Unique Plan Description: ED Injections
Plan Selection Display: ED Injections
PlanType: Medical                                 
Version: 3          
Begin Effective Date: 2022-02-22 10:58:43
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-08-20 14:59:04
Available at all facilities: No

ED Injections
IV Solutions
	Cardene 25 mg/NS 250 mL
		25 mg, EVERY BAG, 5 mg/hr
		250 mL, IV, STAT, Start: T;N, Duration: 1 Dose(s)/Time(s), Increment Increase: 2.5 mg/hr, Increment Decrease: 2.5 mg/hr, Increment Freq: 5 min(s), Max Dose: 15 mg/hr
			Comment: Begin to taper off nicardipine 1 hour after initiation of oral anti-hypertensive therapy. Reduce by 2.5mg/hr every 15 minutes.  Goal of infusion when used for hypertensive urgencies/emergencies is to run less than 8 hours.  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.
	niCARdipine 20mg/NS 200mL
		200 mL, IV, STAT, Increment Increase: 2.5 mg/hr, Increment Decrease: 2.5 mg/hr, Increment Freq: 5 min(s), Max Dose: 15 mg/hr
			Comment: Begin to taper off nicardipine 1 hour after initiation of oral anti-hypertensive therapy. Reduce by 2.5mg/hr every 15 minutes.   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.
		20 mg, EVERY BAG, 5 mg/hr, T;N
	nicardipine 20mg/NS 200mL premix
		20 mg, EVERY BAG, 5 mg/hr
		200 mL, IV, STAT, Increment Increase: 2.5 mg/hr, Increment Decrease: 2.5 mg/hr, Increment Freq: 5 min(s), Max Dose: 15 mg/hr
			Comment: Begin to taper off nicardipine 1 hour after initiation of oral anti-hypertensive therapy. Reduce by 2.5mg/hr every 15 minutes.   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
	adenosine
		6 mg, Injection, IV Push, Once, STAT
		12 mg, Injection, IV Push, Once, STAT
	Ativan
		0.5 mg, Injection, IV Push, Once, STAT
		1 mg, Injection, IV Push, Once, STAT
		2 mg, Injection, IV Push, Once, STAT
	atropine
		1 mg, Syringe, IV Push, 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, Injection-Premix, IVPB, Once, STAT
	Ancef
		1,000 mg, Injection, IM-Intramuscular, Once, STAT
	Amidate
		20 mg, Injection, IV PUSH, Once, STAT
	Arixtra
		2.5 mg, Injection, SUBCUTANEOUS, Once, STAT
	hydrALAZINE
		20 mg, Injection, IV Push, Once, STAT
	Bicillin L-A
		600,000 units, Suspension-Injection, IM-Intramuscular, Once, STAT
		1,200,000 units, Suspension-Injection, IM-Intramuscular, Once, STAT
	Benadryl
		25 mg, Injection, IV PUSH, Once, STAT
		50 mg, Injection, IV PUSH, Once, STAT
		25 mg, Injection, IM-Intramuscular, Once, STAT
		50 mg, Injection, IM-Intramuscular, Once, STAT
	Bentyl
		20 mg, Injection, IM-IntraMUSCULAR, Once, STAT
			Comment: For IM Use Only: DO NOT ADMINISTER IV.
