Status
Item
Admission
boolean
Status
Item
Observation in pediatric unit
boolean
Attending
Item
Name of attending physician
text
Attending
Item
Phone number of attending physician
integer
Admitting Diagnosis
Item
Croup Associated Diagnoses
text
Nursing
Item
Vital signs per unit routine
boolean
Nursing
Item
Vital signs every 4 hrs if on oxygen therapy
boolean
Nursing
Item
I&O every shift
boolean
Respiratory
Item
If croup score > 5, notify MD
boolean
Respiratory
Item
If score 2 or greater: continue oximetry; racemic epinephrine (2.25%) nebulizer
boolean
Respiratory
Item
0.25 mL in 3 mL normal saline if < 1 year old or less than 20 kg
boolean
Respiratory
Item
0.50 mL in 3 mL normal saline if > 1 year old
boolean
Respiratory
Item
May repeat dose every 4 hrs; notify MD if child need more frequent doses
boolean
Respiratory
Item
O2 @ 2-4 L/min via nasal cannula or face mask to keep O2 sat > 95%
boolean
CL Item
Decadron __mg IM now (0.6mg/kg body weight) OR (1)
CL Item
Decadron elixir 0.5 mg/5mL___mg PO now (0.6 mg/kg body weight) OR (2)
CL Item
Prelone elixir 12mg/mL__mg PO BID for __ days (1mg/kg/dose) (3)
Specification amount of medication
Item
Please specify amount of the chosen medication
integer
Specification duration of Prelone
Item
If Prelone elixir, please specify duration in days
integer
CL Item
Tylenol ___mg PO or PR every 4 hrs prn; temp > 100.4 (10-15 mg/kg/dose) OR (1)
CL Item
Motrin__ mg PO every 6 hrs prn; temp > 100.4 (10 mg/kg/dose) (2)
Specification of Tylenol
Item
If Tylenol, please specify amount
integer
Specification of Motrin
Item
If Motrin, please specify amount
integer
IV
Item
No IV required
boolean
IV
Item
Bolus with__mL normal saline over 1-2 hrs (10-20 mL/kg bolus)
boolean
Specification of saline
Item
If Bolus with normal saline, please specify amount
float
IV
Item
Maintenance IV with Dextrose 5% in 1/4 normal saline @___mL/hr; add 20 mEq KCL after first void
boolean
Specification of Dextrose
Item
If Dextrose, please specify amount mL/hr
integer