Transfusion/Nutrition/DVT proph


  1. Enteral Nutrition
  2. Arixtra 2.5 mg/day prophylaxis, DO NOT use if wt < 50kg, or CC < 30 (preferred)
     
  3. Lovenox for DVT prophylaxis 40 mg SC daily, 30 mg for renal impaired CC<30
     
  4. Transfusion orders
    PRBC:

    Platelets:

     

  5. Versed vent sedation- 0.01 - 0.05 mg/kg NTE 4mg load, repeat q15 min until sedated, maintenance 0.02-0.1mg/kg/hour
     
  6. Fentanyl 150 mcg/hour (not mg), titrate or wean 25-50mcg to desired effect, max 200 mcg/hour.
    DC if <50 mcg/hour, and return to bolus 25-50 mcg Q 2 hours PRN.
     
  7. Diprivan vent sedation 5 mcg/kg/min X 5 min then titrate to desired effect, 5-10 q 10 min to max of 80 mcg/kg/min
     
  8. Ulcer- Pepcid 20 mg IV bid OR Protonix 40/Nexium 40/ Prevacid 30 IV qd-bid