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/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/related/name-99692-en.cckm

201606160

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100

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Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Hospital-wide,Related

Vasoactive Donor Algorithm

Vasoactive Donor Algorithm - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide, Related


Is MAP>70
and HR>110 and
dopamine
infusing?
Is MAP > 90 and
HR>70 and dopamine
infusing?
Decrease
dopamine per
Vasoactive
Protocol
Have
labetalol and/or
hydralazine
PRN's been given more
than 4 times
in 1
hour?
Is MAP > 90
and HR > 60 and
dopamine, norepinephrine
and vasopressin are not
running?
Is MAP> 90
and HR<61 and
dopamine,
norepinephrine and
vasopressin are not
running?
Yes
To next
page
decision
Give labetalol 10-
20mg IV and wait
10 minutes
Give hydralazine
10-20mg IV and
wait 15 minutes
No
No
Yes
Yes
No
Yes
No
Begin Vasoactive
Donor Algorithm
Notify MD for
Blood Pressure
Control
No
From
Previous
Page
No
Is MAP 70-90
and HR < 111
No changes.
Return to begining
of algorithm
Yes
Is MAP>90
and vasopressin
infusing?
Decrease
vasopressin
infusion per
Vasoactive
Protocol
Yes
No
Decrease
dopamine per
Vasoactive
Protocol
Yes
Is MAP>90
and norepinephrine
Infusing?
Decrease
norepinephrine
infusion per
Vasoactive
Protocol
No
Yes

From
previous
page
decision
Is dopamine
infusion rate at
20mcg/kg/min?
Is HR > 110?
Is Dopamine
infusing?
Start dopamine
infusion per
Vasoactive
Protocol
Is norepinephrine
infusion rate at 2 mcg/
kg/min?
Increase
dopamine infusion
rate per
Vasoactive
Protocol
Is vasopressin
infusion at 0.04
units/min?
Start vasopressin
infusion rate per
Vasoactive
Protocol
No
No
Yes
No
Yes
Yes
No
Call MD and OPO for
patient instability.
Is norepinephrine
infusion running?
Increase norepinephrine
infusion rate per
Vasoactive Protocol
Start norepinephrine
infusion rate per
Vasoactive Protocol
No
No
Yes
To
Beginning
Yes
Is MAP > 85
and HR > 120 and
norepinephrine and/or
vasopressin are
infusing?
Call MD to Manage
Tachycardia
No
Yes