Unique Plan Description: Organ Retrieval Levothyroxine (T4) Protocol
Plan Selection Display: Organ Retrieval Levothyroxine (T4) Protocol
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2025-05-14 09:24:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-05-14 09:24:00
Available at all facilities: No

Organ Retrieval Levothyroxine (T4) Protocol
IV Solutions
	levothyroxine 100 mcg/250mL NS
		250 mL, IV
			Comment: Start after Levothyroxine, insulin, dextrose, and solumedrol given. Start at 25 ml/hr (10 mcg/hr) initially. Goal to maintain MAP >60 mmHg or SBP >90 mmHg. Any titrations or rate changes per Donor Coordinator. Begin to taper off existing vasopressors after T4 initiated to maintain Target goal.
		100 mcg, EVERY BAG, 10 mcg/hr
Medications
	Dextrose 50%
		50 mL, Injection, IV Push, Once, STAT
	Solu-MEDROL IVPB
		2 gm, IVPB, Once, T;N
			Comment: in 50 mL D5W, Infuse over  1 hour
	levothyroxine
		20 mcg, Injection, IV Push, Once, STAT
	insulin regular
		20 units, Solution-Injection, IV Push, Once, T;N
			Comment: Give in rapid succession prior to starting T4 drip

*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