Bililite Bronchiolitis Physician Orders User Manual
2012-01-04
User Manual: bililite Bronchiolitis
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UNSAFE ABBREVIATIONS - please use bolded items 1. ‘Daily’ not ‘qd’ 2. ‘micrograms’ not ‘μg’ 3. ‘Vidarabine‘ not ARA-A 4. ‘Units’ not ‘u’ 5. ‘Morphine’ not ‘MSO4’ or ‘MS’ 6. ‘International Units’ not ‘IU’ 7. ’Methotrexate’ not ‘MTX’ 8. ’Every other day’ not ‘Q.O.D.’ 9. ‘Magnesium Sulfate’ not ‘MgSO4’ 10. No trailing zeros (1 mg not 1.0 mg) 11. Always use leading zeros (0.1 mg not .1 mg) *POG1001* * P O G 1 0 0 1 * = Do Not Substitute DATE TIME INSTRUCTIONS: Please write plainly, use ballpoint pen, and press firmly. Include Physician Name and Signature. Check appropriate boxes and fill in blanks. Place on 8800, service of Dr. Inpatient admission Diagnosis: RSV Outpatient observation Bronchiolitis Other Condition: Allergies: Growth: Wt: kg Ht: cm Surface Area: m2 Diet: Nurse ad lib Formula (mother's preference) ad lib Regular for age Other Vital Every 4 hours Daily Weights Cardiorespiratory monitor Signs: Strict I&O’s Check SaO2 with vital signs Continuous pulse oximetry Call House Pediatrician for SaO2 < 93 % IV Fluids: D5 ¼NS with 20 mEq KCl/liter ml/hr = ml/kg/day D5 ½NS with 20 mEq KCl/liter ml/hr = ml/kg/day Saline lock IV. Flush with saline 2-3 ml q 4-6 hours PRN to keep line open. Other: Respiratory: Supplemental oxygen if necessary to keep SaO2 greater than 92% Albuterol mg nebulized every hrs (2.5 mg = 0.5 cc) Bulb suction to nares prn congestion Saline nose drops: 2 drops in each naris every 2 hrs prn congestion with bulb suction Medications: Tylenol (15mg/kg) mg every 4 hours PRN temperature > 38°C or irritability Infant Drops - PO Suspension - PO Suppository - PR ✘ Desitin to diaper area prn rash ✘ May have 2 ml Sweet Ease PO prior to painful procedures. ✘ May use LMX or Pain Ease to skin prior to needlesticks. Labs/Radiology: Isolation: CBC with manual diff automated diff BMP Blood culture CXR PA & LAT NP viral culture NP swab for influenza Nasal specimen for RSV if negative, send for viral culture NP swab for Pertussis PCR Other: Contact Precautions Droplet Precautions Physician Signature: PHYSICIAN ORDERS Page 1 of 1 St. Luke’s Hospital 232 S. Woods Mill Road Chesterfield, MO 63017 Form No. SL-008 PHYSICIAN ORDERS TAB Rev. 06/05
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