Unique Plan Description: ED Sedation Deep (MH WH)
Plan Selection Display: ED Sedation Deep (MH WH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-05-02 09:40:37
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-03-03 10:55:52
Available at all facilities: No

ED Sedation Deep (MH WH)
Medications
	ketamine  50 mg/ml injectable solution
		1 mg/kg, Injection, IV Push, Once, STAT
		1.5 mg/kg, Injection, IV Push, Once, STAT
		2 mg/kg, Injection, IV Push, Once, STAT
	atropine
		0.01 mg/kg, Injection, IM-Intramuscular, Q30MIN, STAT
			Comment: Max dose of 0.6 mg
		0.02 mg/kg, Injection, IM-Intramuscular, Q30MIN, STAT
			Comment: Max dose of 0.6 mg
	Diprivan
		1.5 mg/kg, Injection, IV Push, Once
	vecuronium
		0.1 mg/kg, Injection, IV PUSH, Once, STAT
			Comment: Dilute with 10mL sterile water for injection. Concentration = 1 mg/mL
	midazolam
		5 mg, Injection, IV Push, Once, STAT
	succinylcholine
		0.6 mg/kg, Injection, IV PUSH, Once, STAT
		0.9 mg/kg, Injection, IV PUSH, Once, STAT
			Comment: Calculate dose using Ideal Body Weight (IBW)
		1.2 mg/kg, Injection, IV PUSH, Once, STAT
			Comment: Calculate dose using Ideal Body Weight (IBW)
		1.5 mg/kg, Injection, IV PUSH, Once, STAT
			Comment: Calculate dose using Ideal Body Weight (IBW)
	rocuronium
		0.6 mg/kg, Injection, IV PUSH, Once, STAT
			Comment: Calculate dose using Ideal Body Weight (IBW)
		0.9 mg/kg, Injection, IV PUSH, Once, STAT
			Comment: Calculate dose using Ideal Body Weight (IBW)
		1.2 mg/kg, Injection, IV PUSH, Once, STAT
			Comment: Calculate dose using Ideal Body Weight (IBW)
		100 mg, Injection, IV PUSH, Once, STAT
			Comment: MAX Dose is 1.5mg/kg based on Idea Body Weight (IBW)
	fentaNYL
		100 mcg, Injection, IV Push, STAT
	etomidate
		20 mg, Injection, IV PUSH, Once, STAT
	Ativan
		2 mg, IV Push, Once, STAT
		4 mg, IV Push, Once, STAT
	flumazenil
		0.2 mg, Injection, IV PUSH, Once
	Narcan
		0.4 mg, Injection, IV PUSH, Once
Patient Care
	End Tidal CO2 (ETCO2) Monitoring
		T;N, Q6H-Sch
			Comment: continuous- during moderate sedation procedure-RN
	BP
		T;N
			Comment: Q5min and PRN during moderate sedation procedure-RN
	Pulse Ox, Continuous
		Stat
			Comment: Continuous
	ED Cardiac Telemetry Monitoring
		
	Peripheral Lock-Insert
		T;N, Once
	Obtain Consent/Permit for:
		T;N, Once, Moderate and/or Deep Sedation procedure
Consults/Follow-up
	Consult Anesthesiologist
		Reason for Referral: deep sedation
	Consult Hospitalist
		Reason for Referral: deep sedation
	Consult Pulmonologist
		Reason for Referral: deep sedation

*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