	Cardizem
		25 mg, Injection, IV PUSH, Once, STAT
			Comment: 0.25mg/kg IV bolus over 2 min, 2nd bolus 0.35mg/kg
	amiodarone
		150 mg, Injection, IV Push, Once, STAT
	benztropine
		2 mg, Injection, IV PUSH, Once, STAT
	Cipro IVPB
		400 mg, Injection-Premix, IVPB, Once, STAT
	Cleocin IVPB
		300 mg, INT, IVPB, Once, STAT
		600 mg, Injection-Premix, IVPB, Once, STAT
		900 mg, Injection-Premix, IVPB, Once, STAT
	prochlorperazine
		5 mg, Injection, IV Push, Once, STAT
		10 mg, Injection, IV Push, Once, STAT
	Decadron injectable
		10 mg, Injection, IV PUSH, Once, STAT
		2 mg, Injection, IV PUSH, Once, STAT
		4 mg, Injection, IV PUSH, Once, STAT
		10 mg, Injection, IM-IntraMUSCULAR, Once, STAT
		4 mg, Injection, IM-IntraMUSCULAR, Once, STAT
	Dextrose 50%
		25 mL, Injection, IV Push, Once, STAT
		50 mL, Injection, IV Push, Once, STAT
	dihydroergotamine
		1 mg, Injection, IV, Once, STAT
	digoxin
		0.125 mg, Injection, IV PUSH, Once, STAT
		0.25 mg, Injection, IV PUSH, Once, STAT
		Dilaudid Dosing Recommentdations: Opiate Naive = 0.2-0.6 mg, 65 yrs old = 0.1 - 0.4 mg; Hydromorphone 1 mg IV = Morphine 7 mg IV(NOTE)*
	Dilaudid
		0.2 mg, Injection, IV Push, Once, STAT
		0.5 mg, Injection, IV Push, Once, STAT
		1 mg, Injection, IV PUSH, Once, STAT
		1 mg, Injection, IM-IntraMUSCULAR, Once, STAT
	meperidine
		25 mg, Syringe, IV Push, Once, STAT
		50 mg, Syringe, IV Push, Once, STAT
		75 mg, Syringe, IV Push, Once, STAT
		100 mg, Syringe, IV Push, Once, STAT
	Dilantin IVPB
		15 mg/kg, Injection, IVPB, Once, STAT
	Diprivan 1000 mg/100 mL vial Premix IV
		1,000 mg, EVERY BAG, 5 mcg/kg/min
		100 mL, IV, Routine, Start: T;N, RASS Goal: 0 to -1, Incremental Increase: 5 mcg/kg/min, Incremental Decrease: 5 mcg/kg/min, Incremental Freq: 5 min(s), Max Dose: 50 mcg/kg/min
			Comment: Notify ordering LIP, licenced internal practitioner, if unable to titrate up or down or if max dose is reached and the desired RASS score OR BIS goal is not achieved. Change bottle and tubing q12hr.
	Diprivan
		200 mg, Injection, IV Push, Once, STAT
	droPERidol
		0.625 mg, Injection, IV Push, Once, STAT
		1.25 mg, Injection, IV Push, Once, STAT
		2.5 mg, Injection, IV Push, Once, STAT
		0.625 mg, Injection, IM-Intramuscular, Once, STAT
		1.25 mg, Injection, IM-Intramuscular, Once, STAT
		2.5 mg, Injection, IM-Intramuscular, Once, STAT
	ePHEDrine
		50 mg, Solution, IV PUSH, Once, STAT
	EPINEPHrine 1 mg/mL injectable solution
		0.3 mg, Injection, SUBCUTANEOUS, Once, STAT
		1 mg, Injection, IV Push, Once, STAT
	Flagyl IVPB
		500 mg, Injection-Premix, IVPB, Once, STAT
	glucagon
		0.5 mg, Injection, IM-IntraMUSCULAR, Once, STAT
		1 mg, Injection, SUBCUTANEOUS, Once, STAT
		IV Push Haldol is RESTRICTED to patients EKG monitored.  Use IM-IntraMUSCULAR route if not EKB monitored.(NOTE)*
	Haldol  injectable
		1 mg, Injection, IV PUSH, Once, STAT
		2 mg, Injection, IV PUSH, Once, STAT
		3 mg, Injection, IV PUSH, Once, STAT
		5 mg, Injection, IV PUSH, Once, STAT
		10 mg, Injection, IM-Intramuscular, Once, STAT
	heparin flush 10 units/mL
		30 units, Syringe, IV Push, Once, STAT
	heparin flush 100 units/mL
		300 units, Injection, IV Push, Once, STAT
	HEParin 5000 units/mL SUBCUTANEOUS
		5,000 units, Injection, SUBCUTANEOUS, Once, STAT
	hydrocortisone
		50 mg, Injection, IV Push, Once, STAT
		100 mg, Injection, IV Push, Once, STAT
	insulin regular
		units, Solution-Injection, IV Push, Once, STAT
	Imitrex
		6 mg, Injection, SUBCUTANEOUS, Once, STAT
	INVanz IVPB
		1,000 mg, IVPB, Once, STAT
	Kenalog-40
		40 mg, Injection, IM-Intramuscular, Once, STAT
	Lasix Injection
		20 mg, IV PUSH, Once, STAT
		40 mg, IV PUSH, Once, STAT
		60 mg, IV PUSH, Once, STAT
		100 mg, IV PUSH, Once, STAT
	Levaquin IVPB
		250 mg, Injection-Premix, IVPB, Once, STAT
		500 mg, Injection-Premix, IVPB, Once, STAT
		750 mg, Injection-Premix, IVPB, Once, STAT
	Lovenox
		30 mg, Syringe, SUBCUTANEOUS, Once, STAT
		40 mg, Syringe, SUBCUTANEOUS, Once, STAT
		60 mg, Syringe, SUBCUTANEOUS, Once, STAT
		80 mg, Syringe, SUBCUTANEOUS, Once, STAT
		100 mg, Syringe, SUBCUTANEOUS, Once, STAT
	Lopressor
		5 mg, Solution-Injection, IV PUSH, Once, STAT
		5 mg, Solution-Injection, IV PUSH, Q5MIN, STAT, duration: 3 Dose(s)/Time(s)
			Comment: If HR < 55 and/or SBP < 100 since the last dose given, contact MD for further instructions prior to administration.   These parameters apply unless otherwise specified by physician.
