High Alert Drug: IV Narcotics/opiates used in PCA’s
• Standardized concentrations. • Electronic order set. • Special monitoring required - flow sheet. • Two RNs independently verify pump settings and drug prior to administration.
Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
meperidine (Demerol) Epidural Key: management only
Y
Y
Y
Y
Y
Y
Y
Y
meperidine (Demerol) IV Push, IV Infusion for pain management
Y
Y
Y
Y
Y
IV Push only
IV Push only
IV Push only
meperidine (Demerol) IV Push sedation / analgesia by non-anesthesia personnel Key: designated staff
Y
N
N
N
N
N
N
N
Per policy, these drugs are subject to renal dosing adjustments by pharmacy.
• Electronic order set.
• Special monitoring required - flow sheet.
• Two RNs independently verify pump settings and drug prior to administration.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
Epidural Key: management only
IV Push, IV Infusion for pain management
IV Push sedation / analgesia by non-anesthesia personnel Key: designated staff
(Brand)
• Indications
Comments
(Demerol©)
• Analgesia
(Demerol©)
• Post-op Shivering