Rounding Off Medications in Nicu

ROUNDING MEDICATIONS IN NICU

To: Pharmacy, NICU FROM: Joseph D. DeCristofaro, M.D. NeoPharmCommittee

SUBJECT: ROUNDING-UP MEDICATIONS IN NICU

Round-off to the Round-off to nearest Round-off to the nearest 10th: whole number: nearest 5 mg: aminophylline acetaminophen acyclovir amphotericin (<2kg) acetazolamide ampicillin amphotericin liposomal adenosine (mcg) amoxicillin (<2kg) amphotericin (>2kg) calcium carbonate (write as atropine amphotericin liposomal (> elemental Calcium) calcium gluconate mEq (IV) 2kg) cefotaxime captopril caffeine citrate (IV/po) cefazolin dexamethasone (may use calcium gluconate mEq (po) cefoxitin hundreths when weaning) cefipime ceftazidime digoxin (microgram) cimetidine ceftriaxone fentanyl (microgram) clindamycin chloral hydrate furosemide ferrous sulfate (mg) chlorothiazide gentamicin fluconazole nafcillin/oxacillin glucagon fosphenytoin (as phenytoin piperacillin hydralazine equivalents) rifampin indomethacin imipenem lorazepam labetalol (po) Round-off to the metoclopramide linezolid nearest 0.5 : morphine meropenem midazolam (mg) metronidizole potassium chloride mEq (po) naloxone phenobarbital sodium chloride mEq (po) neoprofen phenytoin nystatin in mL pancuronium phosphate (po Na or K) potassium chloride (IV) ranitidine (po) propranolol (po) spironolactone ranitidine (IV) ursodiol 4.2% sodium bicarbonate vancomycin sodium acetate (IV) sodium chloride (IV) survanta tobramycin

Propranolol IV should be rounded to the nearest hundredth mg Penicillin should be rounded-off to the nearest 10,000 units

V12-08