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Admitting Orders

This document contains treatment guidelines for various medical conditions organized into 18 sections. It includes recommendations for medications to treat conditions such as cardiac arrest, hypertensive emergencies, septic shock, heart failure, anaphylaxis, infections, and electrolyte imbalances. Drugs mentioned include epinephrine, amiodarone, lidocaine, dopamine, norepinephrine, dobutamine, insulin, antibiotics, analgesics, and laxatives. Dosing and administration instructions are provided for intravenous, intramuscular, and oral administration of these medications.

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Rommel Oliveras
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371 views

Admitting Orders

This document contains treatment guidelines for various medical conditions organized into 18 sections. It includes recommendations for medications to treat conditions such as cardiac arrest, hypertensive emergencies, septic shock, heart failure, anaphylaxis, infections, and electrolyte imbalances. Drugs mentioned include epinephrine, amiodarone, lidocaine, dopamine, norepinephrine, dobutamine, insulin, antibiotics, analgesics, and laxatives. Dosing and administration instructions are provided for intravenous, intramuscular, and oral administration of these medications.

Uploaded by

Rommel Oliveras
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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I.

ADVANCE CARDIAC LIFE SUPPORT MEDS


Epinephrine 1 mg/amp 1 amp IV q3-5 minutes
OR Epinephrine 2-2.5 mg in 10 cc H2O via ET tubes q3-5 minutes

Anti-arrhythmics:
Vfib or Vtach
Amiodarone 150-300 mg (1-2 amps) slow IV push in 10 minutes, then 1mg/min for 6 hours, or
Lidocaine 50-100mg (1 mg/kg) IV, then drip at 2mg/min up to max of 4mg/min

Torsades de pointes/polymorphic Vtach


Magnesium sulfate 1-2 grams IV in 10 cc D5W given in 5-20 minutes
If with pulse, MgSO4 1-2 grams IV in 50-100 cc D5W

Vtach with pulse


Synchronized cardioversion (100, 200, 300 J) + sedation, OR
Amiodarone 150 mg/amp 1 amp slow IV push in 10 minutes, then drip 1 mg/min in 6 hours

Bradycardia
Atropine 0.5-1 mg IV (0.04mg/kg; max 4mg)
May give Dopamine or Epinephrine drip as temporizing measure

II. HYPERTENSIVE URGENCY/EMERGENCY

Nicardipine drip

Nitroglycerine drip

Clonidine 75 mg SL, up to 3 doses

III. SEPTIC SHOCK


Dopamine drip 200mg/amp 1 amp + 250 cc D5W to run for __ cc/hr (same as ugtt/min)
Titrate by 2-3 cc/hr to maintain BP>= 90/60

__ ugtt/min = ___ desired dose mcg/kg/min (2-10 inotropic; >10 vasoconstrict; Dopamax 20)
x ___ body weight (kg)
/ ___ dopamine factor (1 amp 200 mg – 13.3; 2 amps 400 mg – 26.6)

Norepinephrine drip 2 mg/amp + 250cc D5W to run for __ cc/hr (same as ugtt/min)
Titrate by 5 cc/hr to maintain BP>= 90/60

__ ugtt/min = ___ desired dose mcg/min (2-4 inotropic/vasoconstrict; Max 15 mcg/min)


/ ___ norepi factor (1 amp 2 mg – 0.133; 2 amps 4 mg – 0.266; 4 amps 8 mg – 0.532)

a. broad spectrum antibiotics

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Ceftriaxone 2 g IV LD then 1 g IV OD ANST () then 1g IV q12
Cefuroxime 1.5 g IV LD ANST ()

IV. CARDIOGENIC SHOCK WITH DECOMPENSATED HEART FAILURE


Dobutamine drip 250mg/amp 1 amp + 250cc D5W to run for __ cc/hr (same as ugtt/min; Dobumax 15)
Titrate by 2 cc/hr to maintain BP>= 90/60

__ ugtt/min = ___ desired dose mcg/kg/min (2.5 – minimal INO/chronotropic; 5+ - moderate chrono; 10-
chrono + vasodilatory)
x ___ body weight (kg)
/ ___ dobutamine factor (1 amp 200 mg – 16.6; 2 amps 400 mg – 33.2)

V. HYPOVOLEMIC SHOCK

VI. ANAPHYLACTIC SHOCK/HYPERSENSITIVITY REACTION

Epinephrine 1:10000 1mL IM or IV

Diphenhydramine 25 or 50 mg cap 1 tab BID-TID, or 50mg/mL amp IM or IV


Sedative: Hydroxyzine (iterax) 10 or 25 mg tab BID-QID, or 50-100 mg tab HS
Midazolam 5mg/mL amp (0.07-0.1mg/kg) IM or IV

Hydrocortisone IV

VII. DIABETES MELLITUS


Insulin orders, DKA

Insulin drip

VIII. ACUTE MYOCARDIAL INFARCTION

Unfractionated heparin drip

Aspirin
Clopidogrel
Rivaroxaban
UFH
Beta blockers
ARBs
Nitroglycerin

Laxatives

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Bisacodyl 5mg tab 1-2 tabs HS, or 10mg suppository 1 supp
Lactulose 1-2 tablespoons HS

Trimetazidine 20 mg tab BID

IX. CEREBROVASCULAR ACCIDENT


CVD

Citicoline IV

Aspirin

Lactulose 10mL ODHS

X. SEIZURES

Diazepam 5 or 10 mg tab 1 tab OD-TID, or 10mg/2mL amp 5-10mg IM or IV

Pain Meds
Ketorolac 30mg/amp q4-6hrs
Morphine sulfate 10mg/mL amp (10mg/70kg patient IM; 1-4mg SIVP for MI patients)
Nalbuphine 10 mg/mL amp (0.15-0.20 mg/kg IV q3-6hrs)
Tramadol 50-100 mg IV or IM q6-8hrs (max 400mg/day)

Celecoxib 200 mg tab BID


Naproxen 275mg tab TID

XI. CAP

Cefuroxime 750 mg IV q8hrs ANST ()


Azithromycin 500 mg tab OD x 3 days

Or Ceftriaxone 1 g IV LD

Salbutamol + Ipratropium nebulization q8hrs


Acetylcysteine 600 sachet dissolve in ½ glass water BID x 5 days
Levopront

XII. BRONCHIAL ASTHMA OR COPD

Salbutamol + Ipratropium nebulization q8hrs

XIII. UTI

XIV. ACUTE GASTRITIS/PEPTIC ULCER

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Antiflatulents
Simeticone 40mg tab 1-2 tabs after meals
Domperidone 10 mg tab 1 tab TID

XV. DENGUE FEVER

Ranitidine 50 mg IV, or Omeprazole 40 mg IV OD


HNBB 20 mg IV for abdominal pain
Metoclopramide 5-10 mg IV
Isoprinosine tab

XVI. LEPTOSPIROSIS

XVII. ACUTE GASTROENTERITIS WITH DEHYDRATION

Ampicillin

For neonates:
Ampicillin

Gentamycin

Antidiarrheals
Loperamide 2mg cap 2 caps initially then 1 cap each LBM (max 6 caps per day)

Antispasmodics
HNBB 10 mg tab 1-2 tabs TID, or 20mg amp 1-2 amps IM or IV

XVIII. CKD/ MULTIPLE ELECTROLYTE IMBALANCES

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