	Mannitol 25% Solution 50mL Vial
		25 gm, Injection, IV Push, Once, STAT
	morphine  IV
		1 mg, Syringe, IV PUSH, Once, STAT
		2 mg, Syringe, IV PUSH, Once, STAT
		3 mg, Syringe, IV PUSH, Once, STAT
		5 mg, Syringe, IV PUSH, Once, STAT
		6 mg, Syringe, IV PUSH, Once, STAT
		10 mg, Syringe, IV PUSH, Once, STAT
	morphine  IM
		1 mg, Syringe, IM-IntraMUSCULAR, Once, STAT
	morphine
		1 mg, Syringe, SUBCUTANEOUS, Once, STAT
	Narcan
		0.1 mg, Injection, IV PUSH, Once, STAT
		0.4 mg, Injection, IV PUSH, Once, STAT
		1 mg, Injection, IV PUSH, Once, STAT
		0.01 mg/kg, Injection, IV PUSH, Once
			Comment: pediatric dosing
	labetalol  injection
		5 mg, = 1 mL, Injection, IV Push, Once, STAT
	orphenadrine Injectable
		60 mg, Injection, IM-Intramuscular, Once, STAT
	vecuronium
		80 mcg/kg, Injection, IV Push, Once, STAT
			Comment: Dilute with 10mL sterile water for injection. Concentration = 1 mg/mL
	acetaminophen 10 mg/mL intravenous solution
		mg, Solution-Injection, IVPB, Once
			Comment: Needs to be NPO
	pantoprazole IV
		40 mg, Injection, IV Push, Once, STAT
			Comment: Reconstitute with 10mL normal saline and infuse over 2 minutes.  Does NOT require filtration.
	Pepcid
		20 mg, Injection, IV PUSH, Once, STAT
	Pitocin
		10 units, Injection, IV PUSH, Once, STAT
	Prevnar 20
		0.5 mL, Suspension, IM-Intramuscular, Once
	procainamide
		20 mg, Injection, IV Push, Once, STAT
	Phenergan (FH)
		12.5 mg, INT, IVPB, Once, STAT
		25 mg, INT, IVPB, Once, STAT
	PHENobarbital
		60 mg, Injection, IV PUSH, Once, STAT
	Rocephin IM
		1,000 mg, Injection, IM-IntraMUSCULAR, Once, STAT
		250 mg, Injection, IM-IntraMUSCULAR, Once, STAT
		500 mg, Injection, IM-IntraMUSCULAR, Once, STAT
	Rocephin IVPB
		1,000 mg, Injection-Premix, IVPB, Once, STAT
	Rocephin IVPB (FH)
		1,000 mg, INT, IVPB, Once, STAT
	Reglan
		10 mg, Injection, IV PUSH, Once, STAT
	flumazenil
		0.1 mg, Injection, IV Push, Once, STAT
		0.5 mg, Injection, IV Push, Once, STAT
	fentaNYL
		25 mcg, Injection, IV Push, Once, STAT
		100 mcg, Injection, IV Push, Once, STAT
	SOLU-Medrol
		40 mg, Injection, IV PUSH, Once, STAT
		125 mg, Injection, IV PUSH, Once, STAT
	butorphanol
		1 mg, Injection, IV Push, Once, STAT
	sodium bicarbonate 8.4%
		25 mEq, Injection, IV Push, Once, STAT
		50 mEq, Injection, IV Push, Once, STAT
	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush
	succinylcholine
		20 mg, Injection, IV Push, Once, STAT
		40 mg, Injection, IV Push, Once, STAT
	ketorolac injectable
		15 mg, Injection, IV PUSH, Once, STAT
			Comment: If >65 yrs old, <50kg or CrCl<50mL/min
		30 mg, Injection, IV PUSH, Once, STAT
		30 mg, Injection, IM-IntraMUSCULAR, Once, STAT
			Comment: If >65 yrs old, <50kg or CrCl<50mL/min
		60 mg, Injection, IM-IntraMUSCULAR, 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
	hydrOXYzine
