Requested changes from Sarah Felan: Need to add ketamine and lidocaine drip to the pediatric burn plan to mirror the process for adults. Currently, these orders aren't available for Pedi patients and create incredible environment for patient harm.
In section labeled "Burn Care Analgesics/Sedatives" max the following changes:
Under Oral Burn Care Analgesics/Sedatives, please add: ketamine 2.5 mg/kg, PO, inj, Daily, PRN burn Care, Comments: Administer 20 minutes prior to burn care, mix in 30ml Orange juice. Use the IV injection for ORAL/NGtube Use.
Under IV Burn Care Analgesics/Sedatives, please add: Lidocaine 2,000mg/500mL (IVPB for burn care), dose=200mg, IVPB, ivpb, q24h, PRN burn care, Comments: Give a 1.5 mg/kg bolus over 5 minutes 30 minutes prior to wound care. When wound care is initiated start the lidocaine drip at 1mg/kg/hr continuous until wound care is completed. Discontinue drip when procedure is complete.
