Transcription of Methodist Healthcare – Memphis Hospitals
1 Methodist Healthcare Memphis Hospitals THERAPEUTICS. MANUAL. Fifth Edition June 2008. 2. Dear Colleague: The Methodist Healthcare -University hospital Department of Pharmacy is pleased to provide you with a copy of the fifth edition of the Therapeutics Manual. Due to the overwhelming response to the manual, updates and new information have been included to enhance your practice. The first section includes patient safety information. Unapproved abbreviations and high-risk medications are highlighted in this section. It also highlights which medications are restricted by physician specialty.
2 The next section includes Pharmacy & Therapeutics approved protocols. Additions to this version include protocols for antibiotic lock therapy, antihypertensives, RCN, and diltiazem. The Methodist specific guidelines and consensus guidelines sections have been updated to include information on factor IX products, dofetilide, AOC/LOC, epoetin, lithium, warfarin, titrating parameters, and deep sedating agents. The purpose of this manual is to provide concise drug information to aid you in your daily practice. Sincerely, Bob Lobo, , BCPS. Assistant Director, Clinical Pharmacy Disclaimer: As there are new guidelines , policies, and procedures that are approved periodically for use at Methodist Healthcare -University hospital , this book may contain information that is out of date.
3 Consult the Molli website for the most up to date information. Also, with the ever changing medical literature, some of the information contained may be out of date. Consult the medical literature for the most recent information. -COST INFORMATION- Average Wholesale Price $- <$10. $$- $10-30. $$$- $30-50. $$$$- $50-70. $$$$$- >$70. 3. THERAPEUTICS MANUAL, 5th EDITION. - TABLE OF CONTENTS - I. PHARMACY SERVICES Page - Methodist Healthcare -University Pharmacy Department 7-8. - Methodist Healthcare - Memphis Hospitals Departments of Pharmacy 7-8. II. PATIENT SAFETY. -Unapproved Abbreviations 9.
4 -High Risk Medications 10-11. -Adverse Drug Event Reporting 12. -Specific Medication Prescribing guidelines 13. III. PHARMACY & THERAPEUTICS COMMITTEE APPROVED. PROTOCOLS. -Aminoglycoside, Once Daily Dosing Protocol (Pharmacy-Run) 14-15. -Amphotericin B Bladder Irrigation Protocol 16. -Delirium Tremens Protocol 17. -Drotrecogin (Xigris ) Contraindications 18-19. -Glycoprotein IIb/IIIa Inhibitors Dosing Protocol 20. -Heparin Protocol 21. -Heparin-induced Thrombocytopenia Protocol 22-24. -Morphine PCA Protocol and Hydromorphone PCA Protocol 25-26. -Intensive Insulin Protocol 27-28. -Pediculosis Protocol 29.
5 -Sliding Scale Insulin Protocol/Hypoglycemia Protocol 30. -Solu-medrol for Spinal Cord Injury Protocol 31. -Thrombolytic for Catheter Clearance Protocol 32-33. -Antibiotic Lock Therapy 34-35. -Antihypertensive Protocol 36-37. -RCN Protocol 38. -Diltiazem (Post CV Afib) 39. 4. IV. Methodist SPECIFIC guidelines Page - guidelines for Use Colchicine 40. - guidelines for Electrolyte Replacement Magnesium 41-42. Phosphate 43-44. Potassium 45. -Initiating Peripheral and Total Parenteral Nutrition (TPN) 46-50. -Automatic IV to PO Conversion Criteria 51-52. -Factor IX Products 53-54. -Dofetilide (Tikosyn) 55-56.
