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Cardiac Cath/EP – Electrophysiology – Adult – Postprocedure [5183]

Cardiac Cath/EP – Electrophysiology – Adult – Postprocedure [5183] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, HOD, Cardiac Cath and Electrophysiology Labs


Cardiac Cath/EP - Electrophysiology - Adult - Postprocedure [5183]
Intended for Adult Patients Only
Patient Care Orders
Vital Signs [139637]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every 15 minutes times 4, then every 30 minutes times 4,
then every 1 hour times 4, then every 8 hours., Cardiac
Cath/EP
Patient Monitoring [139684]
Cardiac Rhythm Monitoring - Adult [NURMON0010] INTERMITTENT (MAY REMOVE WHEN OFF
UNIT/BATHING), Routine
Notify Provider:
Functional Cardiac Defibrillator Present:
Cardiac Cath/EP
Assess Incision Site [NURMON0060] SEE COMMENTS, Every 15 minutes times 4, then every 30
minutes times 4, then every 1 hour times 4, then every 8
hours., Cardiac Cath/EP
Assess Groin Site [NURMON0036] SEE COMMENTS, Routine, Every 15 minutes times 4, then
every 30 minutes times 4, then every 1 hour times 4, then
every 8 hours., Cardiac Cath/EP
Activity [139623]
Activity [NURACT0008] CONTINUOUS, Routine
AD LIB:
AMBULATE:
CHAIR:
DANGLE:
BEDREST: other (comment)
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Bedrest based upon *** hours after sheaths have been pulled.
May elevate head *** degrees after *** hours., Cardiac
Cath/EP
Activity [NURACT0008] CONTINUOUS, Routine
AD LIB:
AMBULATE:
CHAIR:
DANGLE:
BEDREST: other (comment)
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Bedrest until awake., Cardiac Cath/EP
Nutrition [139682]
Diet - General [NUT0001] EFFECTIVE NOW, Starting today, Routine
General Diet: GENERAL;
When patient meets Phase II Modified Aldrete Scoring
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Pr i nt ed by LIND, JANNA S [JSL237] at 4/9/2015 2:53:15 PM
Copyright © 2015 University of Wisconsin Hospital and Clinics Authority


System, Cardiac Cath/EP
Diet - Custom [NUT0001] EFFECTIVE NOW, Starting today, Routine
General Diet:
Diabetic Diet:
NPO (If patient receiving tube feeding see question 25):
Liquids & Modified Consistency (If Dysphagia Protocol see
questions 21-24):
Fiber:
Renal & Dialysis Multi-Nutrient Restriction:
Lactose Restricted:
Protein:
Fat: LOW FAT/CHOLESTEROL;
Sodium: NO ADDED SALT;
Potassium:
Phosphorus:
Other Minerals:
Calories:
Fluid Restriction: Total mLs/24 hours (IV & PO):
Research:
Metabolic:
Other Modifiers:
Infant Nutrition (Select product and calories per ounce):
Infant Formula (Calories per Ounce):
Dysphagia Protocol:
Dysphagia Protocol-Modified Consistency (Also select
Dysphagia Protocol Liquid Consistency and Dysphagia
Protocol-Supervision):
Dysphagia Protocol-Liquid Consistency:
Dysphagia Protocol-Supervision:
Tube Feeding (Use Tube Feeding Order Set to indicate order
detail):
Tube Feeding Management:
Room Service Class:
When patient meets Phase II Modified Aldrete Scoring
System, Cardiac Cath/EP
Contingency Parameters [139606]
Notify Provider [NURCOM0001] Provider to Notify: Provider
Notify based on: Blood Pressure,Temperature,Heart
Rate,Respiratory Rate,Blood Glucose,Pulse Oximetry
Pulse Oximetry < (%): 90
If blood glucose > (mg/dL): 400
If blood glucose < (mg/dL): 40
If respiratory rate >: 32
If respiratory rate <: 8
If heart rate > (bpm): 120
If heart rate < (bpm): 50
If temperature > (C): 38
If temperature < (C):
If systolic blood pressure > (mmHg): 160
If systolic blood pressure < (mmHg): 90
If diastolic blood pressure > (mmHg): 90
If diastolic blood pressure < (mmHg): 40
Cardiac Cath/EP
Diagnostic Tests and Imaging
Diagnostic Tests and Imaging [139625]
ECG - 12 Lead [EKG0008] ONCE For 1 Occurrences, Routine
Reason for exam:
Cardiac Cath/EP
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Pr i nt ed by LIND, JANNA S [JSL237] at 4/9/2015 2:53:15 PM
Copyright © 2015 University of Wisconsin Hospital and Clinics Authority


Follow-up Care
Follow-up Appointments [139624]
Schedule Appointment [NURCOM0026] Reason for Appointment: Wound and Device check
When do you want appointment: 2 to 4 weeks
Which Clinic or Specialty: Device Clinic
Which Provider (Optional):
Cardiac Cath/EP
Pacemaker/ICD/Loop Recorder [CARD0015] Status: Future, Expires: 5/9/16, Normal, Routine, Qty-1
Discharge Patient
Discharge Patient [139254]
Discharge Patient [ADT0004] Planned Discharge Disposition:
Anticipated Discharge Date:
May discharge when patient meets Phase II Modified Aldrete
Scoring System., Cardiac Cath/EP
Page 3 of 3
Pr i nt ed by LIND, JANNA S [JSL237] at 4/9/2015 2:53:15 PM
Copyright © 2015 University of Wisconsin Hospital and Clinics Authority