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Cardiac Cath/EP - Contrast Induced Nephropathy Prophylaxis - Adult - Supplemental [6137]

Cardiac Cath/EP - Contrast Induced Nephropathy Prophylaxis - Adult - Supplemental [6137] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, HOD, Cardiac Cath and Electrophysiology Labs


Cardiac Cath/EP - Contrast Induced Nephropathy Prophylaxis - Adult -
Supplemental [6137]
for Adult Patients OnlyIntended
Patient Care Orders
Contingency Parameters [213177]
Notify Patient's Cardiologist or Nephrologist
Before Bicarbonate Infustion if: Patient at Risk
For Heart Failure or Fluid Volume Overload
[NURCOM0022]
CONTINUOUS, Starting today, Cardiac Cath/EP
Intravenous Therapy
IV Fluids [213178]
Insert and Maintain Peripheral IV: Insert Two
Peripheral IV Lines [NURVAD0013]
CONTINUOUS, Starting today For Until specified,
Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
Cardiac Cath/EP
sodium chloride 0.9 % infusion [64367] Intravenous, CONTINUOUS
Primary line for medication administration
Cardiac Cath/EP
Medications
Infusion Agent [213179]
sodium bicarbonate 200 mEq in dextrose 5%
infusion 1250 mL (equivalent to 0.16 mEq/mL)
[700322]
at 1-330 mL/hr, Intravenous, CONTINUOUS
Starting 1 hr before procedure run at 3 mL/kg/hr (max
330 mL/hr) for 1 hr, then run at 1mL/kg/hr (max 110
mL/hr) for 6 hrs after procedure
Cardiac Cath/EP
sodium chloride 0.9% infusion [64367] at 1-110 mL/hr, Intravenous, CONTINUOUS
Starting 1 hour before procedure run at 1 mL/Kg/hr
and continue for 6 hours after procedure (max 110
mL/hr)
Cardiac Cath/EP
Preprocedure - Adjunct [213180]
Note: Hold all metformin-containing medications
AM of procedure and for 48 hrs post-procedure
[950018]
ONCE For 1 Doses, Cardiac Cath/EP
Note: Hold all diuretic medications day of
procedure [950018]
ONCE For 1 Doses, Cardiac Cath/EP
Postprocedure - Adjunct - NOTE: Order for patients with CKD Stage 5 or ESRD [213181]
procedure-postpatient has ESRD and is stable consider dialysis If
acetylcysteine 20% soln(ORAL) CUSTOM
[780005]
1.2 g, Oral, 2 X DAILY For 2 Doses
Administer day of procedure; Dilute in 30 mL of clear
liquid or cola (diet for diabetics) to disguise the
taste/smell. May be administered via feeding tube
(with water as diluent) if applicable.
Cardiac Cath/EP
Laboratory
Creatinine Monitoring [213182]
Page 1 of 2
Printed by LIND, JANNA S [JSL237] at 12/8/2016 9:12:49 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org

CREATININE [CRET] STAT - RN COLLECT, Starting today For 1
Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Prior to Contrast drip
initiated Creatinine should be drawn within the week
or at least one hour before drip is initiated
Cardiac Cath/EP
CREATININE [CRET] CONDITIONAL - RN COLLECT, Starting 12/10/16
For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? If Conditional, What
Condition? Draw 48 hours or 2 days after Contrast
Cardiac Cath/EP
CREATININE [CRET] CONDITIONAL - RN COLLECT, Starting 12/13/16
For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw 120 hours or 5
days after Contrast
Cardiac Cath/EP
Page 2 of 2
Printed by LIND, JANNA S [JSL237] at 12/8/2016 9:12:49 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org