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IP - IR - Post Gastrostomy Tube Placement - Decompression - Adult - Postprocedure [1122]

IP - IR - Post Gastrostomy Tube Placement - Decompression - Adult - Postprocedure [1122] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - IR - Post Gastrostomy Tube Placement - Decompression - Adult -
Postprocedure [1122]
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 [14263]
Position Somnolent Patients on Left Side to
Prevent Aspiration [NURACT0011]
CONTINUOUS, Starting today
Intake and Output [14322]
Measure Gastrostomy Tube Output
[NURTAD0046]
SEE COMMENTS, Starting today, Every 8 Hours
Drain/Tube Care [14323]
Maintain Gastrostomy Tube For Decompression
[NURTAD0007]
CONTINUOUS, Starting today, Routine
Drainage Options: Low Intermittent Wall (x4 hours)
Flush With: Water
Flush Volume (mL): 30 mL
Flush Frequency: EVERY 8 HOURS (And as needed)
Site Assessment Frequency: EVERY 8 HOURS
Care Frequency: DAILY (Daily and as needed)
Wash With: Other (Comment) (Soap and water)
Primary Dressing:
Secondary Dressing: Transparent Dressing
(TEGADERM)
- May disconnect from wall section and attach to
drainage bag 4 hours postprocedure
- Upon discharge to home may attach G-tube to
drainage bag or intermittent capping
Do Not Pull on or Remove T-Fastener Buttons if
Present [NURTAD0046]
CONTINUOUS, Starting today
Nursing Communication - Tubes and Drains
[NURTAD0046]
SEE COMMENTS For 4 Hours, Immediately post-
procedure and continuing for 4 hours, tube should be
connected to low intermittent wall suction. Clamp
Gastrostomy Tube from wall suction for 30 minutes
post oral medication administration.
Non-Categorized Patient Care Orders [227415]
Give Patient HFFY: Gastrostomy Tube for
Decompression [NURCOM0025]
ONCE, Routine, Give patient HFFY #6434:
Gastrostomy Tube for Decompression
Contingency Parameters
Contingency Parameters [14317]
Page 1 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 8/17/2017 12:39:30 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2017CCKM@uwhealth.org

Notify Interventional Radiologist On Call
[NURCOM0001]
Provider to Notify: Other (Comment)
If systolic blood pressure > (mmHg): 100 during first
24 hours post-procedure
If systolic blood pressure < (mmHg):
If diastolic blood pressure > (mmHg):
If diastolic blood pressure < (mmHg):
If temperature > (C): 38.5 during first 24 hours post-
procedure
If temperature < (C):
If heart rate > (bpm): 120 during first 23 hours post-
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: Gastrostomy tube obstruction,New Abdominal
Pain,Excessive drainage or erythema at the procedure
site,Wet or soiled dressing
Intravenous Therapy
IV Fluids (Single Response) [14688]
dextrose 5%-NaCl 0.45% infusion [51613] Intravenous, CONTINUOUS
sodium chloride 0.9 % infusion [64367] Intravenous, CONTINUOUS
Page 2 of 2
Printed by O'BRIEN, RYLEY P [RPO249] at 8/17/2017 12:39:30 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
08/2017CCKM@uwhealth.org