Unique Plan Description: Anes for PACU-REPRO ENDO EKM
Plan Selection Display: Anes for PACU-REPRO ENDO EKM
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-02-28 18:53:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 09:28:40
Available at all facilities: No

Anes for PACU-REPRO ENDO EKM
IV Solutions
	Dextrose 5% in Lactated Ringers IV (In Office)
		1,000 mL, IV, 1 Dose(s)/Time(s), 20 ml/hr
			Comment: in PACU
	Lactated Ringers IV (In Office)
		1,000 mL, IV, 20 ml/hr
			Comment: Maintain IV in PACU
	Sodium Chloride 0.9% IV (In Office)
		1,000 mL, IV, 20 ml/hr
			Comment: Maintain IV in PACU
Medications
		Select only one of the following per pain level:(NOTE)*
	morphine injection 4mg/mL (In Office)
		1 mg, Syringe, IV Push, Q5MIN, PRN pain-in PACU (mild), duration: 15 Dose(s)/Time(s)
			Comment: In PACU, Maximum dose 15 mg
		2 mg, Syringe, IV Push, Q5MIN, PRN pain-in PACU (mild), duration: 7 Dose(s)/Time(s)
			Comment: In PACU, Maximum dose 14 mg
		3 mg, Syringe, IV Push, Q5MIN, PRN pain-in PACU (moderate), duration: 5 Dose(s)/Time(s)
			Comment: In PACU, Maximum dose 15 mg
		5 mg, Syringe, IV Push, Q5MIN, PRN pain-in PACU (severe), duration: 3 Dose(s)/Time(s)
			Comment: In PACU, Maximum dose 15 mg
	HYDROmorphone (Dilaudid) injection (In Office)
		0.2 mg, Injection, IV Push, Q5MIN, PRN pain-in PACU (mild), duration: 7 Dose(s)/Time(s)
			Comment: In PACU, Maximum dose 1.4 mg
		0.3 mg, Injection, IV Push, Q5MIN, PRN pain-in PACU (moderate), duration: 5 Dose(s)/Time(s)
			Comment: In PACU, Maximum dose 1.5 mg
		0.4 mg, Injection, IV Push, Q5MIN, PRN pain-in PACU (severe), duration: 4 Dose(s)/Time(s)
			Comment: In PACU, Maximum dose 1.6 mg
	fentaNYL injection (In Office)
		25 mcg, Injection, IV Push, Q5MIN, PRN pain-in PACU (mild), duration: 12 Dose(s)/Time(s)
			Comment: In PACU, Maximum 300 mcg. Start at 25mcg for mild to moderate pain and for patients > 65 years old
		50 mcg, Injection, IV Push, Q5MIN, PRN pain-in PACU (severe), duration: 6 Dose(s)/Time(s)
			Comment: In PACU, Maximum 300 mcg. Start at 50mcg for severe pain.
		Phase II Recovery/Post Recovery Only- Choose only one of the following per pain level:(NOTE)*
	acetaminophen-HYDROcodone 5-325mg (Norco 5/325mg) (In Office)
		1 TAB, Tab, By Mouth, Once, PRN pain-in PACU (mild)
			Comment: In PACU
		2 TAB, Tab, By Mouth, Once, PRN pain-in PACU (mild)
			Comment: In PACU
	oxyCODONE (In Office)
		5 mg, Tab, By Mouth, Once, PRN pain-in PACU (severe)
			Comment: In PACU
		Additional Medications(NOTE)*
	ondansetron (Zofran) (In Office)
		4 mg, Injection, IV Push, Once, PRN nausea and/or vomiting
			Comment: In PACU
	promethazine (Phenergan 25 mg/1 mL) (In Office)
		6.25 mg, Injection, IV Push, Once, PRN nausea and/or vomiting
	metoclopramide (Reglan) (In Office)
		10 mg, Injection, IV Push, Once, PRN nausea and/or vomiting
			Comment: In PACU
	meperidine (Demerol 25 mg/mL) (In Office)
		12.5 mg, Syringe, IV Push, Q5MIN, PRN shivering, duration: 2 Dose(s)/Time(s)
			Comment: In PACU, Maximum dose 25 mg
		25 mg, Syringe, IV Push, Q5MIN, PRN shivering
			Comment: In PACU
		50 mg, Syringe, IV Push, Q5MIN, PRN shivering
			Comment: In PACU
	naloxone (Narcan) (In Office)
		0.1 mg, Injection, IV Push, Q5MIN, PRN see comment, duration: 4 Dose(s)/Time(s)
			Comment: In PACU, For sedation and or respiratory depression (respiratory rate less than or equal to 6bpm). Contact Anesthesiologist.
	labetalol injection (In Office)
		5 mg 1 mL, Injection, IV Push, Q10MIN, PRN see comment, duration: 3 Dose(s)/Time(s)
			Comment: In PACU, For blood pressure greater than 155/90. Do not give if heart rate less than 60. Max dose 15mg.
		20 mg 4 mL, Injection, IV Push, Q10MIN, PRN see comment, duration: 3 Dose(s)/Time(s)
			Comment: In PACU, For blood pressure greater than 155/90. Do not give if heart rate less than 60.  Max dose 60 mg.
	albuterol 2.5 mg/3 mL (0.083%) inh soln (In Office)
		3 mL, Solution-Nebulization, NEBULIZED, Once, T;N
			Comment: In PACU
Charges/Supplies
	96374 IV PUSH, SINGLE OR INITIALSUSTANCE/DRUG

		

*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