ID

16084

Description

AAFP: Hyperkalemia Admission Order, 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 sixteenth section ("Hyperkalemia Admission Order").

Link

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

Keywords

Versions (2)
  1. 6/28/16 6/28/16 -
  2. 6/28/16 6/28/16 - Julian Varghese
Uploaded on

June 28, 2016

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License

Creative Commons BY-NC 3.0
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AAFP: Hyperkalemia Admission Order

English

AAFP: Hyperkalemia Admission Order

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 number
Description

Medical record

Data type

integer

Status
Description

Status

Status
Description

Status

Data type

text

If Other, please specify
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

Hyperkalemia Associated Diagnoses
Description

Admitting Diagnosis

Data type

text

Condition
Description

Condition

Condition
Description

Condition

Data type

text

Code Status
Description

Condition

Data type

text

Allergies
Description

Allergies

Allergies
Description

Allergies

Data type

text

Diet
Description

Diet

NPO
Description

Diet

Data type

boolean

Clear liquid
Description

Diet

Data type

boolean

AHA step 2
Description

Diet

Data type

boolean

ADA___calories
Description

Diet

Data type

boolean

If diet according to ADA, please specify amount of calories
Description

Diet

Data type

integer

Other
Description

Diet

Data type

boolean

If Other, please specify
Description

Diet

Data type

text

Acitivity
Description

Acitivity

Bed rest with bedside commode
Description

Acitivity

Data type

boolean

Up in chair as tolerated
Description

Acitivity

Data type

boolean

Up ad lib
Description

Acitivity

Data type

boolean

Nursing
Description

Nursing

Vital signs with neuro checks every 4 hrs for 24 hrs then every shift
Description

Nursing

Data type

boolean

Notify MD for: P < 50 or > 120, BP < 90/60 or > 180/110, R < 12 or > 28, T > 101.5, neuro changes
Description

Nursing

Data type

boolean

Weight: on admission, then daily
Description

Nursing

Data type

boolean

I&O every shift
Description

Nursing

Data type

boolean

Continuous cardiac monitoring
Description

Nursing

Data type

boolean

Arrhythmia protocol
Description

Nursing

Data type

boolean

Medications
Description

Medications

Calcium gluconate: 10% 5-10 mL IV over 2-5 min; 2 nd dose may be given in 5 min, may repeat every 1 hrs prn; if dig toxicity suspected, give over 30 min or ormit
Description

Medications: special medications

Data type

boolean

NaHCO3 (sodium bicarbonate): one amp of 7.5% IV over 5 min (give after calcium in separate IV), repeat in 10-15 min followed by 1-2 amps added to Dextrose 5% in water titrated over 2-4 hrs
Description

Medications: special medications

Data type

boolean

Insulin: 10 units regular in 500 mL Dextrose 10% in water OR 10 units IVP with 1 amp 50% glucose (25mg) over 5 min; repeat as needed every 3 hrs
Description

Medications: special medications

Data type

boolean

Kayexalate: 15-50 mg in 100 mL of 20% sorbitol solution PO now and 3-4 hrs; up to 4-5 hrs; up to 4-5 doses/day OR kayexalate retention enema 25-50 mg in 200 mL of 20% sorbitol; retain of 30-60 min (may use cleansing enema before)
Description

Medications: special medications

Data type

boolean

Furosemide: 40-80 mg IV daily
Description

Medications: special medications

Data type

boolean

Consider discontinuing NSAIDS, ACEI, beta-blockers, K-sparing diuretics
Description

Medications: special medications

Data type

boolean

Tylenol 500 mg 1 or 2 PO every 4-6 hrs prn pain, T > 101
Description

Medications: Other medications

Data type

boolean

Maalox 15-30 mL PO every 4 hrs prn indigestion
Description

Medications: Other medications

Data type

boolean

MOM 30 mL PO every 12 hrs prn constipation
Description

Medications: Other medications

Data type

boolean

Ambien 10 mg PO at bedtime prn insomnia
Description

Medications: Other medications

Data type

boolean

IV
Description

IV

IV
Description

IV

Data type

text

Lab
Description

Lab

Admission: hemagram, Mg, basal metabolic profile
Description

Lab

Data type

boolean

Daily: K+ every 4-6 hrs, urinanalysis with Micro, Osm, Na, K, Bicarb, Cl
Description