6 -AOC/LOC 57. -Epoetin guidelines 58-59. -Lithium guidelines 60. -Warfarin guidelines 61. -Titrating parameters 62-63. -Deep sedating agents 64. V. CONSENSUS guidelines . Summary of Consensus guidelines 65-66. -Cardiovascular Hyperlipidemia Therapy (NCEP) 67-69. Hypertension Therapy (JNC-VII) 70-74. VTE Prophylaxis and Treatment (ACCP) 75-77. Perioperative Management of Warfarin 78. Congestive Heart Failure Therapy (ACC/AHA) 79-83. Acute Myocardial Infarction Therapy (ACC/AHA) 84-86. -Respiratory Asthma guidelines (NHLBI) 87-92. Acute Asthma Management (NHLBI) 93-95. Chronic Obstructive Pulmonary Disease (NHLBI/WHO) 96-97.
7 -Diabetes Diabetes Mellitus guidelines (ADA) 98-105. Diabetic Ketoacidosis Management 106-108. -Infectious Disease Bacterial Endocarditis, Prevention guidelines 109-110. HIV/AIDS guidelines (NIH) 111-116. Empiric Fungal Therapy guidelines 117. -Other Acute Ischemic Stroke guidelines 118-119. General Pain guidelines 120-125. 5. VI. TABLES Page -Renal Dysfunction Dosing Adjustment guidelines 126-133. -Therapeutic Drug Monitoring guidelines 134-136. -Opioid Analgesic Dose Equivalents 137-139. -Fentanyl Conversion 140. -Fentanyl Pharmacist Checklist 141-142. -Opioid Cross Allergenicity 143-144.
8 -Corticosteroid Equivalents 145. -IV Push Rates 146-147. -Vancomycin Dosing guidelines 148. -Enoxaparin Dosing 149. VII. MISCELLANEOUS. -Category D and X Drugs in Pregnancy 150-153. -Drugs that Should Not Be Crushed or Chewed 154-155. -Common Calculations 156. -ACLS guidelines 157-161. -CMS Measures 162. -Notes Pages 163-171. 6. Methodist Healthcare - Memphis Hospitals . DEPARTMENTS OF PHARMACY. University (516-8295). Administrative Director of Pharmacy Alison Apple, , 418-3072. Asst. Director, Clinical Services Bob Lobo, , BCPS 418-0040. Asst. Director, Pharmacy Operations Wayne Segars, , 418-1151.
9 Pharmacy Manager Ben Smith, 418-0112. Pharmacy Manager Joyce Broyles, , BCNSP 418-0045. Clinical Pharmacy Specialists Ambulatory Care Anne Reaves, 418-4111. Cardiology Carrie Oliphant, , BCPS 418-0048. Critical Care Chris Finch, , BCPS 418-0050. Emergency Department Laurimay Laroco, 516-2889. Neuro Critical Care April Hurdle, , BCPS 418-4108. Internal Medicine Justin Usery, , BCPS 418-4090. Nutrition/ID Joyce Broyles, , BCNSP 418-0045. Solid Tumor Oncology Carli Nesheiwat, , BCOP 418-0051. Oncology Sundae Stelts, 516-7385. Solid Organ Transplant Amy Krauss, , BCPS 418-0043. Solid Organ Transplant Jennifer Lehneman, 418-4105.
10 University of Tennessee Faculty Sold Organ Transplant Ben Duhart, , 532-3856. Internal Medicine Larry Hak, , BCPS 524-7566. Internal Medicine Tim Self, 448-6465. Nephrology Joanna Hudson, 448-2655. Central Pharmacy/IV Room Location (Phone): Ground Tower/Link (516-8812). Hours of Operation: 7 Days a Week 24 Hours a day Patient Care Area Pharmacist (PCAP). Locations (Phone): PCAP 6 - 6 Tower (2664)/418-4034. PCAP 7 - 7 Tower (2750)/418-3322. PCAP 8 - 8 Tower (2884)/418-4091. PCAP A 8 Thomas (8089)/418-4060. PCAP B 2 Sherard (2485)/418-4059. Hours of Operation: Sunday-Saturday 7AM-3PM. Critical Care Satellite Location (Phone): 4 Tower (8331)/418-4108.
