min(s)
	vancomycin IVPB
		1,000 mg, Injection-Premix, IVPB, Once, STAT
		1,500 mg, Injection-Premix, IVPB, Once, STAT
	vancomycin IVPB (FH)
		1,000 mg, Injection-Premix, IVPB, Once, STAT
		1,500 mg, INT, IVPB, Once, STAT
	Cleocin IVPB
		600 mg, Injection-Premix, IVPB, Once, STAT
		900 mg, Injection-Premix, IVPB, Once, STAT
		Zyvox and ceftaroline (Teflaro) require Infectious Disease Specialist approval.  Indicate in comments which ID Specialist approved date/time.(NOTE)*
	Zyvox IVPB
		600 mg, Injection-Premix, IVPB, Once, STAT
	ceftaroline IVPB
		600 mg, INT, IVPB, Once, STAT
Patient Care
	Sepsis Advisor

cefTRIAXone (Rocephin) IM 500 mg / lidocaine 1% MP
Medications
		cefTRIAXone (Rocephin)  weight-based dosing: 50-100 mg/kg/day.(NOTE)*
	Rocephin IM
		500 mg, Injection, IM-IntraMUSCULAR, Once, STAT
			Comment: 500mg cefTRIAXone vial dissolved with 1mL yields 350mg/mL final concentration.
	Xylocaine-MPF 1% preservative-free injectable solution
		1 mL, Injection, IM-Intramuscular, Once, STAT
			Comment: 500mg cefTRIAXone vial dissolved with 1mL yields 350mg/mL final concentration.

cefTRIAXone (Rocephin) IM 250 mg / lidocaine 1% MP
		cefTRIAXone (Rocephin) weight-based dosing: 50-100 mg/kg/day.(NOTE)*
	Rocephin IM
		250 mg, Injection, IM-IntraMUSCULAR, Once, Other- type in, STD Prophylaxis, STAT
			Comment: 250mg cefTRIAXone vial dissolved with 0.9mL yields 250mg/mL final concentration.
	Xylocaine-MPF 1% preservative-free injectable solution
		0.9 mL, Injection, IM-Intramuscular, Once, STAT
			Comment: 250mg cefTRIAXone vial dissolved with 0.9mL yields 250mg/mL final concentration.

cefTRIAXone (Rocephin) IM 1,000 mg / lidocaine 1%
		cefTRIAXone (Rocephin) weight-based dosing: 50-100 mg/kg/day(NOTE)*
	Rocephin IM
		1,000 mg, Injection, IM-IntraMUSCULAR, Once, STAT
			Comment: 1,000mg cefTRIAXone vial dissolved with 2.1mL yields 1,000mg/2.86mL final concentration.
	Xylocaine-MPF 1% preservative-free injectable solution
		2.1 mL, Injection, IM-Intramuscular, Once, STAT
			Comment: 1,000mg cefTRIAXone vial dissolved with 2.1mL yields 1,000mg/2.86mL final concentration.

ED Blood Culture with Lactate
Laboratory
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		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
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	Lactate
		T;N, Stat, spec type = Blood
	.Blood Culture.
		T;N, Stat, spec type = Blood
	.Culture Blood
		T;N, Stat, spec type = Blood

ED Blood Culture Set
	.Blood Culture.
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
	.Blood Culture
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
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		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*

*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