ID

16185

Description

