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/clinical/cckm-tools/content/order-sets/inpatient/psychiatry/name-98040-en.cckm

201706163

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OP/IP - Electroconvulsive Therapy - Adult - Pre/Postprocedure [1717]

OP/IP - Electroconvulsive Therapy - Adult - Pre/Postprocedure [1717] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Psychiatry


OP/IP - Electroconvulsive Therapy - Adult - Pre/Postprocedure [1717]
Patient Care Orders - Preprocedure
Vital Signs [25172]
Vital Signs - Preprocedure [NURMON0013] ONCE, Starting today For 1 Occurrences, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Preprocedure
Nutrition [25173]
NPO for Procedure - Hold Diet (ECT) [DIE0007] EFFECTIVE MIDNIGHT, Starting today For 12 Hours,
Routine
NPO For Which Procedure? ECT
Modifiers: STRICT NPO
Respiratory [25174]
Pulse Oximetry - Preprocedure [NURMON0009] ONCE, Starting today For 1 Occurrences, Routine,
Preprocedure
Non-Categorized Medications [24812]
Note: No benzodiazepines or anticonvulsants
starting at 1800 evening before procedure (ECT).
[950018]
ONCE For 1 Doses
NPO, hold benzodiazepines, hold the following
anticonvulsants: ***
olanzapine (ZYPREXA ZYDIS) dispersible tab
[64700]
Oral, ONCE For 1 Doses
Patient Care Orders - Postprocedure
Vital Signs [25167]
Vital Signs - Postprocedure [NURMON0013] EVERY 15 MINUTES, Starting today For 4
Occurrences, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Postprocedure
Respiratory [25169]
Pulse Oximetry - Postprocedure [NURMON0009] EVERY 15 MINUTES, Starting today For 4
Occurrences, Routine, Postprocedure
Contingency Parameters [25170]
Page 1 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 6/12/2017 10:02:20 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org

Notify Provider [NURCOM0001] Provider to Notify: Provider
If systolic blood pressure > (mmHg): 175
If systolic blood pressure < (mmHg): 90
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C):
If temperature < (C):
If heart rate > (bpm): 110
If heart rate < (bpm): 50
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%): 90
If urine output < (mL):
Other: Pain not controlled with ordered analgesics or
ordered interventions,Agitation
Medications - General
Analgesics (Single Response) [24807]
ibuprofen (MOTRIN) tab - NOTE: Do not order
for patients taking Lithium [38353]
600 mg, Oral, EVERY 6 HOURS PRN, pain
Do not order for patients taking Lithium
NOTE: Do not order for patients taking Lithium
hydrocodone-acetaMINOPHEN (NORCO) 5-325
mg per tab [71425]
1 tab, Oral, EVERY 4 HOURS PRN, pain
Antiemetics [24808]
ondansetron (ZOFRAN ODT) dispersible tab
[64224]
4 mg, Oral, EVERY 24 HOURS PRN,
nausea/vomiting
Administer as first line agent.
prochlorperazine (COMPAZINE) tab [41372] 10 mg, Oral, EVERY 6 HOURS PRN,
nausea/vomiting
Administer as second line agent.
Page 2 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 6/12/2017 10:02:20 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org