/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/transplant/,

/clinical/cckm-tools/content/order-sets/inpatient/transplant/name-97936-en.cckm

20170389

page

100

UWHC,UWMF,

Tools,

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

IP - Transplant - Immunosuppression - Rituximab - Adult - Supplemental [773]

IP - Transplant - Immunosuppression - Rituximab - Adult - Supplemental [773] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Transplant


IP - Transplant - Immunosuppression - Rituximab - Adult - Supplemental [773]
for Adult Patients OnlyIntended
Patient Care Orders
Vital Signs [8448]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today with First
Occurrence As Scheduled, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every 15 minutes times 4, then every hour until
completed.
Respiratory [8449]
Pulse Oximetry [NURMON0009] ONCE, Starting today For 1 Occurrences, Routine,
Assess baseline pre-infusion.
Pulse Oximetry [NURMON0009] ONCE, Starting today For 1 Occurrences, Routine,
Assess 30 minutes after infusion started.
Medications - General
Pre-infusion [13831]
acetaMINOPHEN (TYLENOL) tab [34149] 650 mg, Oral, ONCE For 1 Doses
Give 60 minutes prior to rituximab administration
diphenhydramine (BENADRYL) cap [36791] 25 mg, Oral, ONCE For 1 Doses
Give 60 minutes prior to rituximab administration
Medications - Immunosuppression
Rituximab [13835]
rituximab (RITUXAN) bag - NOTE: Dose using
ideal weight [800251]
375 mg/m2, Intravenous, ONCE For 1 Doses
NOTE: Dose using ideal weight
Medications - Emergency Medications
Emergency Medications [221617]
diphenhydramine (BENADRYL) injection RANGE
[750044]
25-50 mg, Intravenous, ONCE PRN For 1 Doses,
infusion reaction, for 1 Minutes
dexamethasone (DECADRON) intraVENOUS
[800037]
4 mg, Intravenous, ONCE PRN For 1 Doses, infusion
reaction
dexamethasone (DECADRON) intraVENOUS
[800037]
10 mg, Intravenous, ONCE PRN For 1 Doses,
infusion reaction
acetaMINOPHEN (TYLENOL) tab [34149] 650 mg, Oral, ONCE PRN For 1 Doses, infusion
reaction
albuterol neb soln (3 mL) [800248] 2.5 mg, Nebulization, ONCE PRN For 1 Doses,
dyspnea, infusion reaction
Laboratory
Laboratory [8450]
CD 19 AND 20 [HCF1920] ONCE For 1 Occurrences, Routine, A WBC and
Differential must be ordered at same time.
If Conditional, What Condition? Prior to giving
Rituximab
If add on test, what should lab do if unable to add test
to previous specimen?
Page 1 of 2
Printed by STRAKA, KEVIN F [KFS1] at 3/29/2017 9:10:45 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 03/2017CCKM@uwhealth.org

CD 19 AND 20 [HCF1920] ONCE For 1 Occurrences, Routine, A WBC and
Differential must be ordered at same time.
If Conditional, What Condition? Two days after giving
Rituximab.
If add on test, what should lab do if unable to add test
to previous specimen?
Page 2 of 2
Printed by STRAKA, KEVIN F [KFS1] at 3/29/2017 9:10:45 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
03/2017CCKM@uwhealth.org