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| propranolol_for_hemangioma_protocol [2020/06/04 21:57] – Scott Larson | propranolol_for_hemangioma_protocol [2025/04/18 20:40] (current) – external edit 127.0.0.1 | ||
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| - | ====== Propranolol for Hemangioma Outpatient Protocol ====== | + | ====== Propranolol for Hemangioma: Outpatient Protocol ====== |
| ==== Dosing ==== | ==== Dosing ==== | ||
| - | * 1 mg/kg/d divided BID for 1 week | + | * 1 mg/kg/d divided BID for 1 week (0.5mg/ |
| - | * 1.5 mg/kg/d divided BID for 1 week | + | * 1.5 mg/kg/d divided BID for 1 week (0.75 mg/kg/dose) |
| - | * 2 mg/kg/d divided BID keep at this dose | + | * 2 mg/kg/d divided BID keep at this dose (1 mg/kg/dose) |
| === Other Considerations === | === Other Considerations === | ||
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| - Check BP and HR at 1 and 2 hours after new dose | - Check BP and HR at 1 and 2 hours after new dose | ||
| - | === Normal | + | === Vital Sign Information |
| + | * Blood Pressure & Pulse screening: | ||
| + | * Inappropriate Bradycardia | ||
| + | * Newborns (<1 month old) <70 BPM | ||
| + | * Infants (1-12 months old) <80 BPM | ||
| + | * Children (>12 months old) <70 PBM | ||
| + | * Inappropriate Systolic Blood Pressure (< 5th percentile for oscillometric or <2 SD below mean for auscultation) | ||
| + | * Newborn: <57 mm Hg (oscillometric) or 64 mm Hg (auscultation) | ||
| + | * 6 months: < 85 mm Hg (oscillometric) or 65 mm Hg (auscultation) | ||
| + | * 1 year: <88 mm Hg (oscillometric) or 66 mm Hg (auscultation) | ||
| - | === Treatment Location === | + | === Treatment Location |
| * Inpatient for <8 weeks old or any age with inadequate social support or co-morbid conditions affecting the cardiovascular or respiratory system | * Inpatient for <8 weeks old or any age with inadequate social support or co-morbid conditions affecting the cardiovascular or respiratory system | ||
| * Outpatient for > 8 weeks old with good social support and no co-morbid conditions | * Outpatient for > 8 weeks old with good social support and no co-morbid conditions | ||
| ==== Adverse Effects ==== | ==== Adverse Effects ==== | ||
| + | see drug information for [[propranolol|propranolol]] | ||
| + | |||
| * Hypoglycemia- child should eat every 4 hours | * Hypoglycemia- child should eat every 4 hours | ||
| * Hypotension- check blood pressure after dose change | * Hypotension- check blood pressure after dose change | ||
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| * [[infant_vital_signs|Infant Vital Signs]] | * [[infant_vital_signs|Infant Vital Signs]] | ||
| - | === Parents to call if...=== | + | '' |
| * Lethargy | * Lethargy | ||
| * Cool Clammy skin | * Cool Clammy skin | ||