Physician Orders ADULT: Asthma and Bronchitis Plan

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Transcription:

Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase, Phase: Asthma and Bronchitis Phase, When to Initiate: Asthma and Bronchitis Phase Non Categorized Problem: Asthma Problem: Bronchitis Admission/Transfer/Discharge Patient Status Initial Outpatient, Attending Physician: Reason for Visit: Bed Type: Specific Unit: Outpatient Status/Service OP-OBSERVATION Services Patient Status Initial Inpatient, Admitting Physician: Reason for Visit: Bed Type: Specific Unit: Care Team: Anticipated LOS: 2 midnights or more Notify Physician-Once, room number upon arrival to unit Vital Signs Vital Signs, Monitor and Record T,P,R,BP, q4h(std) Activity Bedrest Bedrest w/brp Out Of Bed, Up Ad Lib Out Of Bed, with assistance Food/Nutrition NPO Regular Adult Diet PULM Asthma and Bronchitis Plan 21707 PP QM1108 Rev081815 Page 1 of 5 *111*

Clear Liquid Diet Consistent Carbohydrate Diet, 1800 Calorie Renal Diet Not On Dialysis Renal Diet On Dialysis American Heart Association Diet Patient Care Smoking Cessation Advice/Counseling INT Insert/Site Care,q4day Bedside Glucose Nsg, achs Respiratory Care ABG- RT Collect Stat once O2-BNC, 2 L/min, Special Instructions: titrate to keep O2 sat =/> 92% O2-AFM, Special Instructions: titrate to keep O2 sat =/> 92% O2-NRB, 10 L/min, Special Instructions: titrate to keep O2 sat =/> 92% O2-SFM, 10 L/min, Special Instructions: titrate to keep O2 sat =/> 92% O2-Venturi Mask, Special Instructions: titrate to keep O2 sat =/> 92% O2 Sat-Spot Check (RT) q-shift O2 Sat-Continuous Monitoring (RT) Routine q4h(std) Chest Percussion (RT) Peak Flow Routine QDay Spirometry, bedside (Pulmonary Func Test) Continuous Infusion Sodium Chloride 0.9% PULM Asthma and Bronchitis Plan 21707 PP QM1108 Rev081815 Page 2 of 5 *111*

Dextrose 5% with 0.45% NaCl 1,000 ml, IV, Routine, ml/hr Dextrose 5% in Water 1,000 ml, IV, Routine, ml/hr NS KCl 20 meq... D5 1/2 NS KCl 10 meq/l D5W KCL 20 meq/ L Medications VTE MEDICAL Prophylaxis Plan(SUB)* +1 Hours SOLUMedrol 125 mg, Injection, IV, q6h, Routine 2.5 mg, Inh Soln, NEB, q4h, Routine 2.5 mg, Inh Soln, NEB, q2h, PRN Wheezing, Routine 180 mcg, MDI, INH, q6h, Routine, 180 mcg=2 puffs Comments: 180 mcg=2 puffs 180 mcg, MDI, INH, q2h, PRN Other, specify in Comment, Routine, 180 mcg=2 puffs Comments: PRN, Wheezing; 180 mcg=2 puffs 0.5 mg, Inh Soln, NEB, q4h, Routine 0.5 mg, Inh Soln, NEB, q2h, PRN Wheezing, Routine 34 mcg, MDI, INH, q6h, Routine, (34mcg =2puffs) 34 mcg, MDI, INH, q2h, PRN Wheezing, Routine, (34mcg = 2 puffs) -ipratropium 2 puff, MDI, INH, q6h, Routine +1 Hours Foradil Aerolizer 12 mcg, MDI, INH, bid, Routine, (12 mcg = 1 Puff) +1 Hours fluticasone-salmeterol 250 mcg-50 mcg inhalation powder 1 puff, MDI, INH, bid, Routine +1 Hours budesonide 360 mcg, MDI, INH, bid, Routine, (360 mcg = 2 puffs) +1 Hours montelukast 10 mg, Tab, PO, QDay, Routine PULM Asthma and Bronchitis Plan 21707 PP QM1108 Rev081815 Page 3 of 5 *111*

+1 Hours guaifenesin extended release 1,200 mg, ER Tablet, PO, bid, Routine Insulin SENSITIVE Sliding Scale Plan(SUB)* Insulin STANDARD Sliding Scale Plan(SUB)* Insulin RESISTANT Sliding Scale Plan(SUB)* Laboratory CBC BMP CMP Magnesium Level Phosphorus Level CK Troponin-I BNP BNP Pro Respiratory Culture and Gram Stain Routine,, Specimen Source: Sputum, Nurse Collect Diagnostic Tests: Include Reason for Exam EKG, Priority: Routine, Reason: Shortness of Breath Chest 2VW Frontal & Lat, Reason for Exam: SOB(Shortness of Breath), Routine, Stretcher Chest 1VW Frontal, Reason for Exam: SOB(Shortness of Breath), Routine, Portable CT Thorax WO Cont CT Thorax W Cont Plan(SUB)* Consults/Notifications/Referrals Consult MD, Reason for Consult: Pulmonary complications Date Time Physician s Signature MD Number PULM Asthma and Bronchitis Plan 21707 PP QM1108 Rev081815 Page 4 of 5 *111*

*Report Legend: DEF - This order sentence is the default for the selected order GOAL - This component is a goal IND - This component is an indicator INT - This component is an intervention IVS - This component is an IV Set NOTE - This component is a note Rx - This component is a prescription SUB - This component is a sub phase, see separate sheet R-Required order PULM Asthma and Bronchitis Plan 21707 PP QM1108 Rev081815 Page 5 of 5 *111*

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