Alaris System Profile Report RELEASED. Stepdown. VUMC - 3/18/ :20 Page 1 of 19 VUMC O, 018d997b6-R

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1 Alaris System Profile Report RELEASED Stepdown VUMC - 3/18/ :20 Page 1 of 19

2 1. Current Data Set Status Data Set Name Hospital Name Data Set ID Data Set Status VUMC O VUMC 018d997b6-R Released Last Changed On 3/18/ :20 Filename C:\Documents and Settings\Administrator\My Documents\Guardrails Editor\018d997b6-R.gre VUMC - 3/18/ :20 Page 2 of 19

3 2. Drug Library by Profile 2.1 Stepdown /Bolus - Non-Anesthesia Drugs /Bolus - Non-Anesthesia Drugs - Stepdown Conc. Dosing Administration Drug Name Module Bolus Limits Units Rate Clinical Ads. P S Soft Soft Hard Initial Soft Soft Hard Initial Soft Soft Hard Initial Name Concentrations Min Max Max Value Min Max Max Value Min Max Max Value abciximab mcg/min / 250 ml (0.029 / ml) amiodarone_drip.standard Peripheral Amio 450 / 250 ml (1.8 / ml) amiodarone_drip Concentrated 900 / 250 ml (3.6 / ml) argatroban 1 / 1 ml (1 / ml) bivalirudin 250 / 50 ml (5 / ml) bumetanide 20 / 80 ml (0.25 / ml) mcg/kg/min /kg/h /kg Cent. line only VUMC - 3/18/ :20 Page 3 of 19

4 /Bolus - Non-Anesthesia Drugs - Stepdown Conc. Dosing Administration Drug Name Module Bolus Limits Units Rate Clinical Ads. P S Soft Soft Hard Initial Soft Soft Hard Initial Soft Soft Hard Initial Name Concentrations Min Max Max Value Min Max Max Value Min Max Max Value conivaptan / 100 ml (0.2 / ml) cyclosporine NO 1 50 adsorbs to tubing - / - ml diltiazem 100 / 100 ml (1 / ml) DOBUTamine 250 / 250 ml (1 / ml) 1,000 / 250 ml (4 / ml) DOPamine.Standard 400 / 250 ml (1.6 / ml) DOPamine Concentrated 1,600 / 250 ml (6.4 / ml) eptifibatide 75 / 100 ml (0.75 / ml) furosemide 200 / 100 ml (2 / ml) heparin 25,000 unit / 250 ml (100 unit / ml) heparin 25,000 unit / 250 ml (100 unit / ml) mcg/kg/min mcg/kg/min mcg/kg/min mcg/kg/min unit/h unit unit/min unit/kg/h unit/kg unit/min Cent. line only VUMC - 3/18/ :20 Page 4 of 19

5 HYDROmorphone Drug Name Concentrations 50 / 50 ml (1 / ml) 500 / 50 ml (10 / ml) insulin /Bolus - Non-Anesthesia Drugs - Stepdown Module Conc. Dosing Administration Bolus Limits Units Rate P S Soft Soft Hard Initial Soft Soft Hard Initial Soft Soft Hard Initial Min Max Max Value Min Max Max Value Min Max Max Value unit / 150 ml (1 unit / ml) isoproterenol 1 / 250 ml (0.004 / ml) 4 / 250 ml (0.016 / ml) labetalol 400 / 500 ml (0.8 / ml) 800 / 250 ml (3.2 / ml) lepirudin 100 / 250 ml (0.4 / ml) lidocaine 2,000 / 250 ml (8 / ml) 4,000 / 250 ml (16 / ml) LORazepam 50 / 50 ml (1 / ml) mannitol 20% 100 gram / 500 ml (0.2 gram / ml) midazolam 70 / 70 ml (1 / ml) unit/h unit unit/min mcg/min /kg/h /kg /kg gram/h Clinical Ads. Name In-line filter VUMC - 3/18/ :20 Page 5 of 19

