WUSM Logo Pharmacy Clinical Decision Support
Version 2.0

Developed by The Division of Medical Informatics at Washington University School of Medicine for the Department of Pharmacy at Barnes Jewish Hospital.

Data as of: Mar 10 2000 4:40AM Alert #: 13104 Satellite: CHNE
Patient Name Registration Age Sex Weight(kg) Height(in) IBW(kg) Location
SAMPLE, PATIENT 9999999 22 F 114 0 0 528

Creatinine Clearance Lab Results (last 3):

Collection Date Serum Creatinine Creatinine Clearance
Mar 9 2000 9:55PM 7.1  14

DoseChecker Recommendations and Thoughts :

Order Start Date Drug Name Route Dose Frequency
295 Mar 10 2000 12:00AM MEPERIDINE INJ 25MG IV 25 MG Q4H
Recommended Dose/Frequency: 0.0 MG PER DAY
Comments: 0 <= CrCl < 20. Meperidine should not be used for more than 48 hours or at doses > 600mg per day in patients with renal or CNS disease. Serious consideration should be given to using an alternative analgesic in this patient population.

Pharmacist DISAGREES with need to change existing dose and did not contact Physician (Must Enter reason):

SCR Changed Prophylaxis CNS Infection
Drug Levels OK Minor Infection Cystic Fibrosis
Severe Infection Drug Already DC'd Patient Discharged
Patient on Dialysis Dose Already Changed Pharmacy Order Entry Error

       and/or Other: 

Pharmacist and Physician AGREE with need to change existing dose

Pharmacist agrees with need to change existing dose, but Physician's Decision is PENDING

Pharmacist agrees with need to change existing dose, but Physician DISAGREES

ID Approval Prophylaxis
No Reason Given Only 1 more dose

       and/or Other: 

 

Please return all completed forms to the IV room collection box