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/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/name-123078-en.cckm

201711334

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Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Hospital-wide

IP - Hypercalcemia of Malignancy- Adult - Supplemental [6575]

IP - Hypercalcemia of Malignancy- Adult - Supplemental [6575] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide


IP - Hypercalcemia of Malignancy- Adult - Supplemental [6575]
for Adult Patients OnlyIntended
Patient Care Orders
Non-Categorized Patient Care Orders [235907]
Insert and Maintain Peripheral IV [NURVAD0013] CONTINUOUS, Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
Intravenous Therapy
Premedications for Needle Insertion [106310]
Use lidocaine topical dressing kit for stable patient, no lidocaine allergies, have at least 30
minutes time prior to needing to use IV
Sodium chloride (bacteriostatic) 0.9% intradermal: Useful for patients requiring urgent IV
access; onset is immediate.
lidocaine (LMX) 4% topical dressing kit [66882] Topical, EVERY 1 HOUR PRN, peripheral line
insertion - see Admin Instructions
Do NOT apply to area greater than 200 square
centimeters (maximum 2.5 g/site; maximum 4 sites
per hour, 6 times per day). Do NOT leave on longer
than 2 hours. Use for stable patient, no allergies to
lidocaine, with at least 30 minutes time prior to IV use
sodium chloride (bacteriostatic) 0.9 % injection
[50585]
0.05-0.1 mL, Intradermal, PRN, peripheral line
insertion - see Admin Instructions
Use an insulin or TB syringe with a 25-30 gauge
needle to inject solution and create a wheal. Wait 30
seconds to 1 minute then insert IV catheter into center
of wheal. Use if IV is needed within 30 minutes.
IV Fluids - Bolus [235895]
sodium chloride 0.9% BOLUS [730003] 1,000 mL, Intravenous, ONCE For 1 Doses, for 1
Hours
IV Fluids - Infusion (Single Response) [235896]
sodium chloride 0.9 % infusion [64367] at 200 mL/hr, Intravenous, CONTINUOUS
dextrose 5%-NaCl 0.9% infusion [51641] at 200 mL/hr, Intravenous, CONTINUOUS
Note Order [235899]
Note: Intravenous fluids should be infused for a
minimum of 4 hours AND the patient should have
adequate urine output (> 0.5 mL/kg/hour) prior to
administration of pamidronate or zoledronic acid
[950018]
ONCE For 1 Doses
Medications
Bisphosphonates (Single Response) [235898]
duration should be extended in renal impairment.Administration
Pamidronate injection: For
mg.13.5 mg/dL) use 60 -moderate hypercalcemia (corrected Ca between 12For
mg.severe hypercalcemia (corrected Ca > 13.5 mg/dL) use 90 For
pamidronate (AREDIA) intraVENOUS [800203] Intravenous, ONCE For 1 Doses
Administer over {Time:2001042} hours.
zoledronic acid (ZOMETA) intraVENOUS
[800265]
4 mg, Intravenous, ONCE For 1 Doses, for 15 Minutes
Calcitonin [239983]
Page 1 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 11/29/2017 12:35:01 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2017CCKM@uwhealth.org

Calcitonin injection:For
hypercalcemia use in threatening -severe hypercalcemia (corrected Ca > 13.5 mg/dL) and lifeFor
therapy.combination with bisphosphonate
calcitonin salmon (MIACALCIN) injection [44436] 4 Units/kg, Intramuscular, EVERY 12 HOURS For 4
Doses
Laboratory
Labs [235908]
CALCIUM [CA] 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?
ALBUMIN [ALB] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CREATININE [CRET] 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 [MAG] 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 [PHOS] 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?
Page 2 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 11/29/2017 12:35:01 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org