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IP – Postop Leg Weakness Rescue – Adult – Supplemental [5744]

IP – Postop Leg Weakness Rescue – Adult – Supplemental [5744] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Vascular Surgery


IP - Postop Leg Weakness Rescue - Adult - Supplemental [5744]
For postoperative thoracic abdominal aneurysm patients with a change in leg strength.
Patient Care Orders
Patient Monitoring [189040]
Place arterial line in the right arm (or arm with the higher blood pressure).
ACTIVATED CLOTTING TIME, POC [HCACTPOC] CONDITIONAL - RN COLLECT, Routine
If Conditional, What Condition? If patient has leg weakness
and subcutaneous heparin administered in the last 6 hours.
Maintain Arterial Line [NURVAD0001] CONTINUOUS, Routine
Device Status:
Flush Solution:
Site:
Non-Categorized Patient Care Orders [189041]
Drain Spinal Fluid [NURTAD0046] CONTINUOUS, Drain spinal fluid in 5 mL increments to spinal
fluid pressure of 0-2 mmHg. Do not drain greater than 40
mL/hr unless specifically ordered by anesthesiologist.
Assess leg lift bilaterally. Leg lift means off the bed.
[NURCOM0022]
EVERY 1 HOUR
Contingency Parameters [189042]
Notify [NURCOM0001] Provider to Notify: Other (Comment)
Notify based on: Other
Other: Hemoglobin is greater than or equal to 10
mg/dL,Platelet count is less than 100K/uL,INR is greater than
1.3
Notify Vascular Fellow
Medications
Medications [189240]
naloxone (NARCAN) 2.5 mg in dextrose 5 % 250 mL
infusion [700242]
1 mcg/kg/hr, Intravenous
Infuse in dedicated line
methylprednisolone sodium succ. (SOLU-MEDROL)
intraVENOUS [800058]
1,000 mg, Intravenous, ONCE For 1 Doses
Infuse over 30 minutes
mannitol 20 % IV BOLUS [730016] 12.5 g, Intravenous, ONCE For 1 Doses
Infuse over 15 minutes. **Examine for Crystals** Administer
with 0.22 micron filter.
norepinephrine (LEVOPHED) 4 mg in sodium chloride
0.9 % 250 mL infusion [700247]
0.01-2 mcg/kg/min, Intravenous
Titrate per adult ICU protocol. Initiate at 0.01 mcg/kg/min or
current rate and titrate to maintain MAP greater than 100
mmHg.
Laboratory
Labs [189410]
HEMOGLOBIN [HGB] STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
PLATELET COUNT [PLT] STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
PROTHROMBIN TIME/INR [PT] STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
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Pr i nt ed by LIND, JANNA S [JSL237] at 5/15/2015 9:15:08 AM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority