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4/26/23 md Alaris drug library update - pushed out this morning 4.26.23
April 28, 2023

From: "Michele Durda" <michele.durda@hhsys.org>
To: "All Unit Directors" <allunitdirectors@hhsys.org>, "Charge Nurses" <grp_allchgnurses@hhsys.org>, "Education Council" <grp_alledcouncil@hhsys.org>
Cc: "Pharmacists" <grp_allpharm@hhsys.org>, "Matthew Nix" <matthew.nix@hhsys.org>
Sent: Wednesday, April 26, 2023 8:15:04 AM
Subject: Alaris drug library update - pushed out this morning 4.26.23
 
An updated library has been pushed out to the Alaris pumps. 
 
To accept the new library: 
1. Please be sure to keep pumps plugged in 
2. Pumps that are plugged in and on will receive the new library in the background
3. The new library will be activated when the pump is cycled (turn off, turn back on and select "yes" to "New patient?").  
4. Look for the new library name on the screen to be sure you have the most current library (HH 4 26 23). If your pump has not updated yet, plug it in and leave it on for about 5-10 minutes before cycling again.
 
New library name:  HH 4 26 23

Changes include the following:
 
Adult

 

Add etoposide/cyclophosphamide

Update USL for heparin to 3,000 units/hr

Add new oritavancin concentration 1,200 mg/250 mL

Add bumetanide BOLUS (intermittent) ___ mg/____mL

Add fomepizole, non-weight based

Add levocarnitine ____mg/_____mL

Add thiotepa ____mg/____mL

 

Pediatric

 

Update cefepime max infusion time to 4:15

Update meropenem max infusion time to 4:15 

Update piperacillin-tazobactam max infusion time to 4:15; updated concentration limits; LSL=18, USL=83

Update dexmedetomidine USL to 2.6 mcg/kg/h

Update penicillin - added Penicillin alert to non-weight based entry

Update remdesivir soft concentration limit to 1.3 mg/mL (stock solution is 1.25)

Update vincristine – set as secondary, pump only for all 3 entries

Add ketamine IVPB 

Add BSA dexamethasone

Add deferoxamine

Update acetylcysteine concentration limits

 

Neonatal

 

 

Update cefepime max infusion time to 4:15

Update meropenem max infusion time to 4:15 

Update piperacillin-tazobactam max infusion time to 4:15

Update dexmedetomidine USL to 2.6 mcg/kg/h and UHL to 5 mcg/kg/h

Update penicillin - Added Penicillin alert to non-weight based entry

Update insulin LSL to 0.01 unit/kg/hr

Update morphine – soft rate to 0.125 mg/kg/hr

Add hydralazine

 

The complete Alaris library contents may be viewed at the link below:

https://docushare.hhsys.org/dsweb/Get/Document-74295/HH%20Version%2015%20(4-3-2018%2010h%2025m).pdf

 

 

Please let me know if you have any questions or concerns






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