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IP – Cellulitis – Adult – Supplemental [5423]

IP – Cellulitis – Adult – Supplemental [5423] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide


IP - Cellulitis - Adult - Supplemental [5423]
Intended for Adult Patients Only. This order set is NOT RECOMMENDED for head or neck cellulitis or necrotizing fasciitis;
consider ID and surgical consult.
Skin and Soft Tissue Infections-Adult-
Inpatient/Ambulatory
URL: https://uconnect.wisc.edu/servlet/Satellite?
cid=1126675671129&pagename=B_EXTRANET_UWH_HOME%
2FFlexMemberFile%2FLoad_File&c=FlexMemberFile
Patient Care Orders
Wound Management and Skin Care [152247]
Elevate Affected Extremity While in Bed [NURACT0010] Extremity:
Equal to (degrees):
Greater than (degrees):
Less than (degrees):
Other options:
Routine, CONTINUOUS, Starting today
Apply Position Device [NURTRT0011] CONTINUOUS, Starting today, Routine
Type: Foam Wedge
Wearing schedule:
If Pillows Selected, How Many?
Medications
Purulent or Non-Purulent Treatment [152444]
Non-Purulent, SEVERE [152441]
vancomycin (VANCOCIN) intraVENOUS [800084] 15 mg/kg, Intravenous, EVERY 12 HOURS
cefepime (MAXIPIME) intraVENOUS [800016] 2 g, Intravenous, EVERY 12 HOURS
MRSA BY PCR [HCMRSA] ONCE, Starting today For 1 Occurrences, Routine, A
surveillance set for MRSA screening consists of two
DOUBLE culturette swabs: one DOUBLE swab for both the
left and right nares, the one DOUBLE swab for both axilla
and both groin folds.
For NICU patients: left and right nares only.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
MRSA BY PCR [HCMRSA] ONCE, Starting today For 1 Occurrences, Routine, A
surveillance set for MRSA screening consists of two
DOUBLE culturette swabs: one DOUBLE swab for both the
left and right nares, the one DOUBLE swab for both axilla
and both groin folds.
For NICU patients: left and right nares only.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, BLOOD, BACTERIA AND YEAST [GM4045] NEXT DRAW, Routine, For optimum diagnosis of sepsis,
sample 3-4 sites only on the first day of a septic episode.
Cultures on subsequent days are of minimal diagnostic
value. Culture detects bacteria, Candida and
Cryptococcus. If filamentous fungi are suspected see
Culture, Blood, Filamentous Fungi.
If Conditional, What Condition?
CULTURE, BLOOD, BACTERIA AND YEAST [GM4045] NEXT DRAW, Routine, For optimum diagnosis of sepsis,
sample 3-4 sites only on the first day of a septic episode.
Cultures on subsequent days are of minimal diagnostic
value. Culture detects bacteria, Candida and
Cryptococcus. If filamentous fungi are suspected see
Culture, Blood, Filamentous Fungi.
If Conditional, What Condition?
Non Purulent - NON-SEVERE (Single Response)
[152442]
oxacillin intraVENOUS [800065] 2 g, Intravenous, EVERY 4 HOURS
cefazolin (ANCEF) intraVENOUS [800000] 2 g, Intravenous, EVERY 8 HOURS
penicillin G SODIUM intraVENOUS [800069] 4 Million Units, Intravenous, EVERY 4 HOURS
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Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 11/3/2014 9:31:01 AM
Copyright © 2014 University of Wisconsin Hospital and Clinics Authority


