/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/inpatient/,/clinical/cckm-tools/content/order-sets/inpatient/emergency-medicine/,

/clinical/cckm-tools/content/order-sets/inpatient/emergency-medicine/name-98362-en.cckm

201711334

page

100

UWHC,UWMF,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Emergency Medicine

ED - Allergic Reaction Treatment - Adult [619]

ED - Allergic Reaction Treatment - Adult [619] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Emergency Medicine


ED - Allergic Reaction Treatment - Adult [619]
Laboratory
Labs [6602]
BASIC METABOLIC PANEL - Glucose, BUN,
Creatinine, Calcium, Electrolytes(Na, K, Cl,
Carbon Dioxide, Anion Gap) [BMET]
STAT, Starting today For 1 Occurrences, STAT, Test
includes Sodium; Potassium; Chloride; Carbon
Dioxide, Total; Anion Gap; Glucose; BUN; Creatinine;
and Calcium.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CBC WITH DIFFERENTIAL [CBC] STAT, Starting today For 1 Occurrences, STAT
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
BLOOD GASES [HCBGAS] STAT, Starting today For 1 Occurrences, STAT
Indicate FIO2:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Diagnostic Tests and Imaging
Cardiology [6551]
ECG - 12 Lead [EKG0008] ONCE, Starting today For 1 Occurrences, STAT
Reason for exam:
Disclaimer for University Hospital Only: A Stat status
for an ECG is in reference to the timing of the ECG.
The goal is to perform a STAT ECG within 10 minutes
of the order being placed. It is the responsibility of the
ordering provider to review the STAT ECGs. All ECGs
(stat or routine) will be formally reviewed within one
business day.
General Radiology [136223]
X-RAY CHEST PA & LAT VIEWS [R71020] ONCE-RAD NEXT AVAILABLE, Routine
Radiology Specialty Area: GENERAL IMAGING
Current signs and symptoms?
What specific question(s) would you like answered by
this exam?
Relevant recent/past history?
Is patient pregnant?
If being performed remotely, where?
Last patient weight? (will auto pull in value and date in
comment):
Transport Method: Floor Determined/Entered
Intravenous Therapy
IV Fluids [136146]
Insert and Maintain Peripheral IV [NURVAD0013] CONTINUOUS, Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
sodium chloride 0.9 % infusion BOLUS [730003] 500 mL, Intravenous, ONCE For 1 Doses
sodium chloride 0.9 % infusion BOLUS [730003] 1,000 mL, Intravenous, ONCE For 1 Doses
Medications
Vasoactive Medications (Single Response) [5958]
epINEPHrine (ANAPHYLAXIS) injection [800185] 0.3 mg, Intramuscular, ONCE For 1 Doses
epINEPHrine (ANAPHYLAXIS) injection [800185] 0.05 mg, Intravenous, ONCE For 1 Doses
H1 Antagonists (Single Response) [5959]
Page 1 of 3
Printed by STRAKA, KEVIN F [KFS1] at 11/27/2017 5:22:51 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2017CCKM@uwhealth.org

diphenhydramine (BENADRYL) cap [36791] 50 mg, Oral, ONCE For 1 Doses
diphenhydramine (BENADRYL) injection 50 mg
[800106]
50 mg, Intravenous, ONCE For 1 Doses
cetirizine (ZYRTEC) tab [44602] 10 mg, Oral, ONCE For 1 Doses
H2 Antagonists (Single Response) [239158]
famotidine (PEPCID) intraVENOUS [800279] 20 mg, Intravenous, ONCE For 1 Doses
ranitidine (ZANTAC) tab [720131] 150 mg, Oral, ONCE For 1 Doses
Steroids (Single Response) [5960]
dexamethasone (DECADRON) intraVENOUS
[800037]
10 mg, Intravenous, ONCE For 1 Doses
prednisone (DELTASONE) tab [41277] 60 mg, Oral, ONCE For 1 Doses
methylprednisolone sodium succ. (SOLU-
MEDROL) intraVENOUS [800058]
62.5 mg, Intravenous, ONCE For 1 Doses
Respiratory Medications [5961]
racepinephrine 2.25 % neb soln [150812] 0.5 mL, Nebulization, ONCE For 1 Doses
ipratropium-albuterol (DUO-NEB) 0.5-2.5 mg/3
mL neb soln [67220]
3 mL, Nebulization, ONCE For 1 Doses
albuterol (PROVENTIL, VENTOLIN) (5 MG/ML)
0.5% neb soln [34315]
2.5 mg, Nebulization, ONCE For 1 Doses
ipratropium (ATROVENT) 0.02 % neb soln
[47883]
500 mcg, Nebulization, ONCE For 1 Doses
Consults
Consults [136212]
Respiratory Therapy per Protocol [RT0035] Routine
Protocol Type:
Patient Care Orders
Vital Signs [136292]
Vital Signs [NURMON0013] EVERY 30 MINUTES, Starting today, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Orthostatic Vital Signs [NURMON0007] ONCE, Starting today For 1 Occurrences, STAT
Patient Monitoring [136293]
Cardiac Rhythm Monitoring [NURMON0010] ONCE, Starting today, STAT
Notify Provider: Symptomatic Change in
Rhythm,Serious Arrhythmia
Functional Cardiac Defibrillator Present:
Cardio-Respiratory Monitor - Pediatric - Without
Rhythm [139420]
Cardio-Respiratory Monitor - Pediatric - Without
Rhythm [NURMON0074]
ONCE, Routine, Please complete the Notify Provider
order below, including specification for apnea > ***
seconds. If indicated, order pulse oximetry
separately.
Device Present:
Device Mode:
Device Low Rate Limit (BPM):
Notify Provider:
Notify [NURCOM0001] Provider to Notify: Provider
Notify based on:
Notify provider for apnea > 20 seconds
Nutrition [136295]
Page 2 of 3
Printed by STRAKA, KEVIN F [KFS1] at 11/27/2017 5:22:51 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2017CCKM@uwhealth.org

Diet Order (ED Only) [NURDIE0012] CONTINUOUS, Starting today, STAT
Diet:
Respiratory [6715]
Pulse Oximetry [NURMON0009] ONCE, Starting today For 1 Occurrences, STAT
Pulse Oximetry [NURMON0009] EVERY 2 HOURS, Starting today, Routine
Peak Flow [RT0047] ONCE, Starting today For 1 Occurrences, STAT
Oxygen Therapy [RT0032] CONTINUOUS, Starting today, STAT
FiO2 (%) Titrate to Keep Sats >/= to ___%:
Liter Flow:
Titrate oxygen to maintain O2 sat at (%):
O2 Delivery Device:
Attempt to Wean Off Oxygen?
Page 3 of 3
Printed by STRAKA, KEVIN F [KFS1] at 11/27/2017 5:22:51 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2017CCKM@uwhealth.org