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IP - IR - Post Nephrostomy Tube Placement - Adult - Postprocedure [1128]

IP - IR - Post Nephrostomy Tube Placement - Adult - Postprocedure [1128] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Radiology


IP - IR - Post Nephrostomy Tube Placement - Adult - Postprocedure [1128]
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 [14371]
Measure Urine Output [NURMON0012] EVERY 8 HOURS, Starting today For 8 Hours,
Routine
Drain/Tube Care [14370]
Maintain Nephrostomy Tube [NURTAD0025] CONTINUOUS, Starting today, Routine
Location:
Drainage Options: Dependent Drainage
Flush With(Must also enter seperate medication order
to obtain drug): Sodium Chloride 0.9%
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 [183697]
Give Patient HFFY: Percutaneous Nephrostomy
Drainage - Interventional Radiology
[NURCOM0025]
ONCE, Routine, Give patient HFFY #4527:
Percutaneous Nephrostomy Drainage - Interventional
Radiology
Contingency Parameters [14372]
Page 1 of 2
Printed by BENNETT, SARA J [SJB008] at 12/7/2017 12:05:14 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@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,Excessive Drainage or
Erythema at the Procedure Site,Inability to Irrigate
Nephrostomy Tube
Intravenous Therapy
IV Fluids (Single Response) [18362]
dextrose 5%-NaCl 0.45% infusion [51613] Intravenous, CONTINUOUS
sodium chloride 0.9 % infusion [64367] Intravenous, CONTINUOUS
Medications
Flushes [16598]
sodium chloride 0.9% flush 10 mL injection
[785055]
Other, EVERY 8 HOURS
Flush nephrostomy tube
Page 2 of 2
Printed by BENNETT, SARA J [SJB008] at 12/7/2017 12:05:14 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org