February

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Calcitonin Order Panel

Published on Thursday, February 7, 2019

Overview:

  • The Pharmacy and Therapeutics Committee approved a calcitonin injection order panel in November 2018.
  • Go Live Date in EPIC – 2/18/2019

Order Panel Overview:

  • Place automatic stop time of 24 hours for calcitonin injection orders
  • Place hard stop of 48 hours on consecutive calcitonin injection orders
  • Provides options for standards of therapy for hypercalcemia
  • Calcitonin will be restricted to the following patients
    • Moderate to severe cardiac or neurologic symptoms associated with hypercalcemia (e.g. arrhythmias, shortened QT interval, bradycardia, AV blockade, lethargy, confusion, coma)
    • Corrected Calcium > 14 mg/dL
    • Contraindications to saline hydration (e.g. intolerance to aggressive IV hydration, severe CHF, renal impairment)
    • Contraindications to bisphosphonate (e.g. previous intolerance to bisphosphonates, severe renal dysfunction)
  • Calcitonin injection will have to be order through this order panel.

Provider must click box to select therapy.

therapy