ID

16104

Description

AAFP: Hypokalemia 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 eighteenth section ("Hypokalemia Admission Order").

Link

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

Keywords

  1. 6/29/16 6/29/16 -
  2. 8/7/16 8/7/16 -
Uploaded on

June 29, 2016

DOI

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License

Creative Commons BY-NC 3.0

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AAFP: Hypokalemia Admission Order

AAFP: Hypokalemia Admission Order

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 number

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

Hypokalemia 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

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

Diet
Description

If Diet according to ADA, please specify amount of calories

Data type

integer

Other
Description

Diet

Data type

boolean

If Other, please specify
Description

Diet

Data type

text

Activity
Description

Activity

Bed rest with bedside commode
Description

Activity

Data type

boolean

Bathroom privileges
Description

Activity

Data type

boolean

Up ad lib
Description

Activity

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

Continuous cardiac monitoring; arrhythmia orders
Description

Nursing

Data type

boolean

Notify MD for: T > 101.5; P > 120; BP < 90/60 or > 180/110; presence of any muscle weakness, hyporeflexes, paresthesias or arrhythmias
Description

Nursing

Data type

boolean

Daily weight
Description

Nursing

Data type

boolean

I&O
Description

Nursing

Data type

boolean

IV/Medications
Description

IV/Medications

Potassium chloride 10 mEq in 100 mL normal saline IVPB over 1 hr, times___doses
Description

IV/Medications: If serum K+ > 2.5 and ECG changes are absent

Data type

boolean

If Potassium chloride, please specify: times__doses
Description

IV/Medications: If serum K+ > 2.5 and ECG changes are absent

Data type

integer

IV fluids__with 40 mEq KCl/L @___mL/hr
Description

IV/Medications: If serum K+ > 2.5 and ECG changes are absent

Data type

boolean

if IV fluide, please specify IV fluids___with mEq KCl/L
Description

IV/Medications: If serum K+ > 2.5 and ECG changes are absent

Data type

text

If IV fluids, please specify KCl/L @___mL/hr
Description

IV/Medications: If serum K+ > 2.5 and ECG changes are absent

Data type

integer

Potassium chloride 20 mEq in 100 mL NSS IVPB over on hr, times___doses
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

boolean

Please specify times__doses
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

integer

IV fluids___with 40 mEq KCl/L @___mL/hr
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

boolean

If IV fluids, please specify
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

text

If IV fluids, please specify KCl/L @___mL/hr
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

integer

Potassium chloride 40 mEq every __ hrs
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

boolean

If Potassium chloride, please specify frequency
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

integer

Measurement units
  • hrs
hrs
Maalox 30 mL PO every 4 hrs prn indigestion
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

boolean

MOM 30 mL PO every 12 hrs prn constipation
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

boolean

Tylenol PO every 4 hrs prn pain/fever
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

boolean

Ambien 10 mg PO at bedtime prn insomnia
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

boolean

Consider Lovenox 40 mg sc daily
Description

IV/Medications: If serum K+ < 2.5 and/or ECG changes are present

Data type

boolean

Lab
Description

Lab

Admission: hemagram, comp med profile, Mg, calcium, TSH, urinalysis, urine osmo, Na,K+, Cl, bicarb
Description

Lab

Data type

boolean

Serum potassium every __ hrs
Description

Lab

Data type

boolean

If serum potassium, please specify frequency
Description

Lab

Data type

integer

Measurement units
  • hrs
hrs
Consider: serum cortisol, renin, aldosterone, urine myoglobin, 24 hrs urine K+, Na, creat, protein, cortisol
Description

Lab

Data type

boolean

Signature
Description

Signature

Data type

text

Print Name
Description

Print Name

Data type

text

Date and Time
Description

Date and Time

Data type

datetime

Date and Time
Description

undefined item

Data type

datetime

Similar models

AAFP: Hypokalemia Admission Order

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 number
Item
Medical record number
integer
Item Group
Status
Item
Status
text
Code List
Status
CL Item
Observation (1)
CL Item
Admission (2)
CL Item
Monitored Bed (3)
CL Item
ICU (4)
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
Hypokalemia Associated Diagnoses
text
Item Group
Condition
Item
Condition
text
Code List
Condition
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
integer
Diet
Item
Other
boolean
Diet
Item
If Other, please specify
text
Item Group
Activity
Activity
Item
Bed rest with bedside commode
boolean
Activity
Item
Bathroom privileges
boolean
Activity
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
Continuous cardiac monitoring; arrhythmia orders
boolean
Nursing
Item
Notify MD for: T > 101.5; P > 120; BP < 90/60 or > 180/110; presence of any muscle weakness, hyporeflexes, paresthesias or arrhythmias
boolean
Nursing
Item
Daily weight
boolean
Nursing
Item
I&O
boolean
Item Group
IV/Medications
IV/Medications: If serum K+ > 2.5 and ECG changes are absent
Item
Potassium chloride 10 mEq in 100 mL normal saline IVPB over 1 hr, times___doses
boolean
IV/Medications: If serum K+ > 2.5 and ECG changes are absent
Item
If Potassium chloride, please specify: times__doses
integer
IV/Medications: If serum K+ > 2.5 and ECG changes are absent
Item
IV fluids__with 40 mEq KCl/L @___mL/hr
boolean
IV/Medications: If serum K+ > 2.5 and ECG changes are absent
Item
if IV fluide, please specify IV fluids___with mEq KCl/L
text
IV/Medications: If serum K+ > 2.5 and ECG changes are absent
Item
If IV fluids, please specify KCl/L @___mL/hr
integer
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
Potassium chloride 20 mEq in 100 mL NSS IVPB over on hr, times___doses
boolean
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
Please specify times__doses
integer
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
IV fluids___with 40 mEq KCl/L @___mL/hr
boolean
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
If IV fluids, please specify
text
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
If IV fluids, please specify KCl/L @___mL/hr
integer
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
Potassium chloride 40 mEq every __ hrs
boolean
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
If Potassium chloride, please specify frequency
integer
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
Maalox 30 mL PO every 4 hrs prn indigestion
boolean
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
MOM 30 mL PO every 12 hrs prn constipation
boolean
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
Tylenol PO every 4 hrs prn pain/fever
boolean
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
Ambien 10 mg PO at bedtime prn insomnia
boolean
IV/Medications: If serum K+ < 2.5 and/or ECG changes are present
Item
Consider Lovenox 40 mg sc daily
boolean
Item Group
Lab
Lab
Item
Admission: hemagram, comp med profile, Mg, calcium, TSH, urinalysis, urine osmo, Na,K+, Cl, bicarb
boolean
Lab
Item
Serum potassium every __ hrs
boolean
Lab
Item
If serum potassium, please specify frequency
integer
Lab
Item
Consider: serum cortisol, renin, aldosterone, urine myoglobin, 24 hrs urine K+, Na, creat, protein, cortisol
boolean
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime
undefined item
Item
Date and Time
datetime

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