Name
Item
Name of attending physician
text
Phone
Item
Phone number of attending physician
integer
Admitting Diagnosis
Item
Hyperkalemia Associated Diagnoses
text
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
If Other, please specify
text
Acitivity
Item
Bed rest with bedside commode
boolean
Acitivity
Item
Up in chair as tolerated
boolean
Acitivity
Item
Up ad lib
boolean
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
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
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