Can you please share how your institution deals with dispensing and administering High Dose (30 mG/kG or more)Solu-Medrol to pediatric population.

I am mainly interested in:

1. Do you dispense concentration based product (62.5 mG/mL or other) or total drug/volume XX mG/100 mL.

2. Do you have standard administration time for administration of the full dose? 15 minutes, 30 minutes, 1 hour.

All feedback is greatly appreciated.

We are trying to implement clinical decision support for baclofen prescribing due to several cases of excessive dosing & neurotoxicity in our system (particularly with initiation of therapy and in patients with renal impairment.)

We are struggling to build this content to fire appropriately for new starts but not to impact patients already on baclofen therapy (especially for spasticity) so as to avoid causing harm from baclofen withdrawal in those patients.

Good morning -

We are in process of modifying the default max dosing for dexmedetomidine infusions at our hospital. Can others in this group comment on what the default max has been set at at your institution?

TIA

Good morning -

We are in process of modifying the default max dosing for dexmedetomidine infusions at our hospital. Can others in this group comment on what the default max has been set at at your institution?

TIA

Please join us for this 1-hour webinar to hear about important safety considerations of using ENFit™ syringes.

Keliana O’Mara, PharmD, BCPS, NICU Clinical Pharmacy Specialist, and Kathy Gomeshi, PharmD, MBA, BCPS, CPPS Medication Safety Officer, UCSF Medical Center, will discuss research findings that indicate a need for increased scrutiny of ENFit syringes.
Maureen Burger, Visante CNO, will moderate the discussion.

Need your assistance if you have experience with a similar case. Abiraterone as a hazardous medication, and a medication of low solubility, with increased absorption with food and consequently increased side effects/adverse events, should not be crushed. We have a patient on NGT and need your guidance on what can be done in this case
Your urgent response is appreciated
Thank you

WE DILUTED THE PHENYLEPHRINE 10 % single dose vial minims in the iso5 aseptic room how many hours can we put the BUD it is written on the phenylephrine box discard the unused portion but it contains sodium metabisulphite as preservative agent

Hello,

Our institution has been having issues with which weight is being used for titratable infusions in EPIC. For institutions that have EPIC, which weight is assigned for titratable infusions? If a dosing weight is used, who is responsible for inputting that weight in the flowsheet (i.e. nursing or pharmacy)?

We especially run into discrepancies when our heparin infusion orders are modified and the current weight is automatically assigned instead of the original weight that the nurse was previously using and programming into the smart pump.

Hello!

Does your organization have an age or weight limit for which you would NOT reconstitute IM ceftriaxone with lidocaine?

If you have restrictions in place, are they the same in both the inpatient and outpatient/ambulatory settings? How do you enforce any established practices (policy, pharmacy, CPOE, etc.)?

Any commentary or experience would be much appreciated! Thanks in advance!
Emily

What is the maximum number of unit dose oral liquid packages (syringes, cups) that your organization would dispense from pharmacy subsequent to a patient order? In this scenario, the nurse would pool the multiple packages into a single oral syringe or cup for patient administration (vs. pharmacy pooling and sending the dose patient-specific).

For example, would you dispense 6x ibuprofen 100 mg/5 mL cups to fulfil a 600 mg order?

Appreciate your feedback!