Alaris System Profile Report RELEASED Stepdown VUMC - 3/18/2013 09:20 Page 1 of 19
1. Current Data Set Status Data Set Name Hospital Name Data Set ID Data Set Status VUMC 9.4 2013 O VUMC 018d997b6-R Released Last Changed On 3/18/2013 09:20 Filename C:\Documents and Settings\Administrator\My Documents\Guardrails Editor\018d997b6-R.gre VUMC - 3/18/2013 09:20 Page 2 of 19
2. Drug Library by Profile 2.1 Stepdown 2.1.1 /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 9 11 7.2 / 250 ml (0.029 / ml) amiodarone_drip.standard 0.5 1 1.9 149 150 300 150 14.9 15 15 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 0.5 1 1.9 149 150 300 150 14.9 15 15 Cent. line only 0.1 3 0.1 0.5 0.25 0.1 0.2 1 100 0.5 2 0.1 1 0.1 1 VUMC - 3/18/2013 09:20 Page 3 of 19
/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 0.8 1.7 10 20 20 0.3 0.67 0.66 20 / 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 2.5 15 10 25 5 10 0.5 20 1 15 1 15 Cent. line only 0.9 2 2.9 1 20 10 80 0.001 20 500 3000 4999 500 10000 500 1665 5 30 49 5 80 500 1665 VUMC - 3/18/2013 09:20 Page 4 of 19
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 0.1 2 150 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 0.1 10 1 25 0.1 25 0.2 10 1 6 0.005 0.3 0.2 0.5 0.001 9999 0.5 4 1 3 100 133 0.25 8 0.25 4 1 16 1 75 In-line filter 0.25 10 0.5 5 10 1 10 VUMC - 3/18/2013 09:20 Page 5 of 19
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 0.2 0.8 25 50 2.5 5 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 1 80 2 15 10 30 0.25 4 0.4 2 5 30 1 17 5 62.5 0.1 30 1 6 20 100 0.001 20 0.01 0.5 adsorbs to tubing 5 30 Hypersensitivity VUMC - 3/18/2013 09:20 Page 6 of 19
/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 3 9 1 5 0.001 9999 100 / 250 ml (0.4 / ml) 2.1.2 /Bolus - Non-Anesthesia Drugs - Concentration Limits No drugs exist in this section. 2.1.3 /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 0.25 10 0.5 5 10 1 10 - / - ml 2.1.4 /Bolus - Anesthesia Only Drugs - Concentration Limits No drugs exist in this section. 2.1.5 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 100 500 - / - ml 00:10 00:30 00:15 /kg 2.5 10 - / - ml 00:50 02:00 01:00 VUMC - 3/18/2013 09:20 Page 7 of 19
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 1 25 - gram / - ml 00:30 06:00 gram 1 12.5 - gram / - ml 00:20 06:00 3 30 - / - ml 02:00 04:00 /kg 7.5 20 - / - ml 00:25 02:00 149 150 150 / 100 ml (1.5 / ml) 00:08 00:20 00:10 /kg 0.25 1 - / - ml 01:50 06:00 /ml 0.05 0.2 /kg 2 6 - / - ml 00:50 03:00 /ml 0.5 2 gram 0.5 2 3.9 gram 1.5 3 1 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 0.01 0.02 1.5 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 0.5 2.5 - / - ml 00:15 01:00 00:30 Neoplastic 500 501 500 / 250 ml (2 / ml) 00:50 01:30 01:00 gram 0.5 2 3.9 1 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 0.01 0.04 500 6000 - / - ml 00:50 