Unique Plan Description: Dobutamine Stress Test
Plan Selection Display: Dobutamine Stress Test
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2014-08-07 17:19:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-10-30 15:48:24
Available at all facilities: No

Dobutamine Stress Test
IV Solutions
	Sodium Chloride 0.9%
		500 mL, IV, Continuous
			Comment: Infuse as needed during and after procedure. Discontinue when patient stable.
	DOBUTamine 1000mg/D5W 250mL - No Titration
		1,000 mg, EVERY BAG, 10 mcg/kg/min
		250 mL, IV, T;N
			Comment: Increase by 10mcg/kg/min every 3 minutes to a max of 40mcg/kg/min or per physician direction during test.
	DOBUTamine 200mg/D5W 50mL
		200 mg, EVERY BAG, 10 mcg/kg/min
		50 mL, IV, T;N
			Comment: Increase by 10mcg/kg/min every 3 minutes to a max of 40mcg/kg/min or per physician direction during test.
	Dobutrex 250 mg/D5W 250 mL Premix IV
		250 mg, EVERY BAG, 10 mcg/kg/min
		250 mL, IV, Routine, T;N, 1 Dose(s)/Time(s), See Comment
			Comment: Increase by 10mcg/kg/min every 3 minutes to a max of 40mcg/kg/min or per physician direction during test.
Medications
	metoprolol TARTRATE
		2.5 mg, Solution-Injection, IV PUSH, Q5MIN, PRN for see comment
			Comment: For arrhythmia/elevated HR and/or elevated blood pressure and /or chest pain with EKG changes.
	atropine
		0.1 mg, Injection, IV PUSH, Q5MIN, PRN, see comment
			Comment: 0.1mg-1mg IV push prn to elevate HR for dobutamine stress test
	Definity
		0.5 mL, Injection, IV Push, Q1MIN, PRN for see comment
			Comment: Dilute vial contents in 8mL NS. Give 0.5 - 5mL diluted contrast IV push not to exceed 1mL/sec; prn imaging enhancement as directed by physician/extender; Must flush with NS following injection.
Patient Care

Peripheral Lock - Access
Medications
	sodium chloride 0.9% flush injectable soln
		10 mL Syringe IV PUSH BID
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush
	lidocaine 1% injectable solution (MH/WH/FH)
		0.1 mL, IntraDermal, Q1H, PRN, see comment
			Comment: For IV start
	sodium chloride bacteriostatic 0.9% injectable soln
		0.1 mL, Injection, IntraDermal, Q1H, PRN, see comment
			Comment: For IV start, use if patient has lidocaine allergy.
	Sodium Chloride 0.9% IVPB Flush
		25 mL, IVPB, Q1H, PRN, IV line flush, 5 min(s)
			Comment: Use if medication not compatible with primary line or there is no primary line;  infuse 25mL.
Patient Care
	Peripheral Lock-Insert
		T;N

*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