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IP – Nitric Oxide – Pediatric [1677]

IP – Nitric Oxide – Pediatric [1677] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Pulmonary


IP - Nitric Oxide - Pediatric - Procedure [1677]
Patient Care Orders
Respiratory [23655]
Nitric Oxide Continuous [RT0030] CONTINUOUS, Starting today, Routine
Indication:
Initial Dose (ppm): 20
Maximum Dose (ppm):
Titrate oxygen to maintain O2 sat at (%):
Titrate for PA pressure <:
Decrease NO for Methemoglobinemia > (%):
Decrease NO for NO2 of > (ppm):
Contingency Parameters [23656]
Notify Provider [NURCOM0001] Provider to Notify: Provider
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg):
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C):
If temperature < (C):
If heart rate > (bpm):
If heart rate < (bpm):
If respiratory rate >:
If respiratory rate <:
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%):
If urine output < (mL):
Other: Methemoglobin level greater than 3%,Nitrogen dioxide
greater than 3 ppm,No response noted within 4 hours of
treatment
Laboratory
Every 12 Hours [23657]
METHEMOGLOBIN [XMHGB] EVERY 12 HOURS, Starting today For 4 Days, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
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Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 2/10/2015 11:09:46 AM
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