6 milrinone Drug Name Concentrations 40 / 200 ml (0.2 / ml) 80 / 200 ml (0.4 / ml) morphine 300 / 300 ml (1 / ml) - / - ml naloxone /Bolus - Non-Anesthesia Drugs - Stepdown Module Conc. Dosing Administration Bolus Limits Units Rate Clinical Ads. P S Soft Soft Hard Initial Soft Soft Hard Initial Soft Soft Hard Initial Name Min Max Max Value Min Max Max Value Min Max Max Value mcg/kg/min mcg/kg mcg/kg/min - / - ml naloxone - / - ml nitroglycerin 25 / 250 ml (0.1 / ml) 100 / 250 ml (0.4 / ml) norepinephrine 8 / 250 ml (0.032 / ml) 16 / 250 ml (0.064 / ml) octreotide 500 mcg / 250 ml (2 mcg / ml) oxytocin 15 unit / 250 ml (0.06 unit / ml) procainamide 1,000 / 250 ml (4 / ml) 2,000 / 250 ml (8 / ml) tacrolimus - / - ml Thymoglobulin 100 / 500 ml (0.2 / ml) NO NO NO NO mcg/kg/h mcg/min mcg/min mcg/h milliunit/min adsorbs to tubing 5 30 Hypersensitivity VUMC - 3/18/ :20 Page 6 of 19

7 /Bolus - Non-Anesthesia Drugs - Stepdown Conc. Dosing Administration Drug Name Module Bolus Limits Units Rate Clinical Ads. P S Soft Soft Hard Initial Soft Soft Hard Initial Soft Soft Hard Initial Name Concentrations Min Max Max Value Min Max Max Value Min Max Max Value verapamil / 250 ml (0.4 / ml) /Bolus - Non-Anesthesia Drugs - Concentration Limits No drugs exist in this section /Bolus - Anesthesia Only Drugs /Bolus - Anesthesia Only Drugs - Stepdown Conc. Dosing Administration Clinical Ads. Drug Name Module Bolus Limits Units Rate Name P S Soft Soft Hard Initial Soft Soft Hard Initial Soft Soft Hard Initial Concentrations Min Max Max Value Min Max Max Value Min Max Max Value midazolam NO / - ml /Bolus - Anesthesia Only Drugs - Concentration Limits No drugs exist in this section Intermittent Drugs Drug Name Acetazolamide acyclovir Intermittent Drugs - Stepdown Available As Total Dose Limits Module Duration Limits Concentration Limits Clinical Ads. Dosing Soft Soft Hard Hard Soft Soft Initial Conc. Hard Soft Soft Name Pri. Sec. Units Min Max Max Concentrations P S Min Min Max Value Units Min Min Max / - ml 00:10 00:30 00:15 /kg / - ml 00:50 02:00 01:00 VUMC - 3/18/ :20 Page 7 of 19

8 Drug Name albumin 25% albumin 5% alemtuzumab amikacin amiodarone_bolus amphotericin B.Standard amphotericin B LIPID/Liposomal ampicillin ampicillin/sulbact azathioprine azithromycin aztreonam calcium chloride Calcium gluconate Intermittent Drugs - Stepdown Available As Total Dose Limits Module Duration Limits Concentration Limits Clinical Ads. Dosing Soft Soft Hard Hard Soft Soft Initial Conc. Hard Soft Soft Name Pri. Sec. Units Min Max Max Concentrations P S Min Min Max Value Units Min Min Max gram gram / - ml 00:30 06:00 gram gram / - ml 00:20 06: / - ml 02:00 04:00 /kg / - ml 00:25 02: / 100 ml (1.5 / ml) 00:08 00:20 00:10 /kg / - ml 01:50 06:00 /ml /kg / - ml 00:50 03:00 /ml gram gram gram / 50 ml (0.02 gram / ml) 00:15 01:00 00:30 2 gram / 100 ml (0.02 gram / ml) 00:15 01:30 00:30 - gram / - ml 00:15 01:30 00:30 gram/m L gram / 50 ml (0.03 gram / ml) 00:15 01:00 00:30 3 gram / 100 ml (0.03 gram / ml) 00:15 01:00 00:30 /kg / - ml 00:15 01:00 00:30 Neoplastic / 250 ml (2 / ml) 00:50 01:30 01:00 gram gram / 50 ml (0.02 gram / ml) 00:15 01:00 00:30 2 gram / 50 ml (0.04 gram / ml) 00:15 01:00 00:30 - gram / - ml 00:15 01:00 00:30 gram/m L / - ml 00:50 06:00 /ml / - ml 00:50 06:00 /ml cefazolin 1 gram / 50 ml (0.02 gram / ml) 00:15 01:00 2 gram / 100 ml (0.02 gram / ml) 00:15 01:00 gram gram/m - gram / - ml 00:15 01: L Cefepime 1 gram / 50 ml (0.02 gram / ml) 00:15 01:00 gram gram/m - gram / - ml 00:15 01: L cefoxitin gram gram / - ml 00:15 01:00 00:30 gram/m L ceftriaxone gram/m gram gram / - ml 00:15 01:30 L cefuroxime gram gram / 50 ml (0.03 gram / ml) 00:15 01:00 00:30 VUMC - 3/18/ :20 Page 8 of 19

