Proton Pump Inhibitor Orders

When a Proton Pump Inhibitor (PPI) is ordered to be given by mouth or IV push in the inpatient, outpatient, or medication reconciliation settings, the ordering physician will be required to select the current diagnosis tied to the PPI.

*Approved Uses of PPI:

     GERD

     Healing of Erosive Esophagitis

     Healing of NSAID associated gastric ulcer

     Maintenance of healed duodenal ulcer

     NSAID Inducated Dyspepsia

     Pathologic hypersecretory conditions

     Prolonged mechanical ventilation

     Treatment of active PUD

     Treatment of H. pylori with antibiotics

     Trauma/Burn Critical Care

If a non-approved indication (i.e. stress ulcer prophylaxis/other) is selected, it will prompt for action:

     *Cancel PPI

     *Cancel and Replace with an H2 Antagonist (Famotidine)

     *Override and Place Order for PPI

This will be monitored to ensure that proper indications are selected.

Proton Pump Inhibitor Prompt