10/11/18 DC -- IV diphenhydramine
From: David Collette
To: grp allpharm
Cc: Andrea M. Evans
Sent: Thursday, October 11, 2018 8:54:21 AM
Subject: IV diphenhydramine
Thanks for reviewing Sentri-7 and medication profiles. We are down to 11 patients with an active order for IV diphenhydramine...please continue to review and switch to PO unless the patient is being treated for a severe/anaphylactic reaction. If they are unable to take PO, the physician should be contacted for an alternate agent for itching, allergic rhinitis, insomnia, or other non-life-threatening symptom.
IV diphenhydramine will be removed from most Pyxis machines today; exceptions include EDs and central Pyxis machines in OR areas. Going forward, pharmacists should only verify orders for IV diphenhydramine in severe/anaphylactic reaction situations.
DAVID
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David R. Collette, Pharm.D., FASHP
Operations Manager, Professional Services