		25 mg, Injection, IM-Intramuscular, Once, STAT
	Versed 5 mg/5 mL vial
		1 mg, Injection, IV Push, Once, STAT
		2 mg, Injection, IV Push, Once, STAT
		3 mg, Injection, IV Push, Once, STAT
		5 mg, Injection, IV Push, Once, STAT
	Versed (FH)
		1 mg, Injection, IV Push, Once, STAT
		2 mg, Injection, IV Push, Once, STAT
		3 mg, Injection, IV Push, Once, STAT
		5 mg, Injection, IV Push, Once, STAT
	Vasotec
		1.25 mg, Injection, IV PUSH, Once, STAT
	Vitamin B1
		50 mg, Injection, IV Push, Once, STAT
		100 mg, Injection, IM-Intramuscular, Once, STAT
	Vitamin B1 (FH)
		50 mg, Injection, IV Push, Once, STAT
		100 mg, Injection, IM-Intramuscular, Once, STAT
	verapamil
		10 mg, Injection, IV PUSH, Once, STAT
	vancomycin IVPB
		1,000 mg, Injection-Premix, IVPB, Once, STAT
		1,500 mg, INT, IVPB, Once, STAT
	vancomycin IVPB (FH)
		1,000 mg, Injection-Premix, IVPB, Once, STAT
		1,500 mg, INT, IVPB, Once, STAT
	Xylocaine-MPF 1% preservative-free injectable solution
		mL, Injection, IM-Intramuscular, Once, STAT
	Zyvox IVPB
		600 mg, Injection-Premix, IVPB, Once, STAT
	ZyPREXA
		5 mg, Injection, IM-IntraMUSCULAR, Once, STAT
		10 mg, Injection, IM-IntraMUSCULAR, Once, STAT
	ondansetron (MH/WH)
		4 mg, Injection, IV Push, Once, STAT
		8 mg, Injection, IV Push, Once, STAT
		8 mg, Injection, IM-Intramuscular, Once, STAT
	ondansetron
		4 mg, Injection, IV Push, Once, STAT
		4 mg, Injection, IM-Intramuscular, 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)
		For patients who have received Adacel or Tdap previously select the order below:(NOTE)*
	tetanus-diphth toxoids (Td) adult/adol
		0.5 mL, Injection, IM-Intramuscular, Once, STAT
		For patients >= 11 years of age and has not received Adacel previously or if previous Td/Tdap history is unknown select the below order:(NOTE)*
	Adacel (Tdap) intramuscular suspension
		0.5 mL, Suspension-Injection, IM-IntraMUSCULAR, Once, STAT
	Boostrix (Tdap) intramuscular suspension
		0.5 mL, Suspension-Injection, IM-Intramuscular, Once, STAT
		Should be given to all patient for all wounds other than clean minor wounds if the immune status is uncertain or the last known tetanus immunization was greater than 5 years prior to the event.(NOTE)*
	tetanus immune globulin
		250 units, Injection, IM-IntraMUSCULAR, Once, STAT

cefTRIAXone (Rocephin) IM Pediatric Dose / lidocai
	Rocephin IM
		50 mg/kg, Injection, IM-Intramuscular, Q12H
	Xylocaine-MPF 1% preservative-free injectable solution
		mL, Injection, IM-Intramuscular, Q12H
			Comment: Use 2.1mL lidocaine to dissolve 1,000mg vial to yield 350mg/ml.  Use 1mL lidocaine to dissolve 500mg vial to yield 350mg/mL/  Use 0.9mL lidocaine to dissolve 250mg vial to yield 250mg/mL.

cefTRIAXone (Rocephin) IM 500 mg / lidocaine 1% MP
		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.

*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