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/clinical/cckm-tools/content/order-sets/inpatient/emergency-medicine/name-105390-en.cckm

201611319

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ED - CLINICAL DECISION UNIT - Allergic Reaction-Angiodema - Adult [6176]

ED - CLINICAL DECISION UNIT - Allergic Reaction-Angiodema - Adult [6176] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Emergency Medicine


SmartSet: ED - CLINICAL DECISION UNIT - ALLERGIC
REACTION/ANGIODEMA - ADULT (ID:6176)
General Information
Display name: ED - Clinical Decision Unit - Allergic Reaction/Angiodema - Adult
Type: General
Merge priority:
Version comment:
Content source:
Synonyms: 1. ed cdu
2. observation
3. adult
4. ed
5. clinical decicion unit
SmartSet notes:
Description: Inclusion Criteira for this Order Set:
1. Erythroderma, uticaria, or angiodema present
2. Response to therapy in the Emergency Department (ED)
Patient has received antihistamines and corticosteroids
3. Mimimum 2 hours of stability or improvement in ED after Treatment
Exclusion Criteria for this Order Set:
1. Stridor, respiratory distress, or hoarseness at time of transfer
2. Hypotension (Systolic Blood Pressure (SBP) < 100)
3. Oxygen saturation < 92%
Web information: Title URL
1.
Questionnaire:
Configuration
Admission Status
Admission Status
Page 1 of 4
Printed by STRAKA, KEVIN F [KFS1] at 11/13/2016 8:15:14 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2016CCKM@uwhealth.org

Admit to CDU (ED Observation) Patient Class: Observation
Accommodation Code, if IMC request, please enter
Comments in field to the right: OSS/OBS
Will the patient require special placement due to
ISOLATION Precautions?
Is the patient currently a Department of Corrections
(DOC) Inmate?
Is a nursing assessment for CONSTANT
OBSERVATION recommended?
Is the patient currently a resident of CWC or Mendota
Mental Health (MMHI)?
Will the patient go directly to the OR from the ED?
Could this patient have ACS/MI?
Does the patient require CARDIAC MONITORING for
transport?
Admitting Provider?
Attending Provider?
CDU Protocol: Allergic Reaction/Angioedema
Family History:
Expected Treatment/Procedures:
Medications
Medications
diphenhydramine (BENADRYL) cap 25 mg, Oral, EVERY 6 DAYS
ranitidine (ZANTAC) tab 150 mg, Oral, 2 X DAILY
Patient Care Orders
Vital Signs
Vital Signs SEE COMMENTS, Starting S, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every *** Hours, STAT
Activity
Activity CONTINUOUS, Routine
AD LIB:
AMBULATE:
CHAIR:
DANGLE:
BEDREST:
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Page 2 of 4
Printed by STRAKA, KEVIN F [KFS1] at 11/13/2016 8:15:14 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2016CCKM@uwhealth.org

Nutrition
Diet - Custom EFFECTIVE NOW, Starting S, Routine
Patient Type: Adult
Room Service Class:
Diet Type: Diet Modifications
Diet Modifications:
Bedside Meal Instructions:
Diet - General EFFECTIVE NOW, Starting S, Routine
Patient Type: Adult
Diet Type: General (no Modifications)
Bedside Meal Instructions:
Room Service Class:
Diet - NPO Except Medications EFFECTIVE NOW, Starting S, Routine
Patient Type: Adult
Diet Type: NPO
NPO: NPO except Medications
Bedside Meal Instructions:
Room Service Class:
Diet - Adult Renal EFFECTIVE NOW, Starting S, Routine
Patient Type: Adult
Diet Type: Diet Modifications
Diet Modifications: Renal
Sodium:
Potassium:
Phosphorus:
Fluid Restriction Total mLs/24H (IV/PO):
Protein:
Bedside Meal Instructions:
Room Service Class:
Patient Monitoring
Cardiac Rhythm Monitoring - Adult CONTINUOUS, Starting S, Routine
Notify Provider: Symptomatic Change in
Rhythm,Serious Arrhythmia
Functional Cardiac Defibrillator Present:
Indication:
Pulse Oximetry CONTINUOUS, Routine
Contingency Parameters
Notify Provider Provider to Notify: Provider
If systolic blood pressure > (mmHg): 180
If systolic blood pressure < (mmHg): 100
If diastolic blood pressure > (mmHg): 95
If diastolic blood pressure < (mmHg): 60
If temperature > (C): 38
If temperature < (C): 36
If heart rate > (bpm): 120
If heart rate < (bpm): 50
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL): 300
If blood glucose < (mg/dL): 80
If pain score >:
Pulse Oximetry < (%): 92
If urine output < (mL):
Other:
Page 3 of 4
Printed by STRAKA, KEVIN F [KFS1] at 11/13/2016 8:15:14 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2016CCKM@uwhealth.org

Disposition Criteria
Home
Disposition Criteria - Home CONTINUOUS, 1. Resolution or improvement in
symptoms
2. Stable vital signs
Hospital
Disposition Criteria - Hospital CONTINUOUS, 1. Worsening symptoms or
inadequate response to treatment
2. Abnormal vital signs
Criteria
Suggestions: LOOKUP LOCATOR-PNEUMONIA BRONCHITIS VIRAL DISCHARGE UWHC
ED (RFV)[513]
UWIP C LOGIN DEPT UWH ED OR TAC ED[30001972]
Filter: RESTRICTION LOCATOR - UWHC ED[486]
Restrict SmartSet:
Settings
Discontinue action:
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 11/13/2016 8:15:14 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2016CCKM@uwhealth.org