06:00 /ml 10 20 500 6000 - / - ml 00:50 06:00 /ml 10 20 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 0.5 2 3.9 gram/m - gram / - ml 00:15 01:00 0.01 0.02 L Cefepime 1 gram / 50 ml (0.02 gram / ml) 00:15 01:00 gram 0.5 2 2.9 gram/m - gram / - ml 00:15 01:00 0.01 0.04 L cefoxitin gram 0.5 2 2.9 - gram / - ml 00:15 01:00 00:30 gram/m L 0.01 0.02 ceftriaxone gram/m gram 0.5 2 2.9 - gram / - ml 00:15 01:30 L 0.01 0.04 cefuroxime gram 0.75 1.5 3 1.5 gram / 50 ml (0.03 gram / ml) 00:15 01:00 00:30 VUMC - 3/18/2013 09:20 Page 8 of 19
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 12.5 25 - / - ml 00:15 03:00 /ml 5 20 /kg 0.5 5 - / - ml 00:50 02:00 01:00 200 400 200 / 100 ml (2 / ml) 00:50 02:00 01:00 400 / 200 ml (2 / ml) 00:50 02:00 01:00 300 900 - / - ml 00:25 01:00 /ml 6 18 200 800 - / - ml 00:28 02:00 00:30 /ml 2 15 mcg 1 4 - mcg / - ml 00:20 00:45 mcg/ml 0.04 0.2 mcg/kg 0.29 0.3 - mcg / - ml 00:15 00:45 1 40 - / - ml 00:15 00:45 00:30 38 500 - / - ml 00:15 06:00 /ml 0.5 1 250 1000 - / - ml 03:30 04:30 04:00 /ml 2.5 5.5 100 200 0.625 2.5 500 1000 100 / 100 ml (1 / ml) 00:50 02:00 01:00 200 / 100 ml (2 / ml) 01:50 03:00 02:00 0.625 / 50 ml (0.013 / ml) 00:15 01:00 00:30 1.25 / 50 ml (0.025 / ml) 00:15 01:00 00:30 2.5 / 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 00:30 250 500 1000 - / - ml 00:50 02:00 01:00 100 250 125 / 100 ml (1.25 / ml) 00:50 02:00 01:00 - / - ml 00:50 02:00 01:00 /ml 1 2.5 24 25 25 / 50 ml (0.5 / ml) 00:25 01:00 00:30 100 800 100 / 50 ml (2 / ml) 00:25 01:00 00:30 200 / 100 ml (2 / ml) 00:50 02:00 01:00 400 / 200 ml (2 / ml) 01:50 03:00 02:00 800 / 400 ml (2 / ml) 03:50 05:00 04:00 /kg 10 15 - / - ml 00:25 01:00 00:30 /ml 5 25 250 1250 - / - ml 00:55 01:30 /ml 2.5 10 VUMC - 3/18/2013 09:20 Page 9 of 19
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 80 240 - / - ml 00:10 01:00 /ml 1.5 5 /kg 1.25 6 - / - ml 00:55 06:00 /ml 1 10 Neoplastic gentamicin Dose < 140 40 139 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 00:30 120 / 100 ml (1.2 / ml) 00:25 00:45 00:30 - / - ml 00:25 00:45 00:30 /ml 0.8 3 /kg 1.5 7 - / - ml 00:25 01:30 01:00 /ml 1 7 12.5 100 - / - ml 00:10 02:00 /ml 0.1 2 1 1.1 1 / 50 ml (0.02 / ml) 00:09 00:15 00:10 250 1000 500 / 100 ml (5 / ml) 00:50 01:30 01:00 - / - ml 00:50 02:00 /ml 2.5 5 500 1500 - / - ml 02:00 06:00 04:00 /ml 0.5 3 25 125 - / - ml 00:30 04:00 01:00 100 300 - / - ml 00:15 01:00 /ml 1 2 191 200 200 / 60 ml (3.333 / ml) 00:50 02:00 01:00 250 1500 - / - ml 00:15 01:00 /ml 3 20 250 / 50 ml (5 / ml) 00:50 01:30 01:00 250 750 500 / 100 ml (5 / ml) 00:50 01:30 01:00 750 / 150 ml (5 / ml) 01:20 02:00 01:30 200 600 600 / 300 ml (2 / ml) 00:30 04:00 02:00 gram 0.5 2 2 gram / 50 ml (0.04 gram / ml) 00:55 06:00 gram 0.5 2 2.9 250 500 1 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 03:00 250 / 100 ml (2.5 / ml) 00:30 01:30 01:00 500 / 100 ml (5 / ml) 00:30 01:30 01:00 10 1000 - / - ml 00:10 02:00 /ml 0.2 20 /kg 28 31 33 - / - ml 00:14 00:16 00:15 gram/kg 0.11 0.14 - gram / - ml 22:30 23:30 23:00 /kg 111 140 - / - ml 22:30 23:30 23:00 VUMC - 3/18/2013 09:20 Page 10 of 19
