Flat-rate drips for adult-sized pediatric patients

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Thu, 11/12/2020 - 15:55
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Philip Carpiniello
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Joined: 11/03/2017 - 12:44
Flat-rate drips for adult-sized pediatric patients

Hi all,

We are looking to get benchmarking data on the topic of FLAT-RATE (mg/hr) versus WEIGHT-BASED RATES (mg/kg/hr) in adult-sized pediatric patients.

- Do you have a process in place for adult-sized pediatric patients to administer drips in a flat-rate unit (mg/hr; mg/min; etc…) instead of using weight-based units (mg/kg/hr; mcg/kg/min; etc…)?

- If so, what is the weight cut-off? Is it drug-dependent or a standard across the board?

- How are your Smart Pumps built in order to ensure this process is followed?

- Is there clinical decision support built in your EMR to support the process?

Any information and supporting evidence you can provide would be greatly appreciated.

Thank you,
Phil

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PhILIp M. CarpINIello, PharmD, BCPS, CPPS
Medication Safety Officer
Johns Hopkins All Children's Hospital

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