9 Drug Name chloramphenicol cidofovir ciprofloxacin clindamycin DAPTOmycin desmopressin desmopressin dexamethasone digoxin immune fab doripenem doxycycline enalaprilat ertapenem erythromycin ferric gluconate Na NOT FIRST Dose ferric gluconate Na Test Dose Fluconazole fomepizole fosphenytoin Intermittent Drugs - Stepdown Available As Total Dose Limits Module Duration Limits Concentration Limits Clinical Ads. Dosing Soft Soft Hard Hard Soft Soft Initial Conc. Hard Soft Soft Name Pri. Sec. Units Min Max Max Concentrations P S Min Min Max Value Units Min Min Max - gram / - ml 00:15 01:00 00:30 /kg / - ml 00:15 03:00 /ml 5 20 /kg / - ml 00:50 02:00 01: / 100 ml (2 / ml) 00:50 02:00 01: / 200 ml (2 / ml) 00:50 02:00 01: / - ml 00:25 01:00 /ml / - ml 00:28 02:00 00:30 /ml 2 15 mcg mcg / - ml 00:20 00:45 mcg/ml mcg/kg mcg / - ml 00:15 00: / - ml 00:15 00:45 00: / - ml 00:15 06:00 /ml / - ml 03:30 04:30 04:00 /ml / 100 ml (1 / ml) 00:50 02:00 01: / 100 ml (2 / ml) 01:50 03:00 02: / 50 ml (0.013 / ml) 00:15 01:00 00: / 50 ml (0.025 / ml) 00:15 01:00 00: / 50 ml (0.05 / ml) 00:15 01:00 00:30 1,000 / 50 ml (20 / ml) 00:29 01:00 00:30 - / - ml 00:29 01:00 00: / - ml 00:50 02:00 01: / 100 ml (1.25 / ml) 00:50 02:00 01:00 - / - ml 00:50 02:00 01:00 /ml / 50 ml (0.5 / ml) 00:25 01:00 00: / 50 ml (2 / ml) 00:25 01:00 00: / 100 ml (2 / ml) 00:50 02:00 01: / 200 ml (2 / ml) 01:50 03:00 02: / 400 ml (2 / ml) 03:50 05:00 04:00 /kg / - ml 00:25 01:00 00:30 /ml / - ml 00:55 01:30 /ml VUMC - 3/18/ :20 Page 9 of 19

10 Drug Name furosemide_bolus ganciclovir Intermittent Drugs - Stepdown Available As Total Dose Limits Module Duration Limits Concentration Limits Clinical Ads. Dosing Soft Soft Hard Hard Soft Soft Initial Conc. Hard Soft Soft Name Pri. Sec. Units Min Max Max Concentrations P S Min Min Max Value Units Min Min Max / - ml 00:10 01:00 /ml /kg / - ml 00:55 06:00 /ml 1 10 Neoplastic gentamicin Dose < gentamicin Dose 140 Or MORE hydrocortisone ibutilide imipenem/cilastatin iron dextran High Dose iron dextran Low Dose iron sucrose itraconazole levetiracetam levofloacin Linezolid magnesium sulf_ivpb meropenem methyldopa methylprednisolone MethylPRED-Spinal MethylPRED-Spinal Infusion-dosed in Gm MethylPRED-Spinal Infusion-dosed in 80 / 50 ml (1.6 / ml) 00:25 00:45 00: / 100 ml (1.2 / ml) 00:25 00:45 00:30 - / - ml 00:25 00:45 00:30 /ml /kg / - ml 00:25 01:30 01:00 /ml / - ml 00:10 02:00 /ml / 50 ml (0.02 / ml) 00:09 00:15 00: / 100 ml (5 / ml) 00:50 01:30 01:00 - / - ml 00:50 02:00 /ml / - ml 02:00 06:00 04:00 /ml / - ml 00:30 04:00 01: / - ml 00:15 01:00 /ml / 60 ml (3.333 / ml) 00:50 02:00 01: / - ml 00:15 01:00 /ml / 50 ml (5 / ml) 00:50 01:30 01: / 100 ml (5 / ml) 00:50 01:30 01: / 150 ml (5 / ml) 01:20 02:00 01: / 300 ml (2 / ml) 00:30 04:00 02:00 gram gram / 50 ml (0.04 gram / ml) 00:55 06:00 gram gram / 100 ml (0.01 gram / ml) 02:45 03:30 03:00 2 gram / 100 ml (0.02 gram / ml) 02:45 03:30 03: / 100 ml (2.5 / ml) 00:30 01:30 01: / 100 ml (5 / ml) 00:30 01:30 01: / - ml 00:10 02:00 /ml /kg / - ml 00:14 00:16 00:15 gram/kg gram / - ml 22:30 23:30 23:00 /kg / - ml 22:30 23:30 23:00 VUMC - 3/18/ :20 Page 10 of 19

