Unique Plan Description: protamine Reversal of IV and SC heparin
Plan Selection Display: protamine Reversal of IV and SC heparin
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-01-13 13:57:47
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-08-23 13:26:48
Available at all facilities: Yes

protamine Reversal of IV and SC heparin
Medications
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY background-color: rgb(192,192,192);margin:0; P margin:0 </STYLE><META name=GENERAT(NOTE)*
	protamine
		mg, Injection, IVPB, Once, NOW, 30 ml/hr
			Comment: Nurse to monitor patient continuously for the first 10min; if patient tolerates infusion after 10min (no increased hypotension, bradycardia, anaphylaxis), rate may be increased to 90ml/hr for remainder of the infusion.
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY background-color: rgb(192,192,192);margin:0; P margin:0 </STYLE><META name=GENERAT(NOTE)*
		mg, Injection, IVPB, Once, NOW, 30 ml/hr
			Comment: Nurse to monitor patient continuously for the first 10min; if patient tolerates infusion for 10min (no increased hypotension, bradycardia, anaphylaxis), rate may be increased to 90ml/hr for remainder of the infusion.  VS to be monitored every 5min.
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY background-color: rgb(192,192,192);margin:0; P margin:0 </STYLE><META name=GENERAT(NOTE)*
		mg, Injection, IVPB, Once, NOW, 30 ml/hr
			Comment: Nurse to monitor patient continuously for the first 10min; if patient tolerates infusion for 10min (no increased hypotension, bradycardia, anaphylaxis), rate may be increased to 90ml/hr for remainder of the infusion.  VS to be monitored every 5min.
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY background-color: rgb(192,192,192);margin:0; P margin:0 </STYLE><META name=GENERAT(NOTE)*
	diphenhydrAMINE
		25 mg, Injection, IV Push, Once, PRN for allergy symptoms
			Comment: with protamine
	methylPREDNISolone
		125 mg, Injection, IV Push, Once, PRN for wheezing and/or shortness of breath
			Comment: with protamine
	EPINEPHrine
		0.3 mg, Injection, SUBCUTANEOUS, Once, PRN for wheezing and/or shortness of breath
			Comment: with protamine
Patient Care
	Order Lab
		T;N, PTT to be drawn 2 hours after protamine infusion complete. Nurse to enter lab.
		T;N, Heparin antiXa Heparin" to be drawn 2 hours after protamine infusion complete. Nurse to enter lab.
	Cardiac Telemetry Monitoring
		Telemetry Indications: Other
			Comment: during protamine infusion only, dc when infusion complete

*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