Unique Plan Description: Rad Management of Acute Contrast Reactions Pediatrics
Plan Selection Display: Rad Management of Acute Contrast Reactions Pediatrics
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-03-26 15:13:03
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-14 09:09:14
Available at all facilities: No

Urticaria
Medications
	Benadryl
		1 mg/kg, Liquid, By Mouth, Once, STAT
			Comment: up to 50 mg
		2 mg/kg, Liquid, By Mouth, Once, STAT
			Comment: up to 50 mg
		1 mg/kg, Injection, IM-Intramuscular, Once, STAT
			Comment: up to 50 mg
		2 mg/kg, Injection, IM-Intramuscular, Once, STAT
			Comment: up to 50mg
		1 mg/kg, Injection, IV Push, Once, STAT
			Comment: up to 50mg
		2 mg/kg, Injection, IV Push, Once, STAT
			Comment: up to 50mg
	EPINEPHrine 0.1 mg/mL injectable solution
		0.01 mg/kg, Injection, IV Push, Once, STAT
			Comment: slow IV push over 2 to 5 minutes up to 0.3 mg.

Facial  Edema
Vital Signs
	Vital Signs
		T;N, monitor bp
Medications
	Benadryl
		1 mg/kg, Injection, IM-Intramuscular, Once, STAT
			Comment: up to 50 mg
		2 mg/kg, Injection, IM-Intramuscular, Once, STAT
			Comment: up to 50 mg
		1 mg/kg, Injection, IV Push, Once, STAT
			Comment: up to 50 mg
		2 mg/kg, Injection, IV Push, Once, STAT
			Comment: up to 50 mg
	EPINEPHrine 0.1 mg/mL injectable solution
		0.01 mg/kg, Injection, IV Push, Q15MIN, PRN, allergic reaction, STAT
			Comment: slow IV push over 2 to 5 minutes up to 3ml dose. Repeat in 5-30 minutes as needed.
Patient Care
	Oxygen Therapy, Nurse to Administer
		T;N, Via Oxygen Mask, O2 @ 6-10
	Cardiac Telemetry Monitoring
		T;N

Bronchospasm
Vital Signs
	Vital Signs
		T;N, monitor bp
Medications
	EPINEPHrine 0.1 mg/mL injectable solution
		0.01 mg/kg, Injection, IV Push, Q15MIN, allergic reaction, STAT
			Comment: slow IV push over 2 to 5 minutes up to 3ml dose. Repeat in 5-30 minutes as needed.
	albuterol CFC free 90mcg/inh inh aerosol
		2 puff
			Comment: 2-3 puffs, repeat as needed
Patient Care
	Oxygen Therapy, Nurse to Administer
		T;N, Via Oxygen Mask, O2 @ 6-10
			Comment: via mask, face tent or blow by steam
	Cardiac Telemetry Monitoring
		T;N

Laryngeal Edema
Vital Signs
	Vital Signs
		T;N, monitor bp
Medications
	EPINEPHrine 0.1 mg/mL injectable solution
		0.01 mg/kg, Injection, IV Push, Q5MIN, PRN, allergic reaction, STAT
			Comment: slow IV push over 2 to 5 minutes up to 3ml dose. Repeat in 5-30 minutes as needed.
Patient Care
	Oxygen Therapy, Nurse to Administer
		T;N, Via Oxygen Mask, O2 @ 6-10
			Comment: via mask, face tent or blow by steam
	Cardiac Telemetry Monitoring
		T;N

Hypotension with Tachycardia
Activity
	Activity-Position
		T;N, Bed in trendelenberg
			Comment: legs elevated 60 degrees or more, and keep patient warm
IV Solutions
	Lactated Ringers Injection
		250 mL, IV, STAT, 1 Dose(s)/Time(s), Bolus
			Comment: rapid administration
	Sodium Chloride 0.9%
		250 mL, IV, STAT, 1 Dose(s)/Time(s), Bolus
Medications
	EPINEPHrine 0.1 mg/mL injectable solution
		0.01 mg/kg, Injection, IV Push, Q15MIN, PRN, allergic reaction, STAT
			Comment: slow IV push over 2 to 5 minutes up to 3ml dose. Repeat in 5-30 minutes as needed.
Patient Care
	Oxygen Therapy, Nurse to Administer
		T;N, O2 @ 6-10
			Comment: via mask, face tent or blow by steam
	Cardiac Telemetry Monitoring
		T;N

Hypotension with Bradycardia
Vital Signs
	Vital Signs
		T;N, monitor bp
Activity
	Activity-Position
		T;N, Bed in trendelenberg
			Comment: legs elevated 60 degrees or more, and keep patient warm
IV Solutions
	Lactated Ringers Injection
		250 mL, IV, STAT, 1 Dose(s)/Time(s), Bolus
			Comment: rapid administration
	Sodium Chloride 0.9%
		250 mL, IV, STAT, 1 Dose(s)/Time(s), Bolus
			Comment: Rapid administration.
Medications
	atropine
		0.02 mg/kg, Syringe, IV Push, Q30MIN, PRN, see comment, STAT
			Comment: As needed for bradycardia. If patient does not respond to trendelenburg position, warming patient or rapid administration of IV fluid.  Minimum initial dose of 0.1mg. Maximum initial dose of 0.5mg (infant/child) 1mg  (adolescent). May repeart every 30 minutes up to maximum dose up to 1mg (infant/child), 2mg (adolescent).
Patient Care
	Oxygen Therapy, Nurse to Administer
		T;N, Via Oxygen Mask, O2 @ 6-10
			Comment: via mask, face tent or blow by steam
	Cardiac Telemetry Monitoring
		T;N

Pulmonary Edema
Vital Signs
	Vital Signs
		T;N, monitor bp
Medications
	Lasix Injection
		1 mg/kg, IV PUSH, Once, STAT
Patient Care
	Oxygen Therapy, Nurse to Administer
		T;N, Via Oxygen Mask, O2 @ 6-10
			Comment: via mask, face tent or blow by steam
	Cardiac Telemetry Monitoring
		T;N

*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