11 Drug Name Metronidazole micafungin muromonab nafcillin pamidronate penicillin G_PEN G pentamidine Phenytoin phytonadione piperacillin/tazo potassium chloride Central Line potassium chloride Peripheral potassium phosphate promethazine Rifampin SEPTRA_smx/tmp sodium phosphate tigecycline tobramycin Dose < 140 tobramycin Dose 140 Or MORE Intermittent Drugs - Stepdown Available As Total Dose Limits Module Duration Limits Concentration Limits Clinical Ads. Dosing Soft Soft Hard Hard Soft Soft Initial Conc. Hard Soft Soft Name Pri. Sec. Units Min Max Max Concentrations P S Min Min Max Value Units Min Min Max / 100 ml (5 / ml) 00:25 01:30 00:30 - / - ml 00:25 02:00 /ml / - ml 00:45 01:30 01: / - ml 01:50 03:00 02:00 /ml gram gram / 50 ml (0.02 gram / ml) 00:25 02:00 01:00 2 gram / 100 ml (0.02 gram / ml) 00:25 02:00 01:30 - gram / - ml 00:25 02:00 gram/m L / - ml 02:00 23:00 03:00 /ml unit unit / 100 ml (0.025 unit / ml) 00:15 02:00 5 unit / 100 ml (0.05 unit / ml) 00:15 02:00 /kg / - ml 01:00 02:00 /ml ,000 / 250 ml (4 / ml) 00:18 01:00 - / - ml 00:25 02:00 /ml / - ml 00:10 01:00 00:20 /ml gram gram / 50 ml (0.067 gram / ml) 03:30 04:30 04: gram / 100 ml (0.045 gram / ml) 03:30 04:30 04:00 meq meq / 50 ml (0.2 meq / ml) 00:15 00:30 02:00 20 meq / 100 ml (0.2 meq / ml) 00:30 01:00 04:00 meq meq / 50 ml (0.2 meq / ml) 00:30 01:00 04:00 20 meq / 100 ml (0.2 meq / ml) 01:00 02:00 04:00 mmol mmol / - ml 04:00 08:00 06:00 mmol/m L / - ml 00:15 01:00 00:30 /ml / 100 ml (6 / ml) 00:25 02:00 01:00 - / - ml 00:25 02:00 /ml /kg / - ml 00:50 03:00 01:00 mmol mmol / - ml 04:00 08:00 06:00 mmol/m L Unit = MU / - ml 00:30 02:00 01: / 100 ml (0.8 / ml) 00:25 00:45 00:30 - / - ml 00:25 00:45 00:30 /ml /kg / - ml 00:25 01:30 01:00 /ml 1 7 VUMC - 3/18/ :20 Page 11 of 19

12 Drug Name valproate sodium vancomycin Dose over 1000 vancomycin Dose up to 1000 voriconazole zoledronic acid Intermittent Drugs - Stepdown Available As Total Dose Limits Module Duration Limits Concentration Limits Clinical Ads. Dosing Soft Soft Hard Hard Soft Soft Initial Conc. Hard Soft Soft Name Pri. Sec. Units Min Max Max Concentrations P S Min Min Max Value Units Min Min Max / - ml 00:50 02:00 01:00 /ml / - ml 01:25 04:00 /ml / - ml 00:50 02:00 01:00 /ml 3 7 /kg / - ml 00:50 02:00 01: / 100 ml (0.05 / ml) 00:15 01: Fluids Fluids - Stepdown Fluid Name Supports Module Rate Limits (ml/h) Clinical Ads. Name Secondary P S Soft Soft Hard Min Max Max.IVF + Additives Yes IVF_PLAIN Yes % NaCL No Cent. line only Blood (RBCs) No Cosignature required Dextran Yes 1 40 fat emulsion_20% Yes 5 42 hetastarch 6% 500mL No IV Immunoglob (IVIG) No TPN Yes PCA Drugs No drugs exist in this section. VUMC - 3/18/ :20 Page 12 of 19

13 Stepdown 3. Configuration Settings 3.1 PC Unit Settings Alarm Audio Profile Profile 1 Audio Volume 5 Anesthesia Mode Battery Meter Display Color Display Key Click Audio Disabled Limit Checking Always Max Patient BSA (m 2 ) 3 MaxPatient Weight (kg) 500 Patient ID Entry Pending IV Orders Disabled Preventive Maintenance Reminder Tamper Resistant Authorized User Disabled Mode VUMC - 3/18/ :20 Page 13 of 19