Lab

Data type

boolean

Consider serum lactate, sickle prep, retic count, cortisol, renin, aldosterone, urine myoglobin and 24 hrs urine K, Na, Cr, Prot, cortisol
Description

Lab

Data type

boolean

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Similar models

AAFP: Hyperkalemia Admission Order

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 number
integer
Item Group
Status
Item
Status
text
Status
Code List
Status
CL Item
Observation (1)
CL Item
Admission (2)
CL Item
Medical floor (3)
CL Item
Monitored bed (4)
CL Item
Other (5)
Status
Item
If Other, please specify
text
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
Hyperkalemia 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
Code Status
text
Condition
Code List
Code Status
CL Item
Full Code (1)
CL Item
DNR (2)
Item Group
Allergies
Allergies
Item
Allergies
text
Item Group
Diet
Diet
Item
NPO
boolean
Diet
Item
Clear liquid
boolean
Diet
Item
AHA step 2
boolean
Diet
Item
ADA___calories
boolean
Diet
Item
If diet according to ADA, please specify amount of calories
integer
Diet
Item
Other
boolean
Diet
Item
If Other, please specify
text
Item Group
Acitivity
Acitivity
Item
Bed rest with bedside commode
boolean
Acitivity
Item
Up in chair as tolerated
boolean
Acitivity
Item
Up ad lib
boolean
Item Group
Nursing
Nursing
Item
Vital signs with neuro checks every 4 hrs for 24 hrs then every shift
boolean
Nursing
Item
Notify MD for: P < 50 or > 120, BP < 90/60 or > 180/110, R < 12 or > 28, T > 101.5, neuro changes
boolean
Nursing
Item
Weight: on admission, then daily
boolean
Nursing
Item
I&O every shift
boolean
Nursing
Item
Continuous cardiac monitoring
boolean
Nursing
Item
Arrhythmia protocol
boolean
Item Group
Medications
Medications: special medications
Item
Calcium gluconate: 10% 5-10 mL IV over 2-5 min; 2 nd dose may be given in 5 min, may repeat every 1 hrs prn; if dig toxicity suspected, give over 30 min or ormit
boolean
Medications: special medications
Item
NaHCO3 (sodium bicarbonate): one amp of 7.5% IV over 5 min (give after calcium in separate IV), repeat in 10-15 min followed by 1-2 amps added to Dextrose 5% in water titrated over 2-4 hrs
boolean
Medications: special medications
Item
Insulin: 10 units regular in 500 mL Dextrose 10% in water OR 10 units IVP with 1 amp 50% glucose (25mg) over 5 min; repeat as needed every 3 hrs
boolean
Medications: special medications
Item
Kayexalate: 15-50 mg in 100 mL of 20% sorbitol solution PO now and 3-4 hrs; up to 4-5 hrs; up to 4-5 doses/day OR kayexalate retention enema 25-50 mg in 200 mL of 20% sorbitol; retain of 30-60 min (may use cleansing enema before)
boolean
Medications: special medications
Item
Furosemide: 40-80 mg IV daily
boolean
Medications: special medications
Item
Consider discontinuing NSAIDS, ACEI, beta-blockers, K-sparing diuretics
boolean
Medications: Other medications
Item
Tylenol 500 mg 1 or 2 PO every 4-6 hrs prn pain, T > 101
boolean
Medications: Other medications
Item
Maalox 15-30 mL PO every 4 hrs prn indigestion
boolean
Medications: Other medications
Item
MOM 30 mL PO every 12 hrs prn constipation
boolean
Medications: Other medications
Item
Ambien 10 mg PO at bedtime prn insomnia
boolean
Item Group
IV
IV
Item
IV
text
Item Group
Lab
Lab
Item
Admission: hemagram, Mg, basal metabolic profile
boolean
Lab
Item
Daily: K+ every 4-6 hrs, urinanalysis with Micro, Osm, Na, K, Bicarb, Cl
boolean
Lab
Item
Consider serum lactate, sickle prep, retic count, cortisol, renin, aldosterone, urine myoglobin and 24 hrs urine K, Na, Cr, Prot, cortisol
boolean
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