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/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/name-98191-en.cckm

201612344

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100

UWHC,UWMF,

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

IP - Contrast Induced Nephropathy Prophylaxis - Adult - Supplemental [1341]

IP - Contrast Induced Nephropathy Prophylaxis - Adult - Supplemental [1341] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide


IP - Contrast Induced Nephropathy Prophylaxis - Adult - Supplemental [1341]
for Adult Patients OnlyIntended
Patient Care Orders
Contingency Parameters [17851]
Notify Patient's Cardiologist or Nephrologist
Before Bicarbonate Infustion if: Patient at Risk
For Heart Failure or Fluid Volume Overload
[NURCOM0022]
CONTINUOUS, Starting today
Intravenous Therapy
IV Fluids [18797]
Insert and Maintain Peripheral IV: Insert Two
Peripheral IV Lines [NURVAD0013]
CONTINUOUS, Starting today For Until specified,
Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
sodium chloride 0.9 % infusion [64367] Intravenous, CONTINUOUS
Primary line for medication administration
Medications
Infusion Agent [9257]
sodium bicarbonate 200 mEq in dextrose 5%
infusion 1250 mL (equivalent to 0.16 mEq/mL)
[700322]
at 1-330 mL/hr, Intravenous, CONTINUOUS
Starting 1 hr before procedure run at 3 mL/kg/hr (max
330 mL/hr) for 1 hr, then run at 1mL/kg/hr (max 110
mL/hr) for 6 hrs after procedure
sodium chloride 0.9% infusion [64367] at 1-110 mL/hr, Intravenous, CONTINUOUS
Starting 1 hour before procedure run at 1 mL/Kg/hr
and continue for 6 hours after procedure (max 110
mL/hr)
Preprocedure - Adjunct [146078]
Note: Hold all metformin-containing medications
AM of procedure and for 48 hrs post-procedure
[950018]
ONCE For 1 Doses
Note: Hold all diuretic medications day of
procedure [950018]
ONCE For 1 Doses
Postprocedure - Adjunct - NOTE: Order for patients with CKD Stage 5 or ESRD [18801]
procedure-postpatient has ESRD and is stable consider dialysis If
acetylcysteine 20% soln(ORAL) CUSTOM
[780005]
1.2 g, Oral, 2 X DAILY For 4 Doses
Administer Day Before and Day of Procedure; Dilute
in 30 mL of clear liquid or cola (diet for diabetics) to
disguise the taste/smell. May be administered via
feeding tube (with water as diluent) if applicable.
Laboratory
Creatinine Monitoring [145839]
CREATININE [CRET] STAT - RN COLLECT, Starting today For 1
Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Prior to Contrast drip
initiated Creatinine should be drawn within the week
or at least one hour before drip is initiated
Page 1 of 2
Printed by LIND, JANNA S [JSL237] at 12/9/2016 12:28:13 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org

CREATININE [CRET] CONDITIONAL - RN COLLECT, Starting 12/11/16
For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? If Conditional, What
Condition? Draw 48 hours or 2 days after Contrast
CREATININE [CRET] CONDITIONAL - RN COLLECT, Starting 12/14/16
For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? Draw 120 hours or 5
days after Contrast
Page 2 of 2
Printed by LIND, JANNA S [JSL237] at 12/9/2016 12:28:13 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org