Name
Item
Name of attending physician
text
Phone
Item
Phone number of attending physician
integer
Admitting Diagnosis
Item
Intractable Headache Contributing Diagnoses
text
Nursing
Item
Notify MD for: T > 100, P < 60 or > 120, BP < 90/60 or > 170/110
boolean
Medications
Item
No analgesics
boolean
Medications
Item
No narcotics
boolean
Medications
Item
Reglan 10 mg IV followed by DHE 0.5 mg IV
boolean
Medications
Item
Then every 8 hrs give Reglan 10 mg IV followed by DHE 1 mg IV until patient is 100% HA free X 24-48 hrs (HA scores = 0)
boolean
Medications
Item
Other
boolean
Medications
Item
If Other, please specify
text