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201709263

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IP - Body - Paracentesis - Adult - Postprocedure [1607]

IP - Body - Paracentesis - Adult - Postprocedure [1607] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - Body - Paracentesis - Adult - Postprocedure [1607]
for Adult Patients OnlyIntended
Patient Care Orders
Vital Signs (select one) [22242]
Vital Signs [NURMON0013] EVERY 15 MINUTES For 2 Occurrences, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Vital Signs [NURMON0013] EVERY 15 MINUTES For 4 Occurrences, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Activity [22243]
Ambulate - ad lib [NURACT0008] CONTINUOUS, Starting today, Routine
AD LIB:
AMBULATE: ad lib
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 (select one) [22244]
Wound Care [NURWND0015] CONTINUOUS, Starting today For 2 Occurrences,
Routine
Wound Type: Puncture
Wound Site:
Wound Location:
Assess Frequency: EVERY 15 MINUTES
Care Frequency: EVERY 15 MINUTES
Wash With:
Irrigate/Rinse With:
Apply (Must also enter separate medication order to
obtain drug):
Primary Dressing:
Secondary Dressing:
Inspect puncture site
Page 1 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 9/19/2017 9:50:54 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 09/2017CCKM@uwhealth.org

Wound Care [NURWND0015] CONTINUOUS, Starting today For 4 Occurrences,
Routine
Wound Type: Puncture
Wound Site:
Wound Location:
Assess Frequency: EVERY 15 MINUTES
Care Frequency: EVERY 15 MINUTES
Wash With:
Irrigate/Rinse With:
Apply (Must also enter separate medication order to
obtain drug):
Primary Dressing:
Secondary Dressing:
Inspect puncture site
Contingency Parameters [22245]
Notify - Provider [NURCOM0001] Provider to Notify: Provider
If systolic blood pressure > (mmHg):
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): 100
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: Pain not controlled with ordered analgesics or
ordered interventions,If more than 8 Liters of fluid
removed to determine if more albumin is needed
Medications
Albumin [103471]
Page 2 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 9/19/2017 9:50:54 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2017CCKM@uwhealth.org

(approximately 6 g/L of 25% dose is determined by the volume of ascites fluid removed Albumin
fluid removed).
3.9 liters are removed, follow the instructions of the ordering provider to determine need for -If 2
albumin (approximately 6 g/L fluid removed). The instructions are located in the paracentesis
procedure orders.
albumin human 25% infusion - NOTE: Maximum
Dose = 100 g [44037]
Intravenous, ONCE For 1 Doses
Hang to gravity. Albumin tubing needed.
Document lot number of all doses given in comments
section of MAR
Fluid Volume Removed
(liters)
Albumin 25% Dose
(grams)
0-1.9 Do not administer
albumin
2-3.9 Follow instructions of
ordering provider to
determine the need for
albumin
4-4.9 25
5-6.9 37.5
7-8.9 50
9-10.9 62.5
11-12.9 75
13-14.9 87.5
Greater than or equal to 15 100
Page 3 of 3
Printed by O'BRIEN, RYLEY P [RPO249] at 9/19/2017 9:50:54 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
09/2017CCKM@uwhealth.org