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avastin_for_rop [2020/05/23 15:33] – [Ordering] Scott Larsonavastin_for_rop [2025/04/18 20:40] (current) – external edit 127.0.0.1
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 ===== Dosing ===== ===== Dosing =====
   * Lowest effective dose is not yet clear   * Lowest effective dose is not yet clear
-  * at UIHC using 25mg/ml concentration (undiluted) and giving 0.25 mg in 0.01 ml+  * Current UIHC dosing 
 +    * Avastin 25mg/ml concentration (undiluted) and giving 0.25 mg in 0.01 ml
  
 ==== Ordering ==== ==== Ordering ====
-  * bevacizumab 25mg/ml or 0.25mg per 0.01 ml +  * bevacizumab (25mg/ml) 0.25mg per 0.01 ml
-  * over fill to 0.11 ml+
   * 30 unit Insulin syringe with 31 gauge/ 6mm needle    * 30 unit Insulin syringe with 31 gauge/ 6mm needle 
-  * UIHC order set pending +  * UIHC order set: 
-    * Current orders (as of 5/23/2020) require a "Non-stock medication order" +    * Currently (as of 3/26/2022) can be found under "NICU Bevacizumab (AVASTIN) for intravitreal injection" medication orders 
 +    * There will be 3 syringes ordered in case a problem occurs with one. 
 +    * This order requires an overfill to 0.11 ml  
 +{{::avastin_med_panel_order_screen.png?400|}}\\ 
 +Med Order detail\\ 
 +{{::avastin_med_panel_order_detail.png?400|}}
   * UIHC phone numbers   * UIHC phone numbers
     * NICU Bay 1: 356-1671     * NICU Bay 1: 356-1671
-    * NICU Pharmacy Office: x85286+    * NICU Bay 2-3: 356-2888 
 +    * NICU Bay 4: 384-9421 
 +    * NICU level 6: 384-9000 
 +    * NICU Pharmacy Office: 678-5286
     * Children's Hospital Inpatient Pharmacy 356-4300      * Children's Hospital Inpatient Pharmacy 356-4300 
- 
-==== Syringe Delivery ==== 
-{{:30unit_syringe_scales.png?nolink|}} 
  
 ==== Procedure ==== ==== Procedure ====
   * Coordinate with NICU staff for procedural sedation   * Coordinate with NICU staff for procedural sedation
 +  * Nursing workflow for UIHC {{ ::avastin_injection_guideline.pdf |PDF}}
 === Supplies === === Supplies ===
   * UIHC Eye Injection Pack   * UIHC Eye Injection Pack
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   - Grasp eye with toothed forceps to stabilize eye   - Grasp eye with toothed forceps to stabilize eye
   - Hold syringe vertically and enter about 1 mm from limbus, aim posteriorly to avoid lens   - Hold syringe vertically and enter about 1 mm from limbus, aim posteriorly to avoid lens
-  - Slowly depress plunger and then when drug delivered, retract needle+  - Slowly depress plunger and when drug delivered, retract needle
   - Place new betadine soaked cotton tip applicator over injection site and hold pressure for a few seconds.     - Place new betadine soaked cotton tip applicator over injection site and hold pressure for a few seconds.  
-  - Repeat steps 3-9 for fellow eye + 
 +=== Syringe Delivery === 
 +{{:30unit_syringe_scales.png?nolink|}}
  
  
-{{tag>drugs}}+{{tag>drugs rop}}