Unique Plan Description: Anes Local Anesthetic System Toxicity (LAST)
Plan Selection Display: Anes Local Anesthetic System Toxicity (LAST)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2019-08-19 10:29:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 09:26:46
Available at all facilities: Yes

Anes Local Anesthetic System Toxicity (LAST)
Diagnostic Tests
	ECG
		T;N, Stat, Indication: Arrhythmia
IV Solutions
	fat emulsion 20% for lipid rescue
		250 mL, IV, Routine
			Comment: 1.5ml/kg IV push once (rapid IV push over 2-3 min) Max 100ml for bolus dose. 0.25ml/kg/min x 30 min. Calculate IV infusion rate using ideal body weight. Double the infusion rate to 0.5ml/kg/min if blood pressure remains low. Max rate=999ml/hr. continue infusion for at least 10 minutes after attaining circulatory stability. May repeat IV push bolus once or twice for persistent cardiovascular collapse. Recommended upper limit: approximately 10ml/kg lipid emulsion over the first 30 minutes. (~750ml for a 75kg patient using ideal body weight)
		50 gm, EVERY BAG, 25 mg/kg/min, T;N
Patient Care
	Cardiac Telemetry Monitoring
		T;N, Verify rhythm on initiation., Telemetry Indications: Other
	Discontinue Medication
		T;N, Discontinue local anesthetic agents including spinal/epidural infusions
Consults/Follow-up
	Pharmacy Consult
		T;N, Discontinue local anesthetic agents including spinal/epidural infusions

*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