/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/inpatient/,/clinical/cckm-tools/content/order-sets/inpatient/radiology/,

/clinical/cckm-tools/content/order-sets/inpatient/radiology/name-97943-en.cckm

201605142

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100

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IP - Body - CT Cholangiogram - Adult - Procedure [3611]

IP - Body - CT Cholangiogram - Adult - Procedure [3611] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - Body - CT Cholangiogram - Adult - Procedure [3611]
Intended for Adult Use Only
Patient Care Orders
Non-Categorized Patient Care Orders [105509]
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: if symptoms of reaction develop
Monitor the patient for potential contrast reaction. Check for
any hives, difficulty breathing, redness, flushing, or edema.
Contrast reaction cart is in CT control area if needed.
Intravenous Therapy
IV Fluids [105511]
Insert and Maintain Peripheral IV [NURVAD0013] CONTINUOUS, Starting today For Until specified, Routine
Peripheral IV Size: 18 Gauge
Does this need to be inserted/placed?
sodium chloride 0.9% infusion [64367] at 125 mL/hr, Intravenous, CONTINUOUS
Medications
Medications [105658]
diphenhydramine (BENADRYL) injection [800106] 25 mg, Intravenous, ONCE For 1 Doses
Administer prior to contrast
iodipamide meglumine in sodium chloride 0.9%
(CHOLOGRAFIN) bag [791521]
Intravenous, ONCE For 1 Doses
Radiology RN will draw up 20 mL iodipamide and dilute in
100 mL bag of sodium chloride 0.9% (total volume 120 mL).
Infuse the entire 120 mL over 30 minutes.
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Printed by O'BRIEN, RYLEY P [RPO249] at 12/14/2015 4:29:06 PM

Copyright © 2015 University of Wisconsin Hospital and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:



















 
12/2015Lee Vermeulen, CCKM@uwhealth.org