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2/27/24 Dilaudid + ketamine PCAs
February 27, 2024

The following message was sent to the HH Medical Staff today.
S: Beginning immediately, we will not be preparing any Dilaudid + ketamine PCAs in adult patients
B: Dilaudid + ketamine PCAs require a dose of 6 mg of Dilaudid. The only commercially available vials at this time contain 50 mg, result is wastage of 44 mg of Dilaudid for each PCA made.
A: In order to avoid this large waste of a CII medication, we will no longer prepare Dilaudid + ketamine PCAs
R: If ketamine is needed, it can be ordered separately from the Dilaudid PCA in appropriate settings. Alternately, you can chose a different multi-modal component for the patient's therapy.
If a Dilaudid + ketamine PCA is ordered, a pharmacist will contact the prescriber for order clarification and addition of an alternate drug, if desired.
DAVID

 

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David R. Collette, Pharm.D., FASHP, FALSHP
Operations Manager, Professional Services
Huntsville Hospital Department of Pharmacy
101 Sivley Road, Huntsville, AL 35801
Desk: (256) 265-6741; Cell: (256) 527-2560






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