Unique Plan Description: Pharmacy Surgery Drips
Plan Selection Display: Pharmacy Surgery Drips
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-10-26 07:11:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-04-02 15:15:46
Available at all facilities: No

Pharmacy Surgery Drips
IV Solutions
	phenylephrine 20 mg/NS 250 mL
		250 mL, IV, STAT, Duration: 4 hr, Increment Increase: 10 mcg/min, Increment Decrease: 10 mcg/min, Increment Freq: 3 min(s), Max Dose: 180 mcg/min
			Comment: **NEO-SYNEPHRINE** Concentration: 80mcg/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.
		20 mg, EVERY BAG, 100 mcg/min
	Levophed 8mg/D5W 250mL Premix
		250 mL, IV, STAT, Duration: 4 hr, Increment Increase: 1 mcg/min, Increment Decrease: 1 mcg/min, Increment Freq: 3 min(s), Max Dose: 30 mcg/min
			Comment: **LEVOPHED** Concentration: 32mcg/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.
		8 mg, EVERY BAG, 8 mcg/min
	EPINEPHrine 5 mg/NS 250 mL
		250 mL, IV, STAT, Duration: 4 hr, 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
	vasopressin 10units/NS 50mL
		50 mL, IV, STAT, Duration: 4 hr, Increment Increase: 0.01 unit/min, Increment Decrease: 0.01 unit/min, Increment Freq: 30 min(s), Max Dose: 0.1 unit/min
			Comment: 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.
		10 units, EVERY BAG, 0.01 unit/min
	DOPamine 400 mg/D5W 250 mL Premix IV
		250 mL, IV, STAT, Duration: 4 hr, Increment Increase: 2.5 mcg/kg/min, Increment Decrease: 2.5 mcg/kg/min, Increment Freq: 10 min(s), Max Dose: 50 mcg/kg/min
			Comment: Concentration: 1600mcg/mL. Notify MD if > 20mcg/kg/min.  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.
		400 mg, EVERY BAG, 5 mcg/kg/min
	DOBUTamine 1000mg/D5W 250mL
		250 mL, IV, STAT, Duration: 4 hr, Increment Increase: 1 mcg/kg/min, Increment Decrease: 1 mcg/kg/min, Increment Freq: 10 min(s), Max Dose: 40 mcg/kg/min
			Comment: Concentration: 4000mcg/mL. .Notify MD if > 20mcg/kg/min.  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.
		1,000 mg, EVERY BAG, 2.5 mcg/kg/min
	DOBUTamine 500 mg/D5W 250 mL
		250 mL, IV, STAT, Duration: 4 hr, Increment Increase: 1 mcg/kg/min, Increment Decrease: 1 mcg/kg/min, Increment Freq: 10 min(s), Max Dose: 40 mcg/kg/min
			Comment: Concentration: 2000mcg/mL. .Notify MD if > 20mcg/kg/min.  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.
		500 mg, EVERY BAG, 2.5 mcg/kg/min
	dexmedetomidine 400 mcg/NS 100 mL Premix IV
		100 mL, IV, STAT, Duration: 4 hr, RASS Goal: 0 to -1, Incremental Increase: 0.1 mcg/kg/hr, Incremental Decrease: 0.1 mcg/kg/hr, Incremental Freq: 30 min(s), Max Dose: 1.5 mcg/kg/hr
			Comment: Begin at 0.2mcg/kg/hr and titrate to goal RASS 0 to -1 OR BIS 45-60, Notify MD if target RASS OR BIS not met at 0.7mcg/kg/hr. Hold if HR<50, SBP<100mmHg or MAP<50 and notify MD.
		400 mcg, EVERY BAG, 0.2 mcg/kg/hr
	nitroglycerin 50 mg/D5W 250 mL Premix IV
		250 mL, IV, STAT, Duration: 4 hr, Maintain Parameter Goal: SBP> 90, Increment Increase: 5 mcg/min, Increment Decrease: 5 mcg/min, Increment Freq: 5 min(s), Max Dose: 200 mcg/min
			Comment: If no response at 20mcg/min, may increase by 10mcg/min every 5 min.  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.
