Unique Plan Description: nicardipine (Cardene) Protocol
Plan Selection Display: nicardipine (Cardene) Protocol
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-02-16 11:28:54
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-02-22 11:22:59
Available at all facilities: No

nicardipine (Cardene) Protocol
IV Solutions
	niCARdipine 25 mg/NS 250 mL
		25 mg, EVERY BAG, 5 mg/hr, T;N
		250 mL, IV, Routine, Start: T;N, 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.  If hypotension or tachycardia occurs, discontinue the infusion and notify provider.  IV may be re-initiated after weaning within 12hours, re-initiate at the 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
Patient Care
	IV-Restart
		T;N, Q12H
			Comment: if peripheral site is used while on nicardipine

*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