CareFusion Pyxis MedStation 4000, User Manual, Page: 108 / 246

Chapter 3
—
Setting Up the System
98 Pyxis MedStation 4000 System Console User Guide
Drug Interaction Drug Interaction Do not administer drug A if
patient receiving drug B
Drug Protocol Please refer to protocol ###
Heparin Has Patient Received Lovenox? If not,
ADMINISTER
If so,
CANCEL
&
CALL
PHARMACY
Heparin Flush Use NS for routine line flush • (
OKAY
) Heparin is indicated
not NS
Hx seizures/renal failure Hx seizures/renal failure • (
CANCEL
–Page RPh)
Seizure/Renal
• (
OKAY TO GIVE
) No history
Hypaque allergy Allergic to Iodine/Contrast? • (
CALL
RPh ) Possible allergy
(
DO NOT GIVE
) Has allergy
(
OKAY TO GIVE
) No allergy
INR What is current INR? • (Type in response)
INR INR • <1.5 Give dose and call MD
• 1.5-2.0 (
OKAY TO GIVE
)
• >2.0 Hold dose and call MD
IV push rate Give IV push over XX minutes
Lidocaine PF Is it preservative free? • (
CALL PHARMACY
) Mis-
filled med
• (
OKAY TO GIVE
) No
preservative
Magnesium alert For Eclamptic seizure tx only • (
DO NOT GIVE
) Cancel
remove
• (
OKAY
) Usual dose = 4
Grams
Maximum Use per day Maximum is 4G/day • (
CANCEL
) Total >4g in 24
hours
• (
OKAY
) Total <4g in 24
hours
Must dilute Must be diluted before use • (
OKAY
) I will dilute
Only IM Only IM • (
OKAY
) I will give IM
Override Documentation Remember to document reason
for override in Patient Chart
Override Reason Reason for override • Not an emergency, will wait
• Code 90Acute pain
• HR/BP outside limits
• Nauseated
• Allergic Reaction
• Antidote/reversal agent
Predefined CDC Text Responses