Unique Plan Description: ED Intranasal
Plan Selection Display: ED Intranasal
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 22:37:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-09-28 11:22:35
Available at all facilities: No

ED Intranasal
Medications
	Versed 5 mg/mL
		0.2 mg/kg, Injection, NASAL, Once, STAT
			Comment: Max dose = 10mg. Always use 5mg/mL concentration. Deliver half dose up each nostril.
	lidocaine 2% preservative-free injectable solution
		0.2 mL, Injection, NASAL, Once, STAT
			Comment: Pre-treat with 0.2mL of Lidocaine 2% 3-5 minutes prior to administration of midazolam to 		eliminate burning.
	fentaNYL
		2 mcg/kg, Injection, NASAL, Once, STAT
			Comment: Deliver half dose up each nostril
	naloxone 1 mg/mL injectable solution
		2 mg, Solution, NASAL, Once, STAT
			Comment: Always use 1mg/mL concentration. Deliver half dose up each nostril. May repeat in 5 minutes if respiratory depression persists.
	flumazenil
		0.04 mg/kg, Injection, NASAL, Once, STAT
			Comment: Max single dose = 0.2mg (0.1mg/nostril).Deliver half dose up each nostril. Doses may be 		repeated in 1 minute intervals to a max of 2mg or 0.1mg/kg.
	ketamine 100 mg/mL injectable solution
		0.5 mg/kg, Solution, NASAL, Once, STAT
			Comment: max dose 50mg; use 100mg/ml concentration via the nasal atomizer device as rapidly as possible by RN; administer half dose in each nostril
	ketamine 50 mg/mL injectable (FH)
		0.5 mg/kg, Syringe, NASAL, Once, STAT
			Comment: max dose 50mg; use 100mg/ml concentration via the nasal atomizer device as rapidly as possible by RN; administer half dose in each nostril

*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