/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/girenal/,

/clinical/cckm-tools/content/order-sets/inpatient/girenal/name-98310-en.cckm

20180101

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,GI/Renal

IP – Gastrointestinal Bleed – Adult –General Care/Intermediate Care – Supplemental [5402]

IP – Gastrointestinal Bleed – Adult –General Care/Intermediate Care – Supplemental [5402] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, GI/Renal


IP - Gastrointestinal Bleed - Adult - General Care/Intermediate Care -
Supplemental [5402]
Intended for Adult Patients Only
Intravenous Therapy
IV Fluids [151746]
Insert and Maintain Peripheral IV - Insert Two 18
Gauge IV Catheters [NURVAD0013]
CONTINUOUS, Routine
Peripheral IV Size: 18 Gauge
Does this need to be inserted/placed?
Medications - General
Proton Pump Inhibitors - Single Select (Single Response) [151611]
pantoprazole (PROTONIX) intraVENOUS -
NOTE: Moderate to Low Risk Upper GI Bleed
[800119]
40 mg, Intravenous, 2 X DAILY
Very High Risk Upper GI Bleed [151750]
pantoprazole (PROTONIX) intraVENOUS
[800119]
80 mg, Intravenous, 2 X DAILY
Laboratory
Labs [26987]
Hemoglobin - Next Draw [HGB] EVERY 12 HOURS For 3 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Blood Bank
Tests (If not done in ER) [26988]
TYPE AND SCREEN [HCTS] STAT, Starting tomorrow For 1 Occurrences, Routine,
As good clinical practice and for patient safety, the
Transfusion Service will automatically crossmatch 2
packed RBCs on all patients with antibodies to ensure
blood would be available in the event it is needed. If
you would like to opt out of this automatic order for this
patient please contact the UWHC Blood Bank at (608)
263-8367 or The American Center Lab at (608) 234-
6600 as appropriate.
Diagnostic Tests and Imaging
Studies [14147]
Esophagogastroduodenoscopy (EGD) [GI0003] ONCE, Routine
Reason for Exam: Upper GI Bleed
Colonoscopy [243342]
Colonoscopy [GI0002] ONCE, Routine
Reason for Exam: Upper GI Bleed
G.I. lavage (GOLYTELY) 236 G soln [103976] 4 L, Oral, 1 X DAILY PRN, constipation
Administer until stool runs clear. If stool is not clear
after 4L call MD or Provider
Consults
Consults [14148]
Consult Gastroenterology (Inpatient) [CON0027] ONCE
Intent:
Concern or Specific Question or Task to be Addressed
(Symptom, Sign, or Diagnosis):
Can this consult be done via video?
Call back number:
BestPractice
Page 1 of 2
Printed by WILLIAMS, HEATHER R [HRS0] at 12/27/2017 9:11:26 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2017CCKM@uwhealth.org

No Hospital Problems Have Yet Been Identified. [107035]
Specify Hospital Problem(s) [COR0018] You will be prompted to specify a hospital problem on
signing.
Page 2 of 2
Printed by WILLIAMS, HEATHER R [HRS0] at 12/27/2017 9:11:26 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2017CCKM@uwhealth.org