14 Stepdown Stepdown 3.2 Pump Module Settings Accumulated Air-In-Line Air-In-Line (microliters) 250 Auto-Restart Attempts 3 KVO Rate Adjust 20 (ml/h) Max Occlusion 525 Pressure (mmhg) Max Occlusion Pressure Initial Value 525 (mmhg) Maximum Rate (ml/h) 999 Maximum VTBI (ml) 3999 Pressure Mode Lock Locked Status Pressure Mode Selectable Selection Secondary Infusion SEC-PRI Audio Alert 3.3 Syringe Module Settings All Mode Auto Occlusion Pressure Disabled VUMC - 3/18/ :20 Page 14 of 19

15 Stepdown Stepdown Settings Back-Off After Occlusion Fast-Start KVO Option Disabled KVO Rate Adjust (ml/h) KVO Volume Adjust (%) Near End Of Infusion Disabled Nea End Of Infusion Alert Time (minutes) Occlusion Pressure 1000 Limit With Disc (mmhg) Occlusion Pressure High Limit No Disc Priming Disabled 3.4 Shared Infusion Settings (Pump and Syringe) Settings Delay Start Options Delay Start Callback Drug Calculation Drug Calculation Bolus Dose Multidose Multidose Callback Pressure Dynamic Display BeforeAn dafter Disabled VUMC - 3/18/ :20 Page 15 of 19

16 Stepdown Stepdown Settings Volume Duration 3.5 Shared Infusion Settings (PCA and Syringe) Settings Maximum Rate (ml/h) 999 VUMC - 3/18/ :20 Page 16 of 19

17 4. Channel Labels Channel labels are not used VUMC - 3/18/ :20 Page 17 of 19

18 Appendices Appendix A Master Clinical Advisories List Advisory Name adsorbs to tubing Arginine Bleeding risk Calcium cardiac monitoring Cent. line only check concentration Cloudy Cosignature required CRRT Enteral only EPS symptoms Extravasation Filter + Hypersens foscarnet hep units/hr Hypersensitivity In-line filter Milrinone for 6C Monitor BP Monitor O2 & Cardiac Naloxone high dose Naloxone low dose Neoplastic Newborn screen NICU insulin Non in PICC Not in UAC O2 Depression 1 O2 Depression 2 Peripheral Amio Pitocin Single Drug IV line1 Single Drug IV line2 SodiumBenz-SodPhenyl THAM Unit = MU Ventilator Vesicant Vesicant + Cent line Master Clinical Advisories Clinical Advisory Text Use same iv tubing per guidelines for new bag. Drug will adsorb to new tubing. Arginine, compatible with Ammunol, central line only Monitor for signs and symptoms of bleeding Do not infuse Ca containing products in same IV line as phosphate consider cardiac monitoring while using this drug Central line required for infusion. Verify concentration entered matches order. This product should be cloudy if its clear there s a problem Cosignature required For Use with CRRT Only Enteral feeds - Do not give IV Monitor for extrapyramidal symptoms Watch IV site carefully for signs of extravasation. Infusion requires the use of an in-line filter. Risk of Hypersensitivity. Check vital signs frequently during infusion. Concentrations > 12 /ml require a central line This file for units/hr Heparin Risk of hypersensitivity. Check vital signs frequently during infusion. Infusion requires the use of an in-line filter. 6C cardiac unit only-no rate adjustments allowed Monitor blood pressure continuously during infusion. ly monitor cardiac and respiratory function. For overdose For pruritus *** ALERT *** This is a cytotoxic agent. Use chemo handling precautions. Confirm state screen For treatment of hyperkalemia Do not administer through PICC Do not give via UAC May cause respiratory depression. Monitor respiratory function closely. May cause respiratory depression. Monitor pulse oximetry closely. Central line preferred, watch IV site closely for signs of extravasation. *** WARNING *** To be used for IUFD or Therapeutic AB. While infusing this drug, do not administer other drugs through the same IV line. This drug is best given through administration set with no other medications. Ammonul, Compatible with arginine, Central line only 1 meq = 3.3 ml *** NOTE *** 1 UNIT = 1 MU MU - million units Patient should be on ventilator Caution vesicant! Watch IV site carefully for signs of extravasation. Central line required for infusion. Caution vesicant; watch for signs of extravasation. VUMC - 3/18/ :20 Page 18 of 19

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