Pressor Dosing Units

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Amanda K. Patel
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Joined: 05/02/2013 - 09:34
Pressor Dosing Units

Our EHR currently allows pressor infusions (e.g., epinephrine, norepinephrine, phenylephrine, etc.) to be ordered with two different dosing units for adults--weight-based and non-weight based. Currently the default dosing unit is non-weight based, so naturally our using data indicates that is the most frequently used dosing unit (~95% of orders). We are aware that the ASHP Standardize for Safety group has recommended weight-based dosing for these infusions, but there is some concern for change trauma for both our providers and nurses. Although we also recognize that this can be overcome with appropriate education and decision support.
 
We are struggling to reach consensus to standardize to a single unit (non-weight based or weight-based). Our leadership is interested in what other large health systems are utilizing as the dosing units for pressor infusions. What pressor infusion dosing unit(s) are allowed at your facility?

Thanks in advance!