ID

16105

Description

AAFP: Hyponatremia 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 nineteenth section ("Hyponatremia Admission Order").

Link

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

Keywords

Versions (2)
  1. 6/29/16 6/29/16 -
  2. 8/14/16 8/14/16 -
Uploaded on

June 29, 2016

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License

Creative Commons BY-NC 3.0
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AAFP: Hyponatremia Admission Order

English

AAFP: Hyponatremia 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 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

Hyponatremia 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

Diet
Description

Clear liquid

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

Activity
Description

Activity

Bed rest with bathroom privileges with assistance
Description

Activity

Data type

boolean

Nursing
Description

Nursing

Orthostatic VS every 4 hrs until stable x4, then every shift
Description

Nursing

Data type

boolean

Notify MD for: T > 101, BP < 90/60 or > 190/100, neuro changes
Description

Nursing

Data type

boolean

IV
Description

IV

___normal saline IV @500 mL/hr until orthostasis resolves, then
Description

IV: Hypovolemic

Data type

boolean

following to the Item above
Description

IV: Hypovolmic

Data type

text

If ___normal saline IV@ 500mL/hr, ,please specify
Description

IV Hypovolmic

Data type

text

If Dextrose 5% normal saline, please specify amount
Description

IV Hypovolemic

Data type

integer

If Dextrose 5% in 1/2 normal saline, please specify amount
Description

IV Hypovolemic

Data type

integer

Lasix 80 mg IV/PO daily
Description

IV Hypervolemic

Data type

boolean

Dextrose 5% in water @___mL/hr
Description

IV Hypervolemic

Data type

boolean

If Dextrose 5% in water, please specify amount
Description

IV Hypervolemic

Data type

integer

Lab
Description

Lab

CMP, UA, urine Na+, TSH, urine OSM, plasma osmolality and CXR on arrival daily BMP
Description

Lab

Data type

boolean

Consider
Description

Consider

DVT prophylaxis with Lovenox 40 mg SQ daily
Description

Consider

Data type

boolean

D/C medications that could contribute to hyponatremia (i.e., diuretics, tegratol, SSRI, amiodarone, theophylline)
Description

Consider

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

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Similar models

AAFP: Hyponatremia 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 number
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
Telemetry (4)
CL Item
ICU (5)
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
Hyponatremia 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
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
Activity
Activity
Item
Bed rest with bathroom privileges with assistance
boolean
Item Group
Nursing
Nursing
Item
Orthostatic VS every 4 hrs until stable x4, then every shift
boolean
Nursing
Item
Notify MD for: T > 101, BP < 90/60 or > 190/100, neuro changes
boolean
Item Group
IV
IV: Hypovolemic
Item
___normal saline IV @500 mL/hr until orthostasis resolves, then
boolean
Item
following to the Item above
text
IV: Hypovolmic
Code List
following to the Item above
CL Item
Dextrose 5% normal saline (if hyperosmolar) at __mL/hr OR (1)
CL Item
Dextrose 5%in 1/2 normal saline (if not hyperosmolar) at___mL/hr (2)
IV Hypovolmic
Item
If ___normal saline IV@ 500mL/hr, ,please specify
text
IV Hypovolemic
Item
If Dextrose 5% normal saline, please specify amount
integer
IV Hypovolemic
Item
If Dextrose 5% in 1/2 normal saline, please specify amount
integer
IV Hypervolemic
Item
Lasix 80 mg IV/PO daily
boolean
IV Hypervolemic
Item
Dextrose 5% in water @___mL/hr
boolean
IV Hypervolemic
Item
If Dextrose 5% in water, please specify amount
integer
Item Group
Lab
Lab
Item
CMP, UA, urine Na+, TSH, urine OSM, plasma osmolality and CXR on arrival daily BMP
boolean
Item Group
Consider
Consider
Item
DVT prophylaxis with Lovenox 40 mg SQ daily
boolean
Consider
Item
D/C medications that could contribute to hyponatremia (i.e., diuretics, tegratol, SSRI, amiodarone, theophylline)
boolean
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime
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