Stroke Order Set 2 - Pharmacy Practice News

More documents

Recommendations

Info

USE BALL POINT PEN ONLY – WRITE FIRMLY. AUTOMATIC STOP ORDERS: 24 Hours OXYTOCICS and ANTINEOPLASTICS 72 Hours Schedule II Control Drugs 3 Days All I.V. Solutions 5 Days All Oral and I.V. Antibiotics, Anti-infectives 7 Days Anticoagulants, Corticosteroids, (EXCEPT TOPICAL), Schedule III, IV, V Control Drugs 14 Days All Other Medication *Unless otherwise specified by physician HEIGHT WEIGHT ALLERGIES Page 2 of 4 DIAGNOSIS DATE & TIME OF ORDER STROKE UNIT ADMISSION ORDE RS: PATIENTS NOT RECE IVING ALTEP L AS E (t-PA) THERAP Y 12. Medications: REMINDER: If swallow screen failed - no PO medications until evaluation by speech pathologist is completed. IV line # 1 - IV: Solution Volume Rate IV line # 2 - Saline lock; flush with 2 ml of Normal Saline every shift. Hypertension Management – Please see Page 4 GI PROPHYLAXIS/BOWEL REGIMEN Pantoprazole (Protonix) 40mg by mouth once daily OR Pantoprazole (Protonix) 40mg IV once daily if patient is NPO OR Prevacid 30 mg NGT once daily Docusate (Colace) 100mg by mouth twice daily. Bisacodyl (Dulcolax) 10mg suppository per rectum once daily as needed for bowel movement. ANTITHROMBOTIC/DVT PROPHYLAXIS/ATRIAL FIBRILLATION MANAGEMENT (please specify). Aspirin 81 mg by mouth now and daily Indication: Antithrombotic DVT Proph Aspirin 325mg by mouth now and daily. Indication: Antithrombotic DVT Proph Aspirin 25mg/Dipyridamole 200mg (Aggrenox) by mouth BID Indication: Antithrombotic DVT Proph Enoxaparin (Lovenox) 40mg subcutaneously daily. Indication: Antithrombotic DVT Proph A-fib Warfarin (Coumadin) mg PO Indication: Antithrombotic DVT Proph A-fib Heparin PT/INR daily Indication: Antithrombotic DVT Proph A-fib PAIN MANAGEMENT / ANTIPYRETIC Acetaminophen (Tylenol) 650mg by mouth every 4 hours as needed for mild pain or temperature > 99.6° Other: Notify physician if temperature > 101° Glucose Monitoring (fingerstick) every Glucose Management (please specify) hours. ORDER NUMBER Hyperlipidemia Management (please specify) PHYSICIAN SIGNATURE: DATE: TIME: RN SIGNATURE: DATE: TIME:
USE BALL POINT PEN ONLY – WRITE FIRMLY. AUTOMATIC STOP ORDERS: 24 Hours OXYTOCICS and ANTINEOPLASTICS 72 Hours Schedule II Control Drugs 3 Days All I.V. Solutions 5 Days All Oral and I.V. Antibiotics, Anti-infectives 7 Days Anticoagulants, Corticosteroids, (EXCEPT TOPICAL), Schedule III, IV, V Control Drugs 14 Days All Other Medication *Unless otherwise specified by physician HEIGHT WEIGHT ALLERGIES Page 3 of 4 DIAGNOSIS DATE & TIME OF ORDER Other Medications: STROKE UNIT ADMISSION ORDERS - PATIENTS NOT RECEIVING ALTEPLASE (t-PA) THERAPY 13. Rehabilitation Medicine Consults: (to be completed within 24 hours of admission) Physiatrist Evaluation and Treatment P.T. Evaluation and Treatment. Extension 42050 Occupational Therapy Evaluation. Extension 42382 14. Case Management referral and discharge planning evaluation. Extension 42280 15. Clinical Laboratory Testing: Indication: Acute Ischemic Stroke CBC with automated differential (if not done in ED) Lipid profile (if not done in ED) BMP (if not done in Emergency Department) B12, Folate, RPR Homocysteine level 16. Additional Diagnostic Tests Carotid Ultrasound 2-D Cardiac Echo Other Labs: Indication: Acute Ischemic Stroke Indication: Acute Ischemic Stroke Chest X ray, PA/Lateral; if not done in ED Indication: Acute Ischemic Stroke MRI Brain with diffusion weighted imaging/ without contrast Indication: MRA Other diagnostic tests: 17. OTHER ORDERS: Indication: ORDER NUMBER PHYSICIAN SIGNATURE: ______________________________________ DATE: ____________________________________ TIME: _____________________________ RN SIGNATURE: __________________________ DATE: TIME: ________
Page 1: USE BALL POINT PEN ONLY - WRITE FIR

Stroke Order Set 2 - Pharmacy Practice News

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?