English

AAFP: HIV Pneumonia Admission Disorder

1 forms  
Default Itemgroup
Description

Default Itemgroup

Name
Description

Name

Data type

text

Age
Description

Age

Data type

integer

Date of Birth
Description

Date of Birth

Data type

date

Medical record
Description

Medical record

Data type

integer

Status
Description

Status

Status
Description

Status

Data type

text

Attending
Description

Attending

Name of attending physician
Description

Name

Data type

text

Phone number of attending physician
Description

Phone

Data type

integer

Admitting Diagnosis
Description

Admitting Diagnosis

HIV Pneumonia Associated Diagnoses
Description

Admitting Diagnosis

Data type

text

Condition
Description

Condition

Condition
Description

Condition

Data type

text

Allergies
Description

Allergies

Allergies
Description

Allergies

Data type

text

Diet
Description

Diet

Regular as tolerated
Description

Diet

Data type

boolean

Activity
Description

Activity

Bed rest with bathroom privileges with assistance
Description

Activity

Data type

boolean

Respiratory Isolation
Description

Activity

Data type

boolean

Nursing
Description

Nursing

Every___hrs
Description

Nursing

Data type

boolean

Please specify frequency of nursing
Description

Nursing

Data type

integer

Measurement units
  • hrs
hrs
Notify MD for: T > 102; P < 60 or > 120; paleo oxygen < 90%; increased respiratory distress; BP < 90/160 > 180/110; decreased LOC
Description

Nursing

Data type

boolean

Pulse ox @bedside continuously initially
Description

Nursing

Data type

boolean

PPD with anergy panel
Description

Nursing

Data type

boolean

Medications
Description

Medications

O2 @ 2,4,6 L/min via NC or FM to keep pulse O2 > 92%
Description

Medications

Data type

boolean

TMP-SMX doses
Description

Medications

Data type

text

Alternatives
Description

Medications

Data type

text

If Severe PCP alternatives, please specify
Description

Medications

Data type

text

IV
Description

IV

IV
Description

IV

Data type

text

Lab
Description

Lab

Admission
Description

Lab

Data type

boolean

A.M.
Description

Lab

Data type

boolean

daily
Description

Lab

Data type

boolean

Consult
Description

Consult

Consult
Description

Consult

Data type

text

Other Orders
Description

Other Orders

Other Orders
Description

Other Orders

Data type

text

Back to the top of the page

Similar models

AAFP: HIV Pneumonia Admission Disorder

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Name
Item
Name
text
Age
Item
Age
integer
Date of Birth
Item
Date of Birth
date
Medical record
Item
Medical record
integer
Item Group
Status
Item
Status
text
Status
Code List
Status
CL Item
Medical floor (1)
CL Item
ICU (2)
Item Group
Attending
Name
Item
Name of attending physician
text
Phone
Item
Phone number of attending physician
integer
Item Group
Admitting Diagnosis
Admitting Diagnosis
Item
HIV Pneumonia Associated Diagnoses
text
Item Group
Condition
Item
Condition
text
Condition
Code List
Condition
CL Item
Stable (1)
CL Item
Fair (2)
CL Item
Serious (3)
CL Item
Critical (4)
Item Group
Allergies
Allergies
Item
Allergies
text
Item Group
Diet
Diet
Item
Regular as tolerated
boolean
Item Group
Activity
Activity
Item
Bed rest with bathroom privileges with assistance
boolean
Activity
Item
Respiratory Isolation
boolean
Item Group
Nursing
Nursing
Item
Every___hrs
boolean
Nursing
Item
Please specify frequency of nursing
integer
Nursing
Item
Notify MD for: T > 102; P < 60 or > 120; paleo oxygen < 90%; increased respiratory distress; BP < 90/160 > 180/110; decreased LOC
boolean
Nursing
Item
Pulse ox @bedside continuously initially
boolean
Nursing
Item
PPD with anergy panel
boolean
Item Group
Medications
Medications
Item
O2 @ 2,4,6 L/min via NC or FM to keep pulse O2 > 92%
boolean
Item
TMP-SMX doses
text
Medications
Code List
TMP-SMX doses
CL Item
Mild-morderate PCP (P9O2 >70 mmHg) give TMP-SMX ds 2 tabs PO every 8 hrs (1)
CL Item
Severe PCP (P9O2 < 70 mmHg) TMP-SMX (5mg/kg IV of trimethoprim) every 8 hrs, plus Prednisone 40 mg PO bid x5 days, then 20 mg PO bid x5 days, then 20 mg PO every day (2)
Item
Alternatives
text
Medications
Code List
Alternatives
CL Item
Mild-moderate PCP: atovaquone suspension 750 mg PO bid, clindamycin 300-450 mg q/d and primaquine 15-30 mg PO every day, dapsone 100 mg PO every day and trimethoprim 5 mg/kg PO tid, pentamidine 3 mg/kg/day (1)
CL Item
Severe PCP alternatives:____ (2)
Medications
Item
If Severe PCP alternatives, please specify
text
Item Group
IV
IV
Item
IV
text
Item Group
Lab
Lab
Item
Admission
boolean
Lab
Item
A.M.
boolean
Lab
Item
daily
boolean
Item Group
Consult
Consult
Item
Consult
text
Item Group
Other Orders
Other Orders
Item
Other Orders
text
Back to the top of the page