Name
Item
Name of attending physician
text
Phone
Item
Phone number of attending physician
integer
Admitting Diagnosis
Item
Acute Pancreatitis Associated Diagnoses
text
Diet
Item
NG tube to low suction; irrigate prn
boolean
Activity
Item
Bed rest
boolean
Activity
Item
Bed rest with bathroom privileges with assistance
boolean
Nursing
Item
Vital signs and temperature every 4 hrs
boolean
Nursing
Item
Notify MD if: systolic BP < 90 or > 180; temperature > 101.5 PO; pulse < 55 bpm or > 120 bpm
boolean
Nursing
Item
Daily weights
boolean
IV
Item
Normal saline @250 mL/hr x 2L, then D5
boolean
IV
Item
Normal saline with 20 mEq KCl/L
boolean
IV
Item
If Other, please specify
boolean
Lab
Item
Admission: CBC, comp met profile, amylase, lipase, UA, PT/INR
boolean
Lab
Item
In a.m.: Lipid profile, amylase, CBC, basal metabolic profile
boolean
Lab
Item
Daily: CBC, basal metabolic profile, amylase every a.m.
boolean
Medications
Item
Meperidine 25-100 mg slow IVP every 2-4 hrs prn for pain
boolean
Medications
Item
Protonix 40 mg IV daily
boolean
Medications
Item
Other
boolean
Medications
Item
If Other, please specify
text
Radiology
Item
Acute abdominal series
boolean
Radiology
Item
Ultrasound RUQ-Pancreatitis
boolean
Radiology
Item
CT abdomen with and without contrast
boolean
Consider
Item
Gl consult
boolean
Consider
Item
Lovenox ___mg subcutaneously daily for DVT prophylaxis
boolean
Consider
Item
If Lovenox, please specify amount
integer
Consider
Item
Blood cultures X2 if febrile
boolean