Tuesday, January 26, 2010

Redirecting a GE Printer when it goes down!

This is a good thing to do when a label printer goes down and you don't want to have to remember to reprint a label to the right printer. For instance, this will print all labels to the "STAT" printer until reversed. We used this when the label printer queue was hung on Sunday and nobody could fix it.




In GE, pick File, Substitute Printer. A window will open. Select the printer you want to redirect (RxLabel1 for example) and press the Add button. The system will then ask you which printer to use. (STAT in this example.) Press Save to move it to the Unavailable Printers window.


All labels that would normally print on the LABEL printer will now print on the STAT printer.

To remove the redirection just use the Remove button in the same window.

Hope this makes life a bit easier. Much easier than just having to remember to reprint a label!

Monday, January 18, 2010

Diastat

Diastat is available in 3 different forms:
-20mg adult Accudial that provides 12.5 mg, 15 mg, 17.5 mg, and 20 mg doses
-10mg adult/pediatric Accudial that provides 5 mg, 7.5 mg, and 10 mg doses
-2.5/0.5ml prefilled syringe

We only have the 10mg accudial. If you turn past a dose you cannot go backward. Our cost for these are $225. So, if you get a STAT call for one...you may want to ask the dose and dial it up for them. Directions on how to dial the syringe are in the product packaging.

Diastat is dosed 0.5mg/kg for status epilepticus. So as long as the child is 10kg (22lbs) the 5mg dose should be OK. Also, there has been no safety/efficacy studies done in children under 2. If however you need a smaller dose...the parenteral solution can be given rectally.

Friday, January 8, 2010

Propoven 1%

Due to a shortage of Propofol, the FDA has allowed the US market to purchase Propoven (a European propofol). Although the active ingredient is the same, there are some differences in the products.


PROPOFOL 1%
Contains EDTA
Contains Long-Chain triglycerides
US Barcode

PROPOVEN 1%
No Anti-microbial retardant
Contains Medium and Long-Chain triglycerides
Barcode may not be recognized by US scanning systems

See below for detailed information:
http://www.fda.gov/downloads/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/UCM190862.pdf

Tuesday, January 5, 2010

Can Cymbalta be crushed? By Chandaleah

Cymbalta cannot be crushed. However, you may open the capsule and sprinkle on applesauce as long as you keep the little pellets inside the capsule intact. If NG tube, can put it in 30 ml apple juice. Information is in the drawer of knowledge under "meds that cannot be crushed".