Ventricular Shunt Obstruction/Infection Clinical Pathway — Emergency, ICU and Inpatient
Ventricular Shunt Obstruction/Infection Clinical Pathway — Emergency, ICU and Inpatient
Additional Medication Management
Dexamethasone, Diamox, Pepcid to be ordered by Neurosurgery for administration in the ICU when indicated. If these medications need to be administered in the ED, the following are the dosing recommendations
| Medication | Patient Weight or Age | Dose | Max Dose | Administration |
|---|---|---|---|---|
| Dexamethasone | < 10 kg | 0.35 mg/kg/DOSE IV | Can be pushed over 2-3 min | |
| > 10 kg | 4 mg IV | Can be pushed over 2-3 min | ||
| Diamox (Acetazolamide) | < 33 kg | 7.5 mg/kg/DOSE IV | Slow push over 3-5 min | |
| > 33 kg | 250 mg IV | Slow push over 3-5 min | ||
| Pepcid (Famotidine) | < 3 months | 0.25 mg/kg/DOSE IV once daily | 0.5 mg/kg/dose once daily | Can be pushed over 2 min |
| > 3 months | 0.25 - 0.5 mg/kg/DOSE IV q 12 hours |
40 mg/day IV | Can be pushed over 2 min |