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IP - Factor 8 -Recombinant (HELIXATE FS) - Minor Procedure - Supplemental [1272]

IP - Factor 8 -Recombinant (HELIXATE FS) - Minor Procedure - Supplemental [1272] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, BMT/Oncology/Hematology


IP - Factor 8 Recombinant (HELIXATE FS) Minor Procedure [1272]
Factor 8 Recombinant
Nursing Communication [16515]
Use Hospital Supply of Factor 8 While Inpatient
[NURTRT0048]
CONTINUOUS, Starting today, Use hospital supply of Factor
8 while inpatient.
Avoid Dividing Vial of Factor [NURTRT0048] CONTINUOUS, Starting today, Avoid dividing a vial of factor.
To avoid wasting factor the dose may be rounded up to the
nearest vial size. The final dose should not exceed 125% of
the recommended dose.
Do NOT Administer Any Aspirin Containing Products or
Ketorolac [NURTRT0048]
CONTINUOUS, Starting today, Do NOT administer any
Aspirin containing products or ketorolac.
Medications - Preprocedure
Preprocedure [13684]
factor 8 (HELIXATE FS) injection [760282] 40-50 Units/kg, Intravenous, ONCE For 1 Doses
Give 30 minutes prior to procedure. Use hospital supply of
factor 8 while inpatient. Avoid dividing a vial of factor. To
avoid wasting factor the dose may be rounded to the nearest
vial size. The final dose should not exceed 125% of the
recommended dose.
Note: No aspirin or ketorolac [950018] EVERY 8 HOURS
No aspirin or ketorolac
Medications - Postprocedure
Postprocedure - NOTE: Order ALL [19683]
factor 8 (HELIXATE FS) injection [760282] 40-50 Units/kg, Intravenous, EVERY 12 HOURS Starting
today For 2 Doses
Begin 12 hours after preprocedure dose. Use hospital supply
of factor 8 while inpatient. Avoid dividing a vial of factor. To
avoid wasting factor the dose may be rounded to the nearest
vial size. The final dose should not exceed 125% of the
recommended dose.
factor 8 (HELIXATE FS) injection [760282] 25-30 Units/kg, Intravenous, EVERY 24 HOURS Starting
tomorrow
Begin 24 hours after previous dose and continue for ***
doses. Use hospital supply of factor 8 while inpatient. Avoid
dividing a vial of factor. To avoid wasting factor the dose may
be rounded to the nearest vial size. The final dose should not
exceed 125% of the recommended dose.
RPh: Check the Admin Instructions for the number of doses
and enter in the doses ("For") field at verification
Morning After Surgery
Labs [16530]
FACTOR VIII ACTIVITY [HCF8A] CONDITIONAL - RN COLLECT, Starting today For 1 Days,
Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition? Draw within 1 hour prior to
next scheduled dose of Factor 8 Recombinant.
Patient Care Orders [16532]
Notify Provider [NURCOM0001] Provider to Notify: Provider
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg):
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C):
If temperature < (C):
If heart rate > (bpm):
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Pr i nted by STRAKA, KEVIN F [KFS1] at 9/5/2013 10:28:05 AM
Copyright © 2013 University of Wisconsin Hospital and Clinics Authority


If heart rate < (bpm):
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%):
If urine output < (mL):
Other: With Factor VIII activity results morning after surgery.
Notify Bleeding Disorder Program Nurse at 890-9496 for
any Questions [NURCOM0022]
ONCE, Starting today For 1 Occurrences
Notify Adult Hematologist On Call for any Questions.
[NURCOM0001]
Provider to Notify: Other (Comment)
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg):
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C):
If temperature < (C):
If heart rate > (bpm):
If heart rate < (bpm):
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%):
If urine output < (mL):
Other: Any questions.
Adult Hematologist on call for any questions.
Notify Pediatric Hematologist On Call [NURCOM0001] Provider to Notify: Other (Comment)
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg):
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C):
If temperature < (C):
If heart rate > (bpm):
If heart rate < (bpm):
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%):
If urine output < (mL):
Other: Any questions.
Pediatric Hematologist on call for any questions.
Consults
Consults [111185]
Consult Bleeding Disorders [NURCOM0022] ONCE, Starting today For 1 Occurrences, Once upon
discharge for discharge planning
Page 2 of 2
Pr i nted by STRAKA, KEVIN F [KFS1] at 9/5/2013 10:28:05 AM
Copyright © 2013 University of Wisconsin Hospital and Clinics Authority