Can you titrate these drips?

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I'm wondering if nurses typically titrate these drips independently, or they consult with the physician for dose changes. I'm not sure about Narcan and phenobarbital.

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Where I work, we are allowed to titrate these drips but it is within an order set.

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It depends on how the order is written.

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Specializes in Critical Care Nursing.

Usually the order will have parameters for titration. Otherwise, I'd contact pharmacy.

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With specific protocols yes for Narcan (the protocol gives dose change per a scale assessment as well as criteria for consulting MD and frequency of vitals/re-assessment.)

Phenobarb in my unit really is used mostly for status epilepticus and we have no standing protocol for it so all changes are per MD.

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Specializes in Critical Care, Capacity/Bed Management.

Like Jdub6 mention, Narcan has a specific assessment that goes along with titration, we rarely use narcan as a drip.

Pentobarb we do not use often, we prefer to use Versed for our status epilepticus patients; that is titrated based on the continuous video EEG in collaboration with an epileptologist.

We titrate Nimbex, Levophen, Neo-synephrine, Fentanyl, Morphine, Ativan, etc to set parameters. Vasopressin is set at a standard .04 units and it is not titrated.

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