Measure pump drug library entries for inotropes and vasopressors (if applicable) Measure 3: Confidence rating for change process Measure 4: Live bed side data collection of the following (de-identified data) indication for inotrope/vasopressor concentration of inotrope/vasopressor dose of inotrope/vasopressor Measure 5: Reason for variation from provided guidelines (if applicable) Number required in pre-data and post dataset: Measure 4 to be collected for up to 5 patients on adrenaline and noradrenaline and up to 2 for the remaining inotropes and vasopressors NB. If site doesn’t use all the listed inotropes and vasopressors in the guidelines or doesn’t reach the provided number, collect the data for as many possible. Appendix 1 (cont.) Standardised inotropes and vasopressors: Implementation data collection form – Date Infusion Medication Adrenaline Dobutamine Dopamine Isoprenaline Levosimendan Metaraminol Milrinone Noradrenaline Vasopressin Preparation As recorded on current in ml of infusion bag/syringe Total dose volume fluid mcg/min mg/min Current dosage being administered mL/hr unit/hr (specify units) (from pump/fluid balance chart) Decreased Blood Pressure Why is the patient receiving this Decreased Heart Rate infusion? Decreased Cardiac Output Yes No
Measure pump drug library entries for inotropes and vasopressors (if applicable) Measure 3: Confidence rating for change process Measure 4: Live bed side data collection of the following (de-identified data) indication for inotrope/vasopressor concentration of inotrope/vasopressor dose of inotrope/vasopressor Measure 5: Reason for variation from provided guidelines (if applicable) Number required in pre-data and post dataset: Measure 4 to be collected for up to 5 patients on adrenaline and noradrenaline and up to 2 for the remaining inotropes and vasopressors NB. If site doesn’t use all the listed inotropes and vasopressors in the guidelines or doesn’t reach the provided number, collect the data for as many possible. Appendix 1 (cont.) Standardised inotropes and vasopressors: Implementation – data collection form Date Infusion Medication Adrenaline Dobutamine Dopamine Isoprenaline Levosimendan Metaraminol Milrinone Noradrenaline Vasopressin Preparation As recorded on current infusion bag/syringe in ml of Total dose volume fluid Current dosage being administered mcg/min mg/min mL/hr (from pump/fluid balance chart) (specify units) unit/hr Why is the patient receiving this infusion? Decreased Blood Pressure Decreased Heart Rate Decreased Cardiac Output Yes No
Inotropes%20Subcommittee%20EOI%20Info.docx