cephalexin (KEFLEX) cap [44593] 500 mg, Oral, 4 X DAILY
clindamycin (CLEOCIN) intraVENOUS [800033] 600 mg, Intravenous, EVERY 8 HOURS
Purulent, SEVERE (e.g. SIRS, Immune Compromised)
[154034]
vancomycin (VANCOCIN) intraVENOUS [800084] 15 mg/kg, Intravenous, EVERY 12 HOURS
cefepime (MAXIPIME) intraVENOUS [800016] 2 g, Intravenous, EVERY 12 HOURS
cefazolin (ANCEF) intraVENOUS - NOTE: Consider if no
risk factor for pseudomonas [800000]
2 g, Intravenous, EVERY 8 HOURS
oxacillin intraVENOUS - NOTE: Consider if no risk factor
for pseudomonas [800065]
2 g, Intravenous, EVERY 4 HOURS
CULTURE, BLOOD, BACTERIA AND YEAST [GM4045] NEXT DRAW For 1 Occurrences, Routine, For optimum
diagnosis of sepsis, sample 3-4 sites only on the first day
of a septic episode. Cultures on subsequent days are of
minimal diagnostic value. Culture detects bacteria,
Candida and Cryptococcus. If filamentous fungi are
suspected see Culture, Blood, Filamentous Fungi.
If Conditional, What Condition?
CULTURE, BLOOD, BACTERIA AND YEAST [GM4045] NEXT DRAW For 1 Occurrences, Routine, For optimum
diagnosis of sepsis, sample 3-4 sites only on the first day
of a septic episode. Cultures on subsequent days are of
minimal diagnostic value. Culture detects bacteria,
Candida and Cryptococcus. If filamentous fungi are
suspected see Culture, Blood, Filamentous Fungi.
If Conditional, What Condition?
MRSA BY PCR [HCMRSA] ONCE, Starting today For 1 Occurrences, Routine, A
surveillance set for MRSA screening consists of two
DOUBLE culturette swabs: one DOUBLE swab for both the
left and right nares, the one DOUBLE swab for both axilla
and both groin folds.
For NICU patients: left and right nares only.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
MRSA BY PCR [HCMRSA] ONCE, Starting today For 1 Occurrences, Routine, A
surveillance set for MRSA screening consists of two
DOUBLE culturette swabs: one DOUBLE swab for both the
left and right nares, the one DOUBLE swab for both axilla
and both groin folds.
For NICU patients: left and right nares only.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Purulent, NON-SEVERE [153106]
vancomycin (VANCOCIN) intraVENOUS [800084] 15 mg/kg, Intravenous, EVERY 12 HOURS
cefazolin (ANCEF) intraVENOUS [800000] 2 g, Intravenous, EVERY 8 HOURS
oxacillin intraVENOUS [800065] 2 g, Intravenous, EVERY 4 HOURS
MRSA BY PCR [HCMRSA] ONCE, Starting today For 1 Occurrences, Routine, A
surveillance set for MRSA screening consists of two
DOUBLE culturette swabs: one DOUBLE swab for both the
left and right nares, the one DOUBLE swab for both axilla
and both groin folds.
For NICU patients: left and right nares only.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
MRSA BY PCR [HCMRSA] ONCE, Starting today For 1 Occurrences, Routine, A
surveillance set for MRSA screening consists of two
DOUBLE culturette swabs: one DOUBLE swab for both the
left and right nares, the one DOUBLE swab for both axilla
and both groin folds.
For NICU patients: left and right nares only.
If add on test, what should lab do if unable to add test to
previous specimen?
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Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 11/3/2014 9:31:01 AM
Copyright © 2014 University of Wisconsin Hospital and Clinics Authority


If Conditional, What Condition?
For Skin Infections Caused by Bites (Single Response) [152457]
ampicillin/sulbactam (UNASYN) intraVENOUS [800010] Intravenous, EVERY 6 HOURS
amoxicillin-clavulanate (AUGMENTIN) 875-125 MG per
tab [70053]
1 tab, Oral, 2 X DAILY (AT MEALTIME)
moxifloxacin (AVELOX) tab [63314] 400 mg, Oral, 1 X DAILY
cefoxitin (MEFOXIN) intraVENOUS [800022] 2 g, Intravenous, EVERY 6 HOURS
Consults
Consult Wound and Skin (Inpatient) [151649]
Consult Wound And Skin (Inpatient) [CON0086] ONCE For 1 Occurrences, Routine
Reason for Consult:
Page 3 of 3
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 11/3/2014 9:31:01 AM
Copyright © 2014 University of Wisconsin Hospital and Clinics Authority