Unique Plan Description: esmolol (Brevibloc) Guideline (JE)
Plan Selection Display: esmolol (Brevibloc) Guideline (JE)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-03-23 12:13:41
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 12:39:35
Available at all facilities: Yes

esmolol (Brevibloc) Guideline (JE)
IV Solutions
		Refer to Intravenous Medication Administration Guidelines for approved administration.(NOTE)*
	esmolol 2,500mg/250mL premix diluent IV
		2,500 mg, EVERY BAG, 50 mcg/kg/min
		250 mL, IV, Routine, Start: T;N, Increment Increase: 50 mcg/kg/min, Increment Decrease: 50 mcg/kg/min, Increment Freq: 5 min(s), Max Dose: 300 mcg/kg/min
			Comment: 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.
Medications
	esmolol
		0.5 mg/kg, IV Push, Once, T;N
			Comment: Administer over 1 minute before starting infusion.
		0.5 mg/kg, IV Push, Once, T;N+4
			Comment: Administer over 1 minute if repeat loading dose is needed after first 4 minutes of infusion.

*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