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 250 1500 500 / 100 ml (5 / ml) 00:25 01:30 00:30 - / - ml 00:25 02:00 /ml 5 5.1 49 151 - / - ml 00:45 01:30 01:00 4 5 9 - / - ml 01:50 03:00 02:00 /ml 0.05 0.1 gram 0.5 2 3.9 1 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 0.01 0.02 30 90 - / - ml 02:00 23:00 03:00 /ml 0.03 0.5 unit 1 6 2.5 unit / 100 ml (0.025 unit / ml) 00:15 02:00 5 unit / 100 ml (0.05 unit / ml) 00:15 02:00 /kg 2 4 - / - ml 01:00 02:00 /ml 1 6 500 1250 1999 1,000 / 250 ml (4 / ml) 00:18 01:00 - / - ml 00:25 02:00 /ml 1 4 1 10 - / - ml 00:10 01:00 00:20 /ml 0.02 0.4 gram 0.74 4.5 3.37 gram / 50 ml (0.067 gram / ml) 03:30 04:30 04:00 4.5 gram / 100 ml (0.045 gram / ml) 03:30 04:30 04:00 meq 10 20 10 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 10 20 10 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 5 60 - mmol / - ml 04:00 08:00 06:00 mmol/m L 0.04 0.16 12.5 25 50 - / - ml 00:15 01:00 00:30 /ml 0.25 0.5 600 601 799 600 / 100 ml (6 / ml) 00:25 02:00 01:00 - / - ml 00:25 02:00 /ml 6 6.1 /kg 3 10 - / - ml 00:50 03:00 01:00 mmol 4 60 - mmol / - ml 04:00 08:00 06:00 mmol/m L Unit = MU 0.04 0.32 24 101 - / - ml 00:30 02:00 01:00 60 139 80 / 100 ml (0.8 / ml) 00:25 00:45 00:30 - / - ml 00:25 00:45 00:30 /ml 0.8 3 /kg 1.5 7 - / - ml 00:25 01:30 01:00 /ml 1 7 VUMC - 3/18/2013 09:20 Page 11 of 19
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 25 1000 - / - ml 00:50 02:00 01:00 /ml 1 10 1000 2000 2999 - / - ml 01:25 04:00 /ml 2 10 250 1000 - / - ml 00:50 02:00 01:00 /ml 3 7 /kg 3 7 - / - ml 00:50 02:00 01:00 5 5.1 5 / 100 ml (0.05 / ml) 00:15 01:00 2.1.6 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 20 250.IVF_PLAIN Yes 20 999 3% NaCL No 10 50 99 Cent. line only Blood (RBCs) No 50 999 Cosignature required Dextran Yes 1 40 fat emulsion_20% Yes 5 42 hetastarch 6% 500mL No 100 999 IV Immunoglob (IVIG) No 10 150 TPN Yes 10 200 2.1.7 PCA Drugs No drugs exist in this section. VUMC - 3/18/2013 09:20 Page 12 of 19
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 - 3/18/2013 09:20 Page 13 of 19
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 - 3/18/2013 09:20 Page 14 of 19
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 - 3/18/2013 09:20 Page 15 of 19
Stepdown Stepdown Settings Volume Duration 3.5 Shared Infusion Settings (PCA and Syringe) Settings Maximum Rate (ml/h) 999 VUMC - 3/18/2013 09:20 Page 16 of 19
4. Channel Labels Channel labels are not used VUMC - 3/18/2013 09:20 Page 17 of 19
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 - 3/18/2013 09:20 Page 18 of 19
VUMC - 3/18/2013 09:20 Page 19 of 19