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/clinical/cckm-tools/content/order-sets/inpatient/emergency-medicine/name-121553-en.cckm

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ED - Fever and Neutropenia - Pediatric - Discharge [6425]

ED - Fever and Neutropenia - Pediatric - Discharge [6425] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Emergency Medicine


ED - Fever And Neutropenia - Pediatric - Discharge [6425]
Guideline Management of Fever and Neutropenia

URL: https://uconnect.wisc.edu/clinical/cckm-
tools/content/?path=/content/cpg/oncology/name-
116777-en.cckm
Patient Care Orders
Patient Education [233153]
Note: Notify Pharmacy [950015] ONCE For 1 Doses
Pharmacist to confirm insurance coverage for
fluoroquinolone prescription prior to discharge
Note: Notify Pharmacy [950018] ONCE For 1 Doses
Pharmacist to provide discharge education to patient;
oral antibiotics should begin the morning after ED
discharge
Reason for Emergency Department Visit [228581]
Please complete in PATIENT FRIENDLY terms. This order will appear on the patient's After
Hospital Care Plan
Why You Were Seen in the Emergency
Department [NURCOM0073]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, @FNAME@ was seen in the
Emergency Department for fever. @CAPHIS@ care
included receiving an antibiotic called ceftriaxone for
the fever. Blood cultures were drawn to see if
@FNAME@ has an infection.
Other Patient Care Instructions [228584]
Please complete in PATIENT FRIENDLY terms. This order will appear on the patient's After
Hospital Care Plan
Other Discharge Patient Care Instructions
[NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan., Routine, Important Phone Numbers:
Pediatric Hematology/Oncology Office: 608-263-6200
Clinic Appointments: 608-263-6420
P4 Inpatient Unit: 608-263-8167
Day Treatment Center: 608-263-9540
Medically-related calls: 608-262-0486
During normal business hours, ask for your Pediatric
Hematology/Oncology Nurse Practitioner. During
evenings and weekends and on holidays, ask for the
Pediatric Hematologist/Oncologist on call.
Other Numbers:
Patient Relations, for Interpreter: 608-263-8009
National Poison Control Center: 1-800-222-1222
When to Call Your Doctor [228585]
Please complete in PATIENT FRIENDLY terms. This order will appear on the patient's After
Hospital Care Plan
Page 1 of 3
Printed by STRAKA, KEVIN F [KFS1] at 10/13/2017 11:55:08 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 10/2017CCKM@uwhealth.org

