Unique Plan Description: NICU IV Solutions (WH)
Plan Selection Display: NICU IV Solutions (WH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-12-09 15:55:03
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-03-08 10:03:38
Available at all facilities: No

NICU IV Solutions (WH)
IV Solutions
Peripheral
	Dextrose 10% in Water
		250 mL, IV, 1 ml/hr
	Dextrose 10% w/0.225% NS
		250 mL, IV, Routine, T;N, 1 ml/hr
		9.6 mEq, EVERY BAG
	Dextrose 10% w/0.45% NS
		250 mL, IV, Routine, T;N, 1 ml/hr
		19.2 mEq, EVERY BAG
		D10W 1/4 NS/KCL 20 mEg/L/Calcium Gluconate 10mEg/L(NOTE)*
	Dextrose 10% w/0.225% NS w/KCl 20mEq/L and calcium gluc 10mEq/L
		250 mL, IV, 1 ml/hr
		9.6 mEq, EVERY BAG
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		D10W 1/2 NS/KCL 20 mEg/L/Calcium Gluconate 10mEg/L(NOTE)*
	Dextrose 10% w/0.45% NS w/KCl 20mEq/L &cagluc10mEq/L
		5 mEq, EVERY BAG
		250 mL, IV, 1 ml/hr
		19.2 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
	Dextrose 10% in water NICU syringe
		50 mL, IV, 1 ml/hr
	Dextrose 5% in Water NICU syringe
		50 mL, IV, 1 ml/hr
	Dextrose 2.5% in Water NICU syringe
		50 mL, IV, 1 ml/hr
Central
	Dextrose 10% 250 mL w/HEParin 0.5 units/mL
		250 mL, UVC, Routine, T;N, 1 ml/hr
		125 units, EVERY BAG, T;N
	Dextrose 10% w/0.225% NS w/HEParin 0.5 units/mL
		250 mL, UVC, 1 ml/hr
		9.6 mEq, EVERY BAG
		125 units, EVERY BAG
	Dextrose 10% w/0.45% NS w/ heparin 0.5un/mL
		125 units, EVERY BAG
		250 mL, UVC, 1 ml/hr
		19.2 mEq, EVERY BAG
	Dext 10% w/.225% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/mL
		250 mL, IV, 1 ml/hr
		9.6 mEq, EVERY BAG
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		125 units, EVERY BAG
	Dextrose 10% w/0.45% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/mL
		19.2 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		250 mL, IV, 1 ml/hr
		5 mEq, EVERY BAG
		125 units, EVERY BAG
	Dext 12.5% w/.225% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/
		250 mL, IV, 1 ml/hr
		9.6 mEq, EVERY BAG
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		125 units, EVERY BAG
	Dextrose 12.5% w/0.45% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/mL
		250 mL, IV, 1 ml/hr
		19.2 mEq, EVERY BAG
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		125 units, EVERY BAG
	Dext 15% w/.225% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/mL
		250 mL, IV, 1 ml/hr
		9.6 mEq, EVERY BAG
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		125 units, EVERY BAG
	Dextrose 15% w/0.45% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/mL
		250 mL, IV, 1 ml/hr
		19.2 mEq, EVERY BAG
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		125 units, EVERY BAG
	Dext 17.5% w/.225% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/
		250 mL, IV, 1 ml/hr
		9.6 mEq, EVERY BAG
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		125 units, EVERY BAG
	Dextrose 17.5% w/0.45% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/mL
		250 mL, IV, 1 ml/hr
		19.2 mEq, EVERY BAG
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		125 units, EVERY BAG
	Dextrose 20% w/0.225% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/mL
		250 mL, IV, 1 ml/hr
		9.6 mEq, EVERY BAG
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		125 units, EVERY BAG
	Dextrose 20% w/0.45% NS w/KCl 20mEq/L &cagluc10mEq/L&Hep0.5un/mL
		19.2 mEq, EVERY BAG
		250 mL, IV, 1 ml/hr
		5 mEq, EVERY BAG
		2.5 mEq, EVERY BAG
		125 units, EVERY BAG
Starter TPN
	Dextrose 10%Acid 4%0.5units/mL
		250 mL, IV, 1 ml/hr
	Dextrose 10%Acid 4%0.5units/mL syringe
		50 mL, IV, 1 ml/hr
Bolus
	Sodium Chloride 0.9% Intravenous Solution (NICU Bolus)
		10 mL/kg, Injection, IV Push, Once, T;N
			Comment: Bolus over 20 minutes.
	Dextrose 10% intravenous soln (Bolus)
		2 mL/kg, Syringe, IV Push, Once
Arterial Line Solutions
	Sodium Chloride 0.9% w/HEParin 1 unit/mL (NICU)
		50 mL, UAC, Routine, T;N, 0.5 ml/hr
		50 units, EVERY BAG
	Sodium Chloride 0.45% w/HEParin 1 unit/mL (NICU)
		50 mL, UAC, Routine, T;N, 0.5 ml/hr
		50 units, EVERY BAG
		Normal Acetate(NOTE)*
	sodium acetate 7.7mEq/HEParin 50 units/Water 50 mL (NICU)
		50 mL, UAC, Routine, T;N, 0.5 ml/hr
		7.7 mEq, EVERY BAG
		50 units, EVERY BAG
		1/2 Normal Acetate(NOTE)*
	sodium acetate 3.85 mEq/HEParin 50 units/Water 50 mL (NICU)
		50 mL, UAC, Routine, T;N, 0.5 ml/hr
		3.85 mEq, EVERY BAG
		50 units, EVERY BAG
Peripheral Arterial Line
	Papaverine 6mg/HEParin 50 units/Sodium Chloride 0.9% 50mL
		50 mL, PAL, 0.5 ml/hr
		6 mg, EVERY BAG
		50 units, EVERY BAG
	Papaverine 6mg/HEParin 50 units/Sodium Chloride 0.45% 50mL
		50 mL, PAL, 0.5 ml/hr
		6 mg, EVERY BAG
		50 units, EVERY BAG
		Normal Acetate(NOTE)*
	Papaverine 6mg/Sodium Acetate 7.7mEq/HEParin 50 units/Water
		50 mL, PAL, 0.5 ml/hr
		6 mg, EVERY BAG
		7.7 mEq, EVERY BAG
		50 units, EVERY BAG
		1/2 Normal Acetate(NOTE)*
	Papaverine 6mg/Sodium Acetate 3.85mEq/HEParin 50 units/Water
		50 mL, PAL, 0.5 ml/hr
		6 mg, EVERY BAG
		3.85 mEq, EVERY BAG
		50 units, EVERY BAG

*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