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IP - Body - CT Lung Biopsy - Adult - Postprocedure [1907]

IP - Body - CT Lung Biopsy - Adult - Postprocedure [1907] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - Body - CT Lung Biopsy - Adult - Postprocedure [1907]
Intended for Adult Patients Only
Patient Care Orders
Vital Signs [27783]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every 15 minutes times 4, then every 30 minutes times 4,
then every hour times 2, then every 4 hours.
Activity [27784]
Bed Rest for 1 Hour Postprocedure [NURACT0008] CONTINUOUS, Starting today, Routine
AD LIB:
AMBULATE:
CHAIR:
DANGLE:
BEDREST: strict bedrest
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Have patient lie biopsy side down.
Ad Lib Starting 1 Hour Postprocedure [NURACT0008] CONTINUOUS, Starting today, Routine
AD LIB: ad lib
AMBULATE:
CHAIR:
DANGLE:
BEDREST:
RESTRICTIONS:
UPPER LEFT EXTREMITY WEIGHT BEARING:
UPPER RIGHT EXTREMITY WEIGHT BEARING:
LOWER LEFT EXTREMITY WEIGHT BEARING:
LOWER RIGHT EXTREMITY WEIGHT BEARING:
Wound Care [145887]
Wound Care [NURWND0015] CONTINUOUS, Routine
Wound Type: Puncture
Wound Site:
Wound Location:
Assess Frequency: SEE COMMENTS
Care Frequency:
Wash With:
Irrigate/Rinse With:
Apply (Must also enter separate medication order to obtain
drug):
Primary Dressing:
Secondary Dressing:
Inspect dressing at wound site every 15 minutes times 4.
Nutrition [27785]
Page 1 of 4
Printed by O'BRIEN, RYLEY P [RPO249] at 12/17/2015 8:54:00 AM

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

NPO [NUT0001] EFFECTIVE NOW, Starting today, Routine
General Diet:
Diabetic Diet:
NPO (If patient receiving tube feeding see question 25):
STRICT NPO
Liquids & Modified Consistency (If Dysphagia Protocol see
questions 21-24):
Fiber:
Renal & Dialysis Multi-Nutrient Restriction:
Lactose Restricted:
Protein:
Fat:
Sodium:
Potassium:
Phosphorus:
Other Minerals:
Calories:
Fluid Restriction: Total mLs/24 hours (IV & PO):
Research:
Metabolic:
Other Modifiers:
Infant Nutrition (Select product and calories per ounce):
Infant Formula (Calories per Ounce):
Dysphagia Protocol:
Dysphagia Protocol-Modified Consistency (Also select
Dysphagia Protocol Liquid Consistency and Dysphagia
Protocol-Supervision):
Dysphagia Protocol-Liquid Consistency:
Dysphagia Protocol-Supervision:
Tube Feeding (Use Tube Feeding Order Set to indicate order
detail):
Tube Feeding Management:
Room Service Class:
Respiratory [27786]
Oxygen Therapy [RT0032] CONTINUOUS, Starting today, Routine
FiO2 (%):
Liter Flow: 2
Titrate oxygen to maintain O2 sat at (%):
O2 Delivery Device: Nasal Cannula
Attempt to Wean Off Oxygen?
Pulse Oximetry [NURMON0009] CONTINUOUS, Starting today, Routine
Contingency Parameters [27787]
Page 2 of 4
Printed by O'BRIEN, RYLEY P [RPO249] at 12/17/2015 8:54:00 AM

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

Notify Provider [NURCOM0001] Provider to Notify: Provider
If systolic blood pressure > (mmHg): 180
If systolic blood pressure < (mmHg): 100
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C): 38.5
If temperature < (C):
If heart rate > (bpm): 120
If heart rate < (bpm): 50
If respiratory rate >: 25
If respiratory rate <: 8
If blood glucose > (mg/dL):
If blood glucose < (mg/dL):
If pain score >:
Pulse Oximetry < (%): 90
If urine output < (mL):
Other: New chest pain,Significant nausea,
vomiting,Shortness of breath,Increased
restlessness,Coughing up large blood clot size of quarter or
larger,Chills or rigors
Intravenous Therapy
IV Fluids [199127]
sodium chloride 0.9% infusion [64367] at 75 mL/hr, Intravenous, CONTINUOUS
Maintain Peripheral IV [NURVAD0013] CONTINUOUS, Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
Medications
General [29860]
Note: [950018] ONCE For 1 Doses
May resume prior medications, except blood thinners: wafarin
(COUMADIN), IV heparin, enoxaparin (LOVENOX),
fondaparinux (ARIXTRA), clopidogrel (PLAVIX), ticlopidine
(PLAVIX), cilostazol (PLETAL), bivalrudin (ANGIOMAX),
argatroban, abciximab (REOPRO), eptifibatide
(INTEGRILIN), edoxaban (SAVAYSA), aspirin, dabigatran
(PRADAXA), rivaroxaban (XARELTO), apixaban (ELIQUIS),
prasugrel (EFFIENT), ticagrelor (BRILINTA) or dipyridamole
(PERSANTINE)
Note: [950018] ONCE For 1 Doses
May resume blood thinners on ***
Diagnostic Tests and Imaging
Diagnostic Tests and Imaging [27789]
X-RAY CHEST AP VIEW [R71010] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms? Status post lung biopsy
What specific question(s) would you like answered by this
exam? Evaluate for pneumothorax; perform upright
Relevant recent/past history? Status post lung biopsy
Is patient pregnant?
If being performed remotely, where?
Transport Method: Floor Determined/Entered
If Conditional, What Condition? Obtain when patient is 1 hour
postprocedure
Page 3 of 4
Printed by O'BRIEN, RYLEY P [RPO249] at 12/17/2015 8:54:00 AM

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

X-RAY CHEST AP VIEW [R71010] ONCE-RAD NEXT AVAILABLE, Starting today For 1
Occurrences, Routine
Current signs and symptoms? Pneumothorax
What specific question(s) would you like answered by this
exam? If patient has pneumothorax, to monitor growth;
perform upright
Relevant recent/past history? Pneumothorax
Is patient pregnant?
If being performed remotely, where?
Transport Method: Floor Determined/Entered
If Conditional, What Condition? Obtain 3 hours postprocedure
if patient has pneumothorax
X-RAY CHEST AP VIEW [R71010] CONDITIONAL, Starting today, Routine
Current signs and symptoms? Severe chest pain or acute
shortness of breath
What specific question(s) would you like answered by this
exam? To rule out pneumothorax; perform upright
Relevant recent/past history? Status post lung biopsy
Is patient pregnant?
If being performed remotely, where? Bedside
Transport Method: Floor Determined/Entered
If Conditional, What Condition? Obtain if patient has severe
chest pain or acute shortness of breath
Page 4 of 4
Printed by O'BRIEN, RYLEY P [RPO249] at 12/17/2015 8:54:00 AM

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