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/clinical/cckm-tools/content/beacon-protocols/supportive-care/name-122963-en.cckm

201711331

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100

UWHC,UWMF,

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Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Beacon Protocols,Supportive Care

CSC SC Pentamidine Monthly Ver 11-20-17 (HL 1908)

CSC SC Pentamidine Monthly Ver 11-20-17 (HL 1908) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Beacon Protocols, Supportive Care


CSC SC PENTAMIDINE MONTHLY VER: 11-20-17 –  Properties
Cycle 1 –  11/21/2017 through 12/18/2017 (28 days), Planned
Day 1, Cycle 1 –  Planned for 11/21/2017
Hydration
sodium chloride 0.9 % infusion
at 20 mL/hr, Intravenous, ONCE, 1 dose Starting when released
To establish line and for flushing.
Pre-Medications
diphenhydramine (BENADRYL) injection 25 mg
25 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 1 Minutes
Give 30 minutes prior to pentamidine.
dexamethasone (DECADRON) 10 MG/ML injection 10 mg
10 mg, Intravenous, ONCE, 1 dose Starting when released
Give 30 minutes prior to pentamidine.
Supportive Care Medications
pentamidine (PENTAM) 6 MG/ML injection/bag 300 mg
300 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 60 Minutes
Administer over 60 to 120 minutes.
Conditional Orders
hydrocortisone sodium succinate 10 MG/ML in sodium chloride 0.9% injection 100 mg
100 mg, Intravenous, ONCE PRN Starting when released Until Discontinued, infusion reaction
Give if local reaction occurs at IV site.
Cycle 2 –  12/19/2017 through 1/15/2018 (28 days), Planned
Day 1, Cycle 2 –  Planned for 12/19/2017
Hydration
sodium chloride 0.9 % infusion
at 20 mL/hr, Intravenous, ONCE, 1 dose Starting when released
To establish line and for flushing.
Pre-Medications
diphenhydramine (BENADRYL) injection 25 mg
25 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 1 Minutes
Give 30 minutes prior to pentamidine.
dexamethasone (DECADRON) 10 MG/ML injection 10 mg
10 mg, Intravenous, ONCE, 1 dose Starting when released
Give 30 minutes prior to pentamidine.
Supportive Care Medications
pentamidine (PENTAM) 6 MG/ML injection/bag 300 mg
300 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 60 Minutes
Administer over 60 to 120 minutes.
Conditional Orders
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Zztestonc,Fiona F [2462287]
11/21/2017 10:43:19 AM Page 1 of 4
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2017CCKM@uwhealth.org

hydrocortisone sodium succinate 10 MG/ML in sodium chloride 0.9% injection 100 mg
100 mg, Intravenous, ONCE PRN Starting when released Until Discontinued, infusion reaction
Give if local reaction occurs at IV site.
Cycle 3 –  1/16/2018 through 2/12/2018 (28 days), Planned
Day 1, Cycle 3 –  Planned for 1/16/2018
Hydration
sodium chloride 0.9 % infusion
at 20 mL/hr, Intravenous, ONCE, 1 dose Starting when released
To establish line and for flushing.
Pre-Medications
diphenhydramine (BENADRYL) injection 25 mg
25 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 1 Minutes
Give 30 minutes prior to pentamidine.
dexamethasone (DECADRON) 10 MG/ML injection 10 mg
10 mg, Intravenous, ONCE, 1 dose Starting when released
Give 30 minutes prior to pentamidine.
Supportive Care Medications
pentamidine (PENTAM) 6 MG/ML injection/bag 300 mg
300 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 60 Minutes
Administer over 60 to 120 minutes.
Conditional Orders
hydrocortisone sodium succinate 10 MG/ML in sodium chloride 0.9% injection 100 mg
100 mg, Intravenous, ONCE PRN Starting when released Until Discontinued, infusion reaction
Give if local reaction occurs at IV site.
Cycle 4 –  2/13/2018 through 3/12/2018 (28 days), Planned
Day 1, Cycle 4 –  Planned for 2/13/2018
Hydration
sodium chloride 0.9 % infusion
at 20 mL/hr, Intravenous, ONCE, 1 dose Starting when released
To establish line and for flushing.
Pre-Medications
diphenhydramine (BENADRYL) injection 25 mg
25 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 1 Minutes
Give 30 minutes prior to pentamidine.
dexamethasone (DECADRON) 10 MG/ML injection 10 mg
10 mg, Intravenous, ONCE, 1 dose Starting when released
Give 30 minutes prior to pentamidine.
Supportive Care Medications
pentamidine (PENTAM) 6 MG/ML injection/bag 300 mg
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:43:19 AM Page 2 of 4
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

300 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 60 Minutes
Administer over 60 to 120 minutes.
Conditional Orders
hydrocortisone sodium succinate 10 MG/ML in sodium chloride 0.9% injection 100 mg
100 mg, Intravenous, ONCE PRN Starting when released Until Discontinued, infusion reaction
Give if local reaction occurs at IV site.
Cycle 5 –  3/13/2018 through 4/9/2018 (28 days), Planned
Day 1, Cycle 5 –  Planned for 3/13/2018
Hydration
sodium chloride 0.9 % infusion
at 20 mL/hr, Intravenous, ONCE, 1 dose Starting when released
To establish line and for flushing.
Pre-Medications
diphenhydramine (BENADRYL) injection 25 mg
25 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 1 Minutes
Give 30 minutes prior to pentamidine.
dexamethasone (DECADRON) 10 MG/ML injection 10 mg
10 mg, Intravenous, ONCE, 1 dose Starting when released
Give 30 minutes prior to pentamidine.
Supportive Care Medications
pentamidine (PENTAM) 6 MG/ML injection/bag 300 mg
300 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 60 Minutes
Administer over 60 to 120 minutes.
Conditional Orders
hydrocortisone sodium succinate 10 MG/ML in sodium chloride 0.9% injection 100 mg
100 mg, Intravenous, ONCE PRN Starting when released Until Discontinued, infusion reaction
Give if local reaction occurs at IV site.
Cycle 6 –  4/10/2018 through 5/7/2018 (28 days), Planned
Day 1, Cycle 6 –  Planned for 4/10/2018
Hydration
sodium chloride 0.9 % infusion
at 20 mL/hr, Intravenous, ONCE, 1 dose Starting when released
To establish line and for flushing.
Pre-Medications
diphenhydramine (BENADRYL) injection 25 mg
25 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 1 Minutes
Give 30 minutes prior to pentamidine.
dexamethasone (DECADRON) 10 MG/ML injection 10 mg
10 mg, Intravenous, ONCE, 1 dose Starting when released
Give 30 minutes prior to pentamidine.
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:43:19 AM Page 3 of 4
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org

Supportive Care Medications
pentamidine (PENTAM) 6 MG/ML injection/bag 300 mg
300 mg, Intravenous, ONCE, 1 dose Starting when released, Administer over 60 Minutes
Administer over 60 to 120 minutes.
Conditional Orders
hydrocortisone sodium succinate 10 MG/ML in sodium chloride 0.9% injection 100 mg
100 mg, Intravenous, ONCE PRN Starting when released Until Discontinued, infusion reaction
Give if local reaction occurs at IV site.
Actions
Actions
Actions
Actions
Zztestonc,Fiona F [2462287]
11/21/2017 10:43:19 AM Page 4 of 4
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org