AAFP: HIV Pneumonia Admission Disorder

ID

16078

Descrição

AAFP: HIV Pneumonia Admission Disorder, Standardizes Admission Orders, Author: Robert M. Wiprud, MD The primary purpose of these Ordersets is to decrease unnecessary variability and to improve quality through standardized Admission Orders. Developed by the Scott & White Clinic at College Station, Texas. Copyright © 2006 American Academy of Family Physicians. Physicians may photocopy or adapt for use in their own practices; all other rights reserved. Wiprud RM. Providing consistent care with standardized admission orders. Fam Pract Manag. September 2006: 49-52 See http://www.aafp.org/fpm/2006/0900/p49.html This ODM Form includes the fifteenth section ("HIV Pneumonia Admission Order").

Link

http://www.aafp.org/fpm/2006/0900/p49.html

Palavras-chave

EHR

Patientenaufnahme

Routine documentation

J18.1

28/06/2016 28/06/2016 -
14/08/2016 14/08/2016 -

Transferido a

28 de junho de 2016

DOI

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Licença

Creative Commons BY-NC 3.0

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1 Formulários

StudyEvent: ODM
1. AAFP: HIV Pneumonia Admission Disorder

Name

Tipo

Description | Question | Decode (Coded Value)

Tipo de dados

Alias

Default Itemgroup

Item Group

Name

Item

Name

text

Age

Item

Age

integer

Date of Birth

Item

Date of Birth

date

Medical record

Item

Medical record

integer

Status

Item Group

Status

Item

Status

text

Status

Code List

Status

CL Item

Medical floor (1)

CL Item

ICU (2)

Attending

Item Group

Attending

Name

Item

Name of attending physician

text

Phone

Item

Phone number of attending physician

integer

Admitting Diagnosis

Item Group

Admitting Diagnosis

Item

HIV Pneumonia Associated Diagnoses

text

Condition

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)

Allergies

Item Group

Allergies

Item

Allergies

text

Diet

Item Group

Diet

Item

Regular as tolerated

boolean

Activity

Item Group

Activity

Item

Bed rest with bathroom privileges with assistance

boolean

Activity

Item

Respiratory Isolation

boolean

Nursing

Item Group

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

Medications

Item Group

Medications

Item

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

boolean

Medications

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)

Medications

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

Item

text

Lab

Item Group

Lab

Item

Admission

boolean

Lab

Item

A.M.

boolean

Lab

Item

daily

boolean

Consult

Item Group

Consult

Item

Consult

text

Other Orders

Item Group

Other Orders

Item

Other Orders

text

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AAFP: HIV Pneumonia Admission Disorder