PHYSICIAN SIGNATURE DATE TIME DRUG ALLERGIES WT: KG

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Transcription:

DRUG AND TREATMENT Available at: BMC-B BMC-D BMC-N BMC-S Condition/Status Patient Status Inpatient Patient Status: Inpatient, Level of Care: Med/Surg without Telemetry (1) (DEF)* Patient Status: Inpatient, Level of Care: Med/Surg with Telemetry (3) Patient Status: Inpatient, Level of Care: Progressive Care (4) Patient Status: Inpatient, Level of Care: Intensive Care (8) Place in Observation MED Adult Resuscitation Code Status(SUB)* ***Reminder: Order MED Adult Resuscitation Code Status (SUB) as a separate form*** Vital Signs Vital Signs Q4H (DEF)* Q8H Q2H Q1H Int Activity Activity Ambulate in Hall (DEF)* Bedrest with BRP Up as tolerated Bedrest Diet Diet Order Standard Renal--adult menu, FLUID RESTRICTION: 1500 ml (DEF)* 2 gm Sodium Restricted ADA Renal ADA Renal Cardiac Regular--adult menu Diabetic/ADA without HS Snack Diabetic/ADA with HS Snack Cardiac NPO NPO except for medications Nursing Orders Weigh Patient DAILY06 Page 1 of 6

DRUG AND TREATMENT Intake and Output Strict Indwelling Urinary Catheter (Foley)(SUB)* ***Reminder: Order Indwelling Urinary Catheter (Foley) (SUB) as a separate form*** Condom Catheter Bladder Scan ONCE, Post void residual. Straight Cath for a residual GREATER than 250 ml Medications ***(NOTE)***Use with caution: potentially nephrotoxic agents due to acute renal failure (eg,, aminoglycosides,, IV radiocontrast, NSAIDs) Solu-Medrol 1 g iv IVPB DAILY (DEF)* Comments: Administer over 60 minutes 250 mg iv IVPB Q12H 250 mg iv IVPB Q6H 250 mg iv IVPB Q8H 250 mg iv IVPB DAILY 500 mg iv IVPB Q12H 500 mg iv IVPB Q6H 500 mg iv IVPB Q8H 500 mg iv IVPB DAILY furosemide (Lasix) 80 mg inj IV PUSH DAILY (DEF)* 40 mg inj IV PUSH DAILY 80 mg inj IV PUSH BID 40 mg inj IV PUSH BID bumetanide (Bumex) 2 mg inj IV PUSH DAILY (DEF)* 2 mg inj IV PUSH Q8H 2 mg inj IV PUSH Q12H 1 mg inj IV PUSH DAILY 1 mg inj IV PUSH Q8H 1 mg inj IV PUSH Q12H Page 2 of 6

DRUG AND TREATMENT sodium polystyrene sulfonate (Kalexate) 15 g susp PO Q4H, Duration: 2 dose (DEF)* Comments: times one, repeat in 4 hours times 1 30 g susp PO Q4H, Duration: 2 dose Comments: times one, repeat in 4 hours times 1 60 g susp PR Q4H, Duration: 2 dose Comments: times one, repeat in 4 hours times 1 IV Solutions Dextrose 5% in Water IV bag 100 ml/hour (DEF)* IV bag 75 ml/hour IV bag 125 ml/hour IV bag 150 ml/hour IV bag 200 ml/hour IV bag 250 ml/hour Sodium Chloride 0.9% IV bag 100 ml/hour (DEF)* IV bag 75 ml/hour IV bag 125 ml/hour IV bag 150 ml/hour IV bag 200 ml/hour IV bag 250 ml/hour Sodium Chloride 0.45% (1/2 NS) IV bag 75 ml/hour (DEF)* IV bag 100 ml/hour IV bag 125 ml/hour IV bag 150 ml/hour IV bag 200 ml/hour IV bag 250 ml/hour Laboratory CHEM 7 Renal Function Panel CMP CBC with Differential. Magnesium Level Phosphorus Page 3 of 6

DRUG AND TREATMENT Liver Profile Antineutrophil Cytoplasmic AB Anti Glomerular Base Membrane Routine, Blood Anti-Streptolysin O Routine, Blood ANA Screen ANA Screen w/reflex ANA COMR Anti DNA Doublestranded C3 Complement C4 Complement Renal Profile Comments: (Albumin and Phosphorus) Anti GBM Antibodies GEN Hepatitis Screening(SUB)* ***Reminder: Order GEN Hepatitis Screening (SUB) as a separate form*** Misc Reference Lab Test Routine, Cryoglobulin, ONCE RPR Adult GEN HIV Screening(SUB)* ***Reminder: Order GEN HIV Screening (SUB) as a separate form*** Immunofixation Serum Immunofixation Urine Hgb A1C Routine, Blood Urinalysis with Microscopic Urine Random Eosinophil Urine Random Na Page 4 of 6

DRUG AND TREATMENT Urine Random K Urine Random Chloride Urine Random Creatinine Urine Random Osmolality Urine Random Protein Urine Random Microalbumin Urine 24 Hr Microalbumin Urine 24 Hr Protein Urine 24 Hr Creatinine Urine 24 Hr Creat Clear Fibrinogen Level PT INR PTT ESR Blood Culture Timed Study, BLOOD - PERIPHERAL, Q15MINS Int, 2 times (DEF)* Comments: 2 sets Timed Study, BLOOD - LINE, Q15MINS Int, 2 times Comments: 2 sets Radiology US Retroperitoneal Complete Acute Renal Failure, Routine, Pending Discharge - No CXR *2 view PA and LAT Routine, Pending Discharge - No XP Chest Routine, Pending Discharge - No Respiratory ABG/VBG Notification Routine Page 5 of 6

DRUG AND TREATMENT Oxygen Therapy. Nasal Cannula, 2, Liter Pulse Oximetry (Continuous) Special Instructions: Routine Comments: Q8H sensor site must be inspected. IF circulatory condition or skin integrity has changed, the sensor should be applied to a different site. Cardiology ECG Standard Consults Social Work Consult Routine, Physician ordered, Nephrology, Acute Renal Failure Consult Dietitian Physician ordered, Renal diet. Consult Physician Nephrology, Acute Renal Failure Page 6 of 6

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