Unique Plan Description: NICU Thrush (WH)
Plan Selection Display: NICU Thrush (WH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2020-09-17 09:06:48
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-10-10 18:25:12
Available at all facilities: Yes

NICU Thrush (WH)
Medications
Antibiotics
		First line oral thrush treatment(NOTE)*
	nystatin  100,000 units/mL oral suspension
		1 mL, Suspension, BY MOUTH, Q6H, Aspergillus, 10 Day(s)
			Comment: Apply to the inside of the mouth/tongue (affected areas).
		Topical Options(NOTE)*
	nystatin topical 100,000 units/gm ointment
		1 appl, Ointment, TOPICAL, Q6H, duration: 10 Day(s)
			Comment: Apply with diaper change.
	miconazole 2% topical cream
		1 appl, Cream, TOPICAL, BID, duration: 10 Day(s)
		2nd line oral thrush treatment(NOTE)*
	gentian violet 1% topical solution
		1 appl, Solution, TOPICAL, DAILY, duration: 2 Day(s)
	fluconazole 40 mg/mL oral liquid
		25 mg/kg, Suspension, By Mouth, Once, NOW, T;N
		12 mg/kg, Suspension, By Mouth, Q24H
Patient Care

	Bottle/Nipple/Pacifier Care
		T;N
			Comment: Wash and steam nipple/bottle parts after every use.  Wash pacifiers with cares and steam with nipple/bottle parts or if not bottle feeding do routine pacifier steaming.
		T;N, Q7D, Replace pacifier and nipple/bottle parts on day 7 of thrush treatment.

*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