ED Common Medications

Patient Name: HEOTEST, TOMMY  Age: 34 years  Gender: M  Location: 2WB W235  01  Height: 185.4 cm  Weight: 79.5 kgs  BMI: 23.1  Serum Creatinine: ?? Date Drawn: 09/09/2011 06:35am  Ordering Clinician: PATERSON

Pain

aspirin chewable ORAL chew and swallow 324 MG 81 MG acetaminophen [TYLENOL] ORAL 1 GM 650 MG acetaminophen [TYLENOL] 650 MG RECTAL for mild pain or fever ibuprofen [MOTRIN] ORAL 800 MG 600 MG 400 MG HYDROcodone-acetaminophen [NORCO] ORAL 5 MG-325 MG 7.5 MG-325 MG 10 MG-325 MG 1 TABLET 1-2 TABLET for moderate pain morphine 4 MG 1 MG 2 MG 5 MG 6 MG 8 MG 10 MG IV IM  for severe pain; may repeat dose times 1 in 15 MIN if pain not relieved no repeat dose HYDROmorphone [DILAUDID] 1 MG 0.5 MG 2 MG  IV for severe pain; (monitor oxygen saturation if 2 MG or greater given); may repeat dose times 1 in 15 MIN if pain not relieved no repeat dose ketorolac [TORADOL] 30 MG 15 MG 60 MG IV IM  ONCE oxyCODONE-acetaminophen [PERCOCET] ORAL 5 MG-325 MG 7.5 MG-325 MG 10 MG-325 MG 1 TABLET 1-2 TABLET  for severe pain meperidine [DEMEROL] 25 MG 12.5 MG 50 MG 75 MG 100 MG IV IM  for severe pain; may repeat dose times 1 in 15 MIN if pain not relieved no repeat dose

Anti-Nausea/Vomiting
ondansetron [ZOFRAN] 4 MG 2 MG 8 MG IV SL  ONCE for nausea/vomiting metoclopramide [REGLAN] 5 MG 10 MG 20 MG IV IM  ONCE for nausea/vomiting promethazine [PHENERGAN] 12.5 MG 25 MG IM ORAL RECTAL  ONCE for nausea/vomiting

Nitrates
nitroglycerin [NITROSTAT] 0.4 MG SL Q5MIN PRN for 3 DOSES nitroglycerin paste [NITRO-BID] TOPL 0.5 INCH 1 INCH 1.5 INCH 2 INCH

Respiratory
albuterol 0.5% soln for neb [PROVENTIL, VENTOLIN] 0.5 ML INHALATION ipratropium 0.02% soln for neb [ATROVENT] 2.5 ML INHALATION levalbuterol soln for neb [XOPENEX] INHALATION 0.63 MG 1.25 MG

Sedatives
LORazepam [ATIVAN] 1 MG IM IV ORAL diazepam [VALIUM] 5 MG 10 MG IV ziprasidone [GEODON] 5 MG 10 MG 20 MG  IM

Antibiotics
Cephalosporins
cefTRIAXone [ROCEPHIN] 1 GM IV ONCE cefepime [MAXIPIME] 1 GM 2 GM  IV ONCE
Penicillins
ampicillin-sulbactam [UNASYN] 1.5 GM 3 GM  IV ONCE piperacillin-tazobactam [ZOSYN] 3.375 GM 4.5 GM  IV ONCE
Quinolones
levofloxacin [LEVAQUIN] 750 MG 500 MG  IV ONCE
Carbapenems
meropenem [MERREM] 500 MG 1000 MG  IV ONCE ertapenem [INVANZ] 1 GM 0.5 GM  IV ONCE (No enterococcus or pseudomonal coverage)
Aminoglycosides
tobramycin [NEBCIN] 5 MG/KG IV ONCE
Macrolides
azithromycin [ZITHROMAX] 500 MG 250 MG  IV ONCE
Additional Antibiotics
vancomycin [VANCOCIN] 20 MG/KG IV ONCE linezolid [ZYVOX] 600 MG IV ORAL  ONCE clindamycin [CLEOCIN] 600 MG 900 MG IV ORAL  ONCE

