Unique Plan Description: CV Diagnostic Center Emergency Reaction Protocol (MHJE)
Plan Selection Display: CV Diagnostic Center Emergency Reaction Protocol (MHJE)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2024-01-25 08:09:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-01-25 08:09:00
Available at all facilities: No

CV Diagnostic Center Emergency Reaction Protocol (
Patient Care

Hospital-CV Diagnostic Center Emergency Reaction P
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 1 Dose(s)/Time(s)
	EPINEPHrine 5 mg/NS 250 mL
		250 mL, IV, STAT, 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.  Clinic order not available
		5 mg, EVERY BAG, 1 mcg/min
Medications
	diphenhydrAMINE
		50 mg, Injection, IV Push, Once, STAT
		25 mg, Injection, IV Push, Once, STAT
	EPINEPHrine
		0.3 mg, Injection, SUBCUTANEOUS, Once, T;N
		0.5 mg, Injection, IM-Intramuscular, Q10MIN, PRN anaphylaxis, duration: 3 Dose(s)/Time(s)
	Pepcid
		20 mg, IV Push, Once, STAT
			Comment: give over 5 min
	methylPREDNISolone
		125 mg, Injection, IM-Intramuscular, Once, T;N
	albuterol-ipratropium 2.5 mg-0.5 mg/3 mL inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Once, T;N
	racepinephrine 2.25% inhalation soln
		0.5 mL, Solution-Nebulization, NEBULIZED, Once, NOW
			Comment: Mix with 3 mL sodium chloride 0.9% inh soln.
	sodium chloride 0.9% inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Once, NOW
			Comment: Mix with 0.5 mL racemic EPINEPHrine
Patient Care
	Cardiac Telemetry Monitoring
		
	Peripheral Lock-Insert
		T;N, Once
Therapies
	Oxygen Therapy
		T;N
	Pulse Oximetry Spot Check RT
		T;N, BID
	Continuous Pulse Oximetry Monitoring Check
		T;N, BID

MPC Clinic CV Diag Ctr Emergency Reaction MHJE Cli
Medications
	diphenhydrAMINE (Benadryl Injection) (In Office)
		50 mg, Injection, IV Push, Once, STAT
		25 mg, Injection, IV Push, Once, STAT
	EPINEPHrine (In Office)
		0.3 mg, Injection, SUBCUTANEOUS, Once, T;N
		0.5 mg, Injection, IM-Intramuscular, Q10MIN, PRN anaphylaxis, duration: 3 Dose(s)/Time(s)
	methylPREDNISolone (Solu-Medrol 125 mg) (In Office)
		125 mg, Injection, IM-Intramuscular, Once, T;N
	albuterol-ipratropium (DuoNeb inhalation) (In Office)
		3 mL, Solution-Nebulization, NEBULIZED, Once, T;N
	racepinephrine (racemic EPINEPHrine 2.25% inhalation solution) (In Office)
		0.5 mL, Solution-Nebulization, NEBULIZED, Once, T;N
			Comment: Dilute with 3mL sodium chloride 0.9% inhalation solution.
	sodium chloride 0.9% inhalation solution (In Office)
		3 mL, Solution-Nebulization, NEBULIZED, Once, T;N
			Comment: Use to dilute 0.5mL racemic EPINEPHrine 2.25%.

*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