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Admission Orders

Admission Orders ADC VANDALISM Here

 

A Admit to CCU / Tele / Med / Surg. Attending, Resident, Intern, Student

D Diagnosis (NO RULE OUT)

C Condition: Fair / Guarded / Critical

V Vital Signs: q4° when awake / q4° / q2° × 3 then q4°

A Allergies: Drug (Reaction)

N Nursing: Per protocol / Strict I & Os / Accuchecks AC QHS / Seizure Precautions / Wound orders

D Diet: NPO / NPO except ice chips/meds / clear liquid as tol / advance as tol / regular / 4 g Na / diabetic (1800, 2000, 2400)

A Activity: Bed rest / bathroom privileges (BRP) / out of bed (OOB) ad lib / bedside commode / up in chair as tolerated

L Labs: CBC, CMP, CE q8° x 3

I IV: Heplock / LR / NS / D5 1/2NS / D5 1/4NS / 3% saline and Rate (40/20/10 rule)

S Special:

  • Imaging
  • EKG
  • Consults
  • O2
    • O2 PRN O2 sat < 92%
    • CPAP (FiO2 40% frequency)
    • BiPAP (Ipap 10, Epap 5, Rate ?, FiO2 40%, frequency)

M Medications: Name Route Dose Frequency Form

  • Bowel Protocol
    • Docusate Na 100 mg PO BID
    • Bisacodyl 5 mg PO or 10 mg PR QHS PRN no BM for 24°
    • MOM 30 mL PO QHS PRN no BM for 48°
  • Pain Management
    • Ketorolac 30 mg IVP q6° PRN pain
    • Hydrocodone 5-10 mg / APAP 500 mg PO q4° PRN
    • Ibuprofen 400-600 mg PO q6° schd ×48° then PRN
    • APAP 650 mg PO q4° PRN fever/pain
  • DVT Prophylaxis
    • Enoxaparin 30-40 mg SUBQ q12°-24°
  • Antiemetic
    • Ondansetron 4 mg IV ×1 MRP ×1 PRN N/V
    • Prochlorperazine 10 mg IV q6° PRN N/V
    • Promethazine 25 mg PR q4° PRN N/V

Here House Officer Calls: Notify HO if

  • HR < 60 or > 100 bpM
  • RR < 10 or > 30 per minute
  • SBP < 90-100 or > 150-180
  • DBP < 60 or > 100
  • Temp < 96 or > 101-101.5°F
  • UOP < 30 mL/hr for 2°
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