/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/pulmonary/,

/clinical/cckm-tools/content/order-sets/inpatient/pulmonary/name-98033-en.cckm

201606175

page

100

UWHC,UWMF,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Pulmonary

IP - Inhaled Epoprostenol - Procedure [2234]

IP - Inhaled Epoprostenol - Procedure [2234] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Pulmonary


IP - Inhaled Epoprostenol - Procedure [2234]
UWHC Epoprostenol by Inhalation Guidelines URL: https://uconnect.wisc.edu/clinical/cckm-
tools/cpg/guidelines/medications/resources/name-28566-
en.file
Patient Care Orders
Vital Signs [31255]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every 15 minutes times 4 for the first hour and after each
dose change, then every hour.
Contingency Parameters [31257]
Notify Attending Physician [NURCOM0001] Provider to Notify: Attending
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: Bronchospasm occurs,No response noted within 4
hours of treatment,Active bleeding; platelets less than
50,000/uL,Jaw pain; headache; flushing; nausea/vomiting;
diarrhea; abdominal pain
Medications
Epoprostenol (Single Response) [31572]
Acute Respiratory Distress - Patient less than 11 kg
[132933]
epoprostenol 5 mcg/mL (FLOLAN) (For patient less than
11 kg) neb soln bag [770024]
0.01-0.05 mcg/kg/min, Nebulization, CONTINUOUS
Initiate at 0.05 mcg/kg/min. Epoprostenol bag must be
changed at a minimum of every 8 hours. RT to administer.
Acute Respiratory Distress - Patient greater than or
equal to 11 kg [132932]
epoprostenol 30 mcg/ml (FLOLAN) (For pts greater than
or equal to 11 kg) neb soln bag [770017]
0.01-0.05 mcg/kg/min, Nebulization, CONTINUOUS
Initiate at 0.05 mcg/kg/min. Epoprostenol bag must be
changed at a minimum of every 8 hours. RT to administer.
Severe Pulmonary Hypertension - Patient less than 11
kg [132934]
epoprostenol 5 mcg/mL (FLOLAN) (For pts less than 11
kg) neb soln bag [770024]
0.01-0.05 mcg/kg/min, Nebulization, CONTINUOUS
Initiate at *** mcg/kg/min. Titrate up by 0.01 mcg/kg/min
(maximum dose 0.05 mcg/kg/min) every *** minutes to
achieve SaO2 greater than *** and PA pressure less than
*** mmHg. RT to administer For inhalation use only.
Pulmonary Hypertension or Severe Right Heart
Dysfunction - Patient greater than or equal to 11 kg
[132931]
epoprostenol 30 mcg/ml (FLOLAN) (For pts greater than 0.01-0.05 mcg/kg/min, Nebulization, CONTINUOUS
Page 1 of 2
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 6/8/2015 8:21:25 AM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority


or equal to 11 kg) neb soln bag [770017] Initiate at *** mcg/kg/min. Titrate up by 0.01 mcg/kg/min
(maximum dose 0.05 mcg/kg/min) every *** minutes to
achieve SaO2 greater than *** and PA pressure less than
*** mmHg.
Epoprostenol bag must be changed at a minimum of every
8 hours. RT to administer.
Epoprostenol Weaning (Single Response) [31259]
Wean From Epoprostenol [RT0069] CONTINUOUS, Routine
Laboratory
Laboratory [31260]
PLATELET COUNT [PLT] NEXT DRAW, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
If not done within past 24 hours.
Page 2 of 2
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 6/8/2015 8:21:25 AM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority