FormWeb • nitrous oxide

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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Nitrous Oxide

nitrous oxide

Restricted Restricted to Labor and Delivery and ORs by anesthesiology and procedural sedation applications in Pediatric ED, HHM ED and Madison ED.

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
nitrous oxide	GAS, INHALATION

Comments:

Approved for use in Labor and Delivery patients per demand flow inhalation with self administration, protocol for use available.

Reviewed: 27 June 2017

Last updated: Jun. 27, 2018

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