Steroidal
methylprednisolone Sod [SOLUMEDROL] 125 MG 60 MG 80 MG  IV dexamethasone [DECADRON] 4 MG 8 MG 10 MG IM IV predniSONE 40 MG 30 MG 20 MG 10 MG 60 MG ORAL

IV Fluids
NS bolus IV 1 L 500 ML 250 ML NS IV 125 ML/HR 50 ML/HR 75 ML/HR 100 ML/HR 150 ML/HR

IV Medications
Insulin
insulin aspart [NOVOLOG] 2 UNIT 4 UNIT 8 UNIT 12 UNIT 16 UNIT  SUBQ insulin R [HUMULIN R] 5 UNIT 10 UNIT 15 UNIT 20 UNIT  IV Insulin bolus and drip -insulin regular 0.15 UNIT/KG IV ONCE NOW -insulin regular 0.1 UNIT/KG/HR IV CONTINUOUS NOW
Anticoagulants: Unfractionated Heparin This will follow heparin protocol, yet to be developed
Do not exceed 4000 Unit bolus maximum
Heparin (intravenous, weight-based) combined order -heparin 60 UNIT/KG IV ONCE initial dose -heparin 12 UNIT/KG/HR 16 UNIT/KG/HR IV CONTINUOUS maintenance dose; dose adjustment per heparin protocol
Antihypertensives
Peripheral Vasodilator
hydrALAZINE [APRESOLINE] 10 MG IV ONCE for SBP greater than 180 150 130  MMHG or DBP greater than 100 MMHG hydrALAZINE [APRESOLINE] 5 MG IV ONCE for SBP greater than 180 150 130  MMHG or DBP greater than 100 MMHG; May repeat every 30MIN PRN for SBP greater than 180 nitroprusside [NIPRIDE] 0.5 MCG/KG/MIN IV CONTINUOUS and titrate by 0.5 MCG/KG/MIN increments every 5 minutes to a max dose of 10 MCG/KG/MIN for SBP greater than 180 150 130  MMHG or DBP greater than 100 MMHG
Alpha-2 Adrenergic Agonist
cloNIDine [CATAPRES] 0.1 MG 0.2 MG ORAL ONCE Hold for heart rate less than 50 BPM
Beta-Blockers
Hold Beta-Blocker for SBP less than 90 MMHG and call the physician for further orders Hold Beta-Blocker for heart rate less than 50 BPM
labetalol [NORMODYNE] 20 MG 30 MG 40 MG 50 MG 60 MG 70 MG 80 MG  IV May repeat for SBP greater than 130 150 180  MMHG or DBP greater than 100 MMHG up to 300 MG total dose; May repeat EVERY 10MIN PRN labetalol infusion [TRANDATE] MG/MIN IV TITRATE maximum 300 MG total dose, hold for heart rate less than 50 BPM labetalol [NORMODYNE] 100 MG ORAL ONCE
Nitrates
nitroglycerin infusion [TRIDIL] 5 MCG/MIN IV CONTINUOUS titrate to a maximum of 200 MCG/MIN to pain free, keep SBP greater than 100 MMHG per protocol

Other Medications

potassium chloride ER [K-DUR] ORAL 20 MEQ 40 MEQ diphth-acell pertussis-tetanus vaccine [ADACEL] 0.5 ML IM hydrOXYzine hydrochloride [VISTARIL] 25 MG 50 MG  IM ONCE lidocaine 2% [XYLOCAINE] SUBQ 30 ML furosemide [LASIX] 20 MG 40 MG 60 MG 80 MG 100 MG 120 MG IV ORAL orphenadrine ER [NORFLEX] 60 MG IM IV GI cocktail 70 ML ORAL (includes maalox 30 ML, viscous lidocaine 30 ML, and donnatal 10 ML) lidocaine viscous 2% 20 ML ORAL mupirocin 2% oint [BACTROBAN] TOPL

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