When to Call Your Doctor - Fever in Children with
Cancer [NURCOM0079]
Please complete in PATIENT FRIENDLY terms. This
order will appear on the patient's After Hospital Care
Plan.
You should include specific instructions on when and
who to call.
You should include actual provider names (i.e. not
'PCP').
You should NOT include the discharging unit as a
contact., Routine, Contact Pediatric
Hematology/Oncology through the paging operator
608-262-0486 if your child has any of the following:
- Fever greater than 100.4 or shaking chills
- Any sign of infection (skin wound, etc.) or frequent
cough
- Easy bruising or bleeding
- Extreme tiredness or paleness
- Headaches or frequent pain
- Diarrhea or vomiting (3 x in one day) or no urine in
12 hours
- No stool in 3 days
- A change in your child's usual behavior or other
concerns
Medications
Medications [229979]
clavulanate. Ciprofloxacin -Patients should be prescribed BOTH ciprofloxacin and amoxicillin
clavulanate dose is 40 mg/kg/day-20 mg/kg/dose. Amoxicillin-dose is 10
feeding tubes they should NOT be administered through -fluoroquinolone suspensions For
tube)based and adheres to the feeding -(suspension is oil
ciprofloxacin (CIPRO) 250 MG tab (Max dose=
500 mg/dose) - 2x/d 3d [61499]
250 mg, starting 10/13/17 until 10/16/17, Normal
ciprofloxacin (CIPRO) 250 MG/5ML (5%) susp -
2x/d 3d [112835]
10 mg/kg, starting 10/13/17 until 10/16/17, Normal
ciprofloxacin (CIPRO) 500 MG tab (Max dose =
500 mg/dose) - 2x/d 3d [61500]
500 mg, starting 10/13/17 until 10/16/17, Normal
ciprofloxacin (CIPRO) 750 MG tab (Max dose =
750 mg/dose) - 2x/d 3d [61501]
750 mg, starting 10/13/17 until 10/16/17, Normal
amoxicillin-clavulanate (AUGMENTIN) 400-57
MG/5ML susp (Max 1000 mg/dose) - 2x/d 3d
[70055]
20 mg/kg, starting 10/13/17 until 10/16/17, Normal
amoxicillin-clavulanate (AUGMENTIN) 600-42.9
MG/5ML susp - 2x/d 3d [67915]
20 mg/kg, starting 10/13/17 until 10/16/17, Normal
amoxicillin-clavulanate (AUGMENTIN) 500-125
MG per tab - 2x/d 3d [70052]
1 tab, starting 10/13/17 until 10/16/17, Normal
amoxicillin-clavulanate (AUGMENTIN) 875-125
MG per tab - 2x/d 3d [70053]
1 tab, starting 10/13/17 until 10/16/17, Normal
For Patients 4 YEARS OLD OR LESS with a severe, non-IgE mediated reaction or an IgE-mediated beta-
lactam allergy to beta-lactam antibiotics [229980]
dailypatients should receive levofloxacin 10 mg/kg/dose, twice These
For fluoroquinolone suspensions - they should NOT be administered through feeding tubes
(suspension is oil-based and adheres to the feeding tube)
LevoFLOXacin (LEVAQUIN) 25 MG/ML soln -
1x/d 3d [104881]
10 mg/kg, starting 10/13/17 until 10/16/17, Normal
Page 2 of 3
Printed by STRAKA, KEVIN F [KFS1] at 10/13/2017 11:55:08 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
10/2017CCKM@uwhealth.org

levofloxacin (LEVAQUIN) 250 MG tab (Max dose
= 500 mg/dose) - 1x/d 3d [54885]
250 mg, starting 10/13/17 until 10/16/17, Normal
levofloxacin (LEVAQUIN) 500 MG tab (Max dose
= 500 mg/dose) - 1x/d 3d [54886]
500 mg, starting 10/13/17 until 10/16/17, Normal
levofloxacin (LEVAQUIN) 750 MG tab (Max dose
= 750 mg/dose) - 1x/d 3d [65589]
750 mg, starting 10/13/17 until 10/16/17, Normal
For Patients GREATER THAN 4 YEARS OLD with a severe, non-IgE mediated reaction or an IgE-
mediated beta-lactam allergy to beta-lactam antibiotics [229981]
mg dailypatients should receive levofloxacin 10 mg/kg/dose daily, maximum dose 750 These
LevoFLOXacin (LEVAQUIN) 25 MG/ML soln -
1x/d 3d [104881]
10 mg/kg, starting 10/13/17 until 10/16/17, Normal
levofloxacin (LEVAQUIN) 250 MG tab (Max dose
= 500 mg/dose) - 1x/d 3d [54885]
250 mg, starting 10/13/17 until 10/16/17, Normal
levofloxacin (LEVAQUIN) 500 MG tab (Max dose
= 500 mg/dose) - 1x/d 3d [54886]
500 mg, starting 10/13/17 until 10/16/17, Normal
levofloxacin (LEVAQUIN) 750 MG tab (Max dose
= 750 mg/dose) - 1x/d 3d [65589]
750 mg, starting 10/13/17 until 10/16/17, Normal
Follow-up Care
Follow-Up Care [234223]
Pediatric Hematology/Oncology Follow Up (for
ED) [REF0008]
Details
Page 3 of 3
Printed by STRAKA, KEVIN F [KFS1] at 10/13/2017 11:55:08 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
10/2017CCKM@uwhealth.org