Phenobarbital IV Loading Dose - Telemetry?

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org. 

2 posts / 0 new
Log in or register to post comments
Last post
Wed, 04/27/2022 - 18:06
#1
James Gibson
James Gibson's picture
Offline
Last seen: 1 week 5 days ago
Joined: 09/27/2019 - 11:57
Phenobarbital IV Loading Dose - Telemetry?

Our institution is in the process of revamping our alcohol withdrawal order set to allow more liberal use of phenobarbital. With the change patients may receive a single loading dose of up to 15 mg/kg. We have received a question of whether patients receiving these higher doses need to be monitored on telemetry (due to bradycardia risk), but we have not historically required such monitoring for phenobarbital.

Do any institutions require telemetry monitoring during loading doses of IV phenobarbital? If so, how long does this monitoring occur?

Thank you,
James
UW Medicine

Top