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201706181

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IP - IR - Post Biliary Gall Bladder Tube Placement - Adult - Post [1117]

IP - IR - Post Biliary Gall Bladder Tube Placement - Adult - Post [1117] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - IR - Post Biliary/Gall Bladder Tube Placement - Adult - Postprocedure [1117]
Patient Care Orders
Vital Signs [213198]
Vital Signs [NURMON0013] SEE COMMENTS, Starting today For Until specified,
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 2, then every hour times 2, then return to
baseline order.
Activity [183458]
Activity - Post IR Procedure [NURACT0011] SEE COMMENTS, Bedrest for *** hours. Resume
previous activity orders after designated bedrest.
Nutrition [14227]
NPO Postprocedure - Hold Diet [DIE0007] CONTINUOUS NPO, Routine
NPO For Which Procedure? IR Post Procedure
Modifiers: NPO EXCEPT MEDICATIONS
Intake and Output [14237]
Measure Output of Biliary/Gall Bladder Drain
[NURTAD0046]
SEE COMMENTS, Every 8 hours
Drain/Tube Care [14238]
Maintain Biliary/Gall Bladder Tube
[NURTAD0033]
CONTINUOUS, Starting today, Routine
Drain Site:
Location:
Drainage Options:
Flush With(Must also enter seperate medication order
to obtain drug): (See Medications - Flushes section for
details)
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: SEE COMMENTS (Every 3 days and
as needed for wet or soiled dressing)
Wash With: CHG (Hibiclens)
Primary Dressing: Gauze (2 x 2)
Secondary Dressing: Transparent Dressing
(TEGADERM)
Non-Categorized Patient Care Orders [183684]
Give Patient HFFY: Percutaneous Transhepatic
Biliary Drainage - Interventional Radiology
[NURCOM0025]
ONCE, Routine, Give patient HFFY #4608:
Percutaneous Transhepatic Biliary Drainage -
Interventional Radiology
Contingency Parameters [14239]
Page 1 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 6/30/2017 1:21:37 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org

Notify Interventional Radiology Resident On Call
[NURCOM0001]
Provider to Notify: Other (Comment)
If systolic blood pressure > (mmHg):
If systolic blood pressure < (mmHg): 100 during first
24 hours after procedure
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C): 38.5 during first 24 hours after
procedure
If temperature < (C):
If heart rate > (bpm): 120 during first 24 hours after
procedure
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: New abdominal pain,Shaking chills,Nausea or
vomiting,Right shoulder pain,Shortness of
breath,Excessive drainage or erythema at the
procedure site,Inability to irrigate tube
Intravenous Therapy
IV Fluids [14710]
dextrose 5%-NaCl 0.45% infusion [51613] Intravenous, CONTINUOUS
sodium chloride 0.9 % infusion [64367] Intravenous, CONTINUOUS
Medications
Medications [14712]
ursodiol (ACTIGALL) cap [46833] 300 mg, Oral, 2 X DAILY (AT MEALTIME)
Flushes [14720]
sodium chloride 0.9% flush 10 mL injection
[785055]
Other, EVERY 8 HOURS
To flush biliary/gall bladder tube
Page 2 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 6/30/2017 1:21:37 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
06/2017CCKM@uwhealth.org