		50 mg, EVERY BAG, 5 mcg/min
	Nipride 50mg/NS 100mL
		100 mL, IV, STAT, Duration: 4 hr, Increment Increase: 0.5 mcg/kg/min, Increment Decrease: 0.5 mcg/kg/min, Increment Freq: 5 min(s), Max Dose: 10 mcg/kg/min
			Comment: 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.
		50 mg, EVERY BAG, 0.5 mcg/kg/min
	Cardene 20mg/NS 200mL
		200 mL, IV, STAT, Duration: 4 hr, 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
	nicardipine 20mg/NS 200mL premix
		20 mg, EVERY BAG, 5 mg/hr
		200 mL, IV, STAT, Duration: 4 hr, 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.
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.375 mcg/kg/min
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
		20 mg, EVERY BAG, 0.375 mcg/kg/min
		For renally impaired patients select below:(NOTE)*
		if CrCl <= 5mL/min then choose 0.2 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.2 mcg/kg/min
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
		20 mg, EVERY BAG, 0.2 mcg/kg/min
		If CrCl<=6-10 mL/min then choose 0.23 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.23 mcg/kg/min
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
		20 mg, EVERY BAG, 0.23 mcg/kg/min
		If CrCl<=11-20 mL/min then choose 0.28 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.28 mcg/kg/min
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
		20 mg, EVERY BAG, 0.28 mcg/kg/min
		If CrCl<=21-30 mL/min then choose 0.33 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.33 mcg/kg/min
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
		20 mg, EVERY BAG, 0.33 mcg/kg/min
		If CrCl<=31-40 mL/min then choose 0.38 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.38 mcg/kg/min
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		20 mg, EVERY BAG, 0.38 mcg/kg/min
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
		If CrCl<=41-50 mL/min then choose 0.43 mcg/kg/min(NOTE)*
	milrinone 20 mg/D5W 100 mL Premix IV
		20 mg, EVERY BAG, 0.43 mcg/kg/min
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
	milrinone 20 mg/D5W 100 mL
		20 mg, EVERY BAG, 0.43 mcg/kg/min
		100 mL, IV, STAT, 4 hr
			Comment: Conc=200mcg/mL.
	amiodarone IVPB
		150 mg, Injection, IVPB, Once, STAT
	amiodarone 450 mg/D5W 250 mL
		200 mL, IV, STAT, 4 hr
			Comment: 1 mg/min (33ml/hr) for 6hr (200mL) then 0.5 mg/min (16.7ml/hr) continuous
		360 mg, EVERY BAG, 1 mg/min
	Cardizem 100 mg/100 mL NS Premix IV
		100 mL, IV, STAT, Duration: 4 hr, Maintain Parameter Goal: HR< 100, Increment Increase: 5 mg/hr, Increment Decrease: 5 mg/hr, Increment Freq: 15 min(s), Max Dose: 15 mg/hr
			Comment: ACTIVATION REQUIRED PRIOR TO USE.  increase infusion to 15mg/hr if heart rate greater than or equal to 120 after second bolus.  Discontinue Diltiazem infusion 1 hour after oral dose initiated.  Begin  Tiazac 180 mg po when HR rate has been less than 100 bpm for 4 hours, and or sinus rhythm has returned, if infusion rate 5mg/hr. Begin Tiazac 240 mg po when heart rate has been less than 100 bpm for 4 hours, and or sinus rhythm has returned, if infusion rate 10 mg/h.  Begin Tiazac 300 mg po when heart rate has been less than 100 bpm for 4 hours, and or sinus rhythm has returned, if infusion rate 15 mg/hr.  Enter oral diltiazem order from Atrial Fibrillation Powerplan.
		100 mg, EVERY BAG, 10 mg/hr

*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