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201706171

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IP - Atrial Fibrillation - Initial Onset - Adult - Supplemental [2170]

IP - Atrial Fibrillation - Initial Onset - Adult - Supplemental [2170] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Cardiology/CT Surgery


SmartSet: IP - ATRIAL FIBRILLATION - INITIAL ONSET - ADULT -
SUPPLEMENTAL (ID:2170)
General Information
Display name: IP - Atrial Fibrillation - Initial Onset - Adult - Supplemental
Type: General
Merge priority: 0
Version comment:
Content source:
Synonyms: 1. A. FIB
2. A FIB
SmartSet notes:
Description: Intended for Adult Patients Only
Web information: Title URL
1.
Questionnaire:
Configuration
Diagnostic Tests and Imaging
Diagnostic Tests and Imaging
ECG - 12 Lead PRN, Routine
Reason for exam: OTHER (COMMENT)
Medications
Beta Blockers
metoprolol (LOPRESSOR) intraVENOUS -
NOTE: Order for patients NOT taking oral foods
and medications
2.5 mg, Intravenous, ONCE For 1 Doses
Hold for SBP less than 100 mmHG or heart rate less
than 65 beats/minute.
metoprolol (LOPRESSOR) injection - NOTE:
Order for patients NOT taking oral foods and
medications
5 mg, Intravenous, ONCE For 1 Doses
Hold for SBP less than 100 mmHG or heart rate less
than 65 beats/minute.
Page 1 of 4
Printed by STRAKA, KEVIN F [KFS1] at 6/20/2017 11:30:17 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org

Potassium Channel Blockers
amiodarone (CORDARONE) BOLUS 150 mg, Intravenous, ONCE For 1 Doses
amiodarone (CORDARONE) non- PVC infusion 1 mg/min, Intravenous, CONTINUOUS For 6 Hours
amiodarone (CORDARONE) tab 400 mg, Oral, 2 X DAILY
Calcium Channel Blockers
diltiazem (CARDIZEM) injection 5 mg, Intravenous, ONCE For 1 Doses, for 2 Minutes
diltiazem (CARDIZEM) injection 20 mg, Intravenous, ONCE PRN For 1 Doses
Administer ONLY if rate is still uncontrolled 15
minutes after first diltiazem bolus.
diltiazem (CARDIZEM) infusion Intravenous, CONTINUOUS
Administer immediately after first bolus is given.
Titrate per ADULT protocol. Initiate at 2.5 mg/hour
or current rate and titrate parameters to maintain
{parameters:2000163}
diltiazem (CARDIZEM) tab 30 mg, Oral, 4 X DAILY
diltiazem coated beads 24hr ER cap 120 mg, Oral, 1 X DAILY
digoxin (LANOXIN) tab 0.125 mg, Oral, 1 X DAILY (NOON)
digoxin (LANOXIN) injection 0.25 mg, Intravenous
Anticoagulation
enoxaparin (LOVENOX) injection 1 mg/kg, Subcutaneous, EVERY 12 HOURS
ACS (without IIb/IIIa inhibitor)
heparin 1000 Units/mL injection 60 Units/kg, Intravenous, ONCE For 1 Doses
Initial bolus maximum 4,000 units
heparin 25,000 units in dextrose 5% 500 mL
infusion
5-20 Units/kg/hr, Intravenous, CONTINUOUS
Initiate at 12 units/kg/hr and titrate per rapid
nomogram.
heparin 1000 Units/mL injection 40 Units/kg, Intravenous, PRN, aPTT less than 35
seconds or anti-Xa less than 0.1
Maximum 10,000 units/dose
heparin 1000 Units/mL injection 20 Units/kg, Intravenous, PRN, aPTT between 35-
38 seconds or anti-Xa between 0.1-0.19
Maximum 5000 units/dose
Notify Provider Provider to Notify: Provider
Notify based on: Other
Other: Baseline aPTT greater than 34
seconds,aPTT less than 35 or greater than 90
seconds,anti-Xa less than 0.1 or greater than
1.7,Hemoglobin decreases by more than 2 g/dL
from baseline,Baseline INR greater than
1.2,Platelet count less than 100 K/uL,Platelet
count decreases by more than 1/3 of baseline
value,Any sign of bleeding,Any deterioration in
neurological status
dabigatran (PRADAXA) cap 150 mg, Oral, 2 X DAILY
dabigatran (PRADAXA) cap - Order for patients
with creatinine clearance 15-30 mL/min
75 mg, Oral, 2 X DAILY
rivaroxaban (XARELTO) tab 20 mg, Oral, 1 X DAILY (PM)
rivaroxaban (XARELTO) tab - Order for patients
with creatinine clearance 15-50 mL/min
15 mg, Oral, 1 X DAILY (PM)
apixaban (ELIQUIS) tab 5 mg, Oral, 2 X DAILY
apixaban (ELIQUIS) tab - Note: Order for
patients with 2 of 3 high risk criteria: Age > 80
years, weight < 60 kg, creatinine > 1.5 mg/dL
2.5 mg, Oral, 2 X DAILY
Page 2 of 4
Printed by STRAKA, KEVIN F [KFS1] at 6/20/2017 11:30:17 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
06/2017CCKM@uwhealth.org

Note: Warfarin Dosing Per Pharmacy 1 X DAILY (HS)
Laboratory
Daily Labs
TSH NEXT AM For 7 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
If checked in last month, order not needed.
POTASSIUM NEXT AM For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
MAGNESIUM NEXT AM For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PHOSPHATE NEXT AM For 7 Days, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Labs for Initial Change From Baseline Rhythm to Atrial Fibrillation (Collect Now STAT)
POTASSIUM STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Repeat per sliding scale
MAGNESIUM STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Repeat per sliding scale
PHOSPHATE STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Repeat per sliding scale
Criteria
Suggestions:
Filter: UWIP ORDER SET RESTRICTION - HOSPITAL ENCOUNTERS EXCEPT ED -
NOT IP DC[3000400]
Restrict SmartSet:
Settings
Discontinue action:
Page 3 of 4
Printed by STRAKA, KEVIN F [KFS1] at 6/20/2017 11:30:17 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
06/2017CCKM@uwhealth.org

Deselect sections for
Pended/Held orders:
Pended/Held orders
display:
Release date: Use System Definitions Setting
Disallow user override:
Page 4 of 4
Printed by STRAKA, KEVIN F [KFS1] at 6/20/2017 11:30:17 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
06/2017CCKM@uwhealth.org