Immune Globulin Guidelines

In order help maintain our limited supply of IVIG, the following actions should be taken when an order is received:

• Review patient profile to determine if they meet the criteria for using a DDW
• If patient meets criteria contact physician recommend change
• Take verbal order or document refusal in Medkeeper

Rationale:

IVIG distributes poorly into adipose tissue 

Medication Ordered

Brand Name & Vials (in Stock)

Dosing Adjustment

Calculation of
Dose Determining Weight (DDW)
Frequency

Immune Globulin

Gamunex is Formulary

All other IVIG products are non-formulary

Dosing in obese patients (>20% above ideal body weight)

DDW = IBW + 0.4 (actual body weight – IBW)

Rounding:  Round DOWN to the nearest vial size (unless the change would result in a >10% difference in dose)