DRUG · COUNSELLING NOTES
Beractant
Survanta
Updated
New prescription
indication: _____. Intratracheal by trained NICU staff only; warm to room temp, do not shake; warned on allergies; serious/common AEs: bradycardia, low oxygen, airway block; non-pharm: skin-to-skin.
Refill prescription
refilled, adherence discussed, no SEs were reported
Dose change
Dose change discussed. new dose reviewed; intratracheal by trained NICU staff only; warm to room temp, do not shake; warned on allergies; serious/common AEs: bradycardia, low oxygen, airway block; non-pharm: skin-to-skin.