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Infection Control Policy 2024
Section 4.3 • Page 12
Respiratory Isolation Guidelines
Section 2.1 • Page 8
PPE Requirements Manual
Section 7.2 • Page 34
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Every answer is grounded in your hospital's actual documentation — click any citation to view the source
Sugammadex dosing for BMI > 40?
Per protocol AN-202: Use Actual Body Weight for dosing. For patients with BMI > 40, calculate dose based on actual body weight, not ideal body weight.
Dosing Calculation — 4 mg/kg based on actual body weight
Max Single Dose — Do not exceed 16 mg/kg
Special Consideration — Extended monitoring recommended for morbidly obese patients
AN-202 • Page 8 of 24
...dosing guidelines for sugammadex should be individualized based on patient characteristics and depth of neuromuscular blockade.
3.1.4 Dosing in Obese Patients: For patients with BMI > 40, sugammadex dosing should be calculated using Actual Body Weight (ABW), not Ideal Body Weight (IBW). Standard reversal dose is 4 mg/kg ABW for moderate block (reappearance of T2). Maximum recommended single dose should not exceed 16 mg/kg.
3.1.5 Monitoring requirements: Extended neuromuscular monitoring is recommended for morbidly obese patients due to variable distribution kinetics...
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