/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/inpatient/,/clinical/cckm-tools/content/order-sets/inpatient/pain-management/,

/clinical/cckm-tools/content/order-sets/inpatient/pain-management/name-124005-en.cckm

20180109

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Pain Management

IP - Methadone Taper - Pediatric - Supplemental [5456]

IP - Methadone Taper - Pediatric - Supplemental [5456] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Pain Management


IP - Methadone Taper - Pediatric - Supplemental [5456]
for Pediatric Patients OnlyIntended
Medications
Opioid infusion for 5-10 days [199518]
IP - Methadone Taper - Panel [199519] "Followed by" Linked Panel
methadone (DOLOPHINE) soln [39573] 0.1 mg/kg, Oral, EVERY 6 HOURS
methadone (DOLOPHINE) soln [39573] 0.1 mg/kg, Oral, EVERY 8 HOURS
methadone (DOLOPHINE) soln [39573] 0.1 mg/kg, Oral, EVERY 12 HOURS
methadone (DOLOPHINE) soln [39573] 0.08 mg/kg, Oral, EVERY 12 HOURS
methadone (DOLOPHINE) soln [39573] 0.06 mg/kg, Oral, EVERY 12 HOURS
methadone (DOLOPHINE) soln [39573] 0.03 mg/kg, Oral, EVERY 12 HOURS
methadone (DOLOPHINE) soln [39573] 0.03 mg/kg, Oral, EVERY 24 HOURS
After first methadone dose, decrease opioid
infusion by 25%. Continue to decrease by 25%
every 6 hours until infusion is stopped.
[NURCOM0022]
ONCE
Measure WAT-1 scoring at least every 12 hours,
or more frequently if rescue doses are given.
[NURCOM0022]
ONCE
MORPHine soln [800225] 0.1-0.3 mg/kg, Oral, EVERY 12 HOURS PRN, other,
WAT-1 score greater then or equal to 3
cloNIDINE (CATAPRES) suspension [780248] 1 mcg/kg, Oral, 3 X DAILY
Opioid infusion for greater than 10 days or cumulative fentanyl dose (or equivalent) greater than or
equal to 2.5 mg/kg [199520]
IP - Methadone Taper - Panel [199519] "Followed by" Linked Panel
methadone (DOLOPHINE) soln [39573] 0.1 mg/kg, Oral, EVERY 6 HOURS
methadone (DOLOPHINE) soln [39573] 0.1 mg/kg, Oral, EVERY 8 HOURS
methadone (DOLOPHINE) soln [39573] 0.1 mg/kg, Oral, EVERY 12 HOURS
methadone (DOLOPHINE) soln [39573] 0.08 mg/kg, Oral, EVERY 12 HOURS
methadone (DOLOPHINE) soln [39573] 0.06 mg/kg, Oral, EVERY 12 HOURS
methadone (DOLOPHINE) soln [39573] 0.03 mg/kg, Oral, EVERY 12 HOURS
methadone (DOLOPHINE) soln [39573] 0.03 mg/kg, Oral, EVERY 24 HOURS
After first methadone dose, decrease opioid
infusion by 25%. Continue to decrease by 25%
every 6 hours until infusion is stopped.
[NURCOM0022]
ONCE
Measure WAT-1 scoring at least every 12 hours,
or more frequently if rescue doses are given.
[NURCOM0022]
ONCE
MORPHine soln [800225] 0.1-0.3 mg/kg, Oral, EVERY 12 HOURS PRN, other,
WAT-1 score greater than or equal to 3
cloNIDINE (CATAPRES) suspension [780248] 1 mcg/kg, Oral, 3 X DAILY
Benzodiazepine Taper [199521]
Lorazepam Solution [199522] "Followed by" Linked Panel
lorazepam (ATIVAN) solution [800054] 0.1 mg/kg, Oral, EVERY 6 HOURS For 48 Hours
Hold if SBS score is -1 or lower
lorazepam (ATIVAN) solution [800054] 0.075 mg/kg, Oral, EVERY 6 HOURS For 48 Hours
Hold if SBS score is -1 or lower
lorazepam (ATIVAN) solution [800054] 0.05 mg/kg, Oral, EVERY 6 HOURS For 48 Hours
Hold if SBS score is -1 or lower
Page 1 of 2
Printed by STRAKA, KEVIN F [KFS1] at 7/28/2017 1:04:03 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 07/2017CCKM@uwhealth.org

lorazepam (ATIVAN) solution [800054] 0.025 mg/kg, Oral, EVERY 6 HOURS For 48 Hours
Hold if SBS score is -1 or lower
Decrease midazolam infusion by 25% with first
dose of scheduled lorazepam and every 6 hours
thereafter until infusion is stopped.
[NURCOM0022]
ONCE
lorazepam (ATIVAN) solution [800054] 0.05 mg/kg, Oral, EVERY 12 HOURS PRN, agitation
Page 2 of 2
Printed by STRAKA, KEVIN F [KFS1] at 7/28/2017 1:04:03 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
07/2017CCKM@uwhealth.org