Hello, does your institution store lorazepam intensol in lock boxes in the refrigerator, or is it stored in the refrigerator with dividers to segregate from other medications on the shelf?

Hi, we are reaching out to gather insights from others on how your organization documents and communicates alternative dosing weights, such as ideal body weight (IBW), adjusted body weight (ABW), and any other variations used for medication dosing.

Specifically:

The physicians on our ICU Committee would like to be able to order a vasopressin infusion (50 units/50 mL) to be administered peripherally in circumstances where a pressor is needed for (assumed) very short-term use. We are having difficulty finding any literature support for this practice. I was wondering if this practice is in place at other institutions, and if so, are there rate and/or time restrictions involved.

Hello everyone,

I would love to know what other facilities have in place for administering lipid resuscitation therapy for LAST.

At my facility, we have a panel built for a bolus of 1.5 mL/kg/dose followed by an infusion of 0.25-0.5 mL/kg/min.

However, if you calculate the dose for a 65kg patient, the rates are as follows for a 20% lipid solution:
- Bolus ends up being 5850 mL/hr
- infusion ends up being 0-1950 mL/hr

Does any one have an insulin pen policy that they are willing to share?

Does anyone compound this and have a recipe? This seems to be the reference.

Thanks!

The use of tetracycline is based on this article: Perry, Julian D. M.D.*; Mehta, Viraj J. M.D., M.B.A.†; Costin, Bryan R. M.D.*. Intralesional Tetracycline Injection for Treatment of Lower Eyelid Festoons: A Preliminary Report. Ophthalmic Plastic and Reconstructive Surgery 31(1):p 50-52, January/February 2015. | DOI: 10.1097/IOP.0000000000000173

Please share if your organization's pharmacy dispenses any specific IV infusion medications with IV priming and/or IV tubing/filter attachment.

Reaching out to see what pumps others put on their helicopters?

I have an ambulatory surgical center looking to create protocols for management of hypoglycemia and hyperglycemia in the surgical setting. Does anyone have protocols in place that you'd be willing to share as an example or references to direct us to as a starting point. We've researched UpToDate and CDC and are looking for additional guidance if possible. Given the ambulatory setting, there is no pump, so an insulin drip would not be used.

Hello everyone. I'm wondering how everyone is meeting the DNV standard (QM section SR.4s) that requires monitoring of quality indicators for safe opioid practices. We have tried to utilize the CMS 506 metric but it bounces around a lot and there aren't any established benchmarks that I can find. Is anybody using this metric or an alternative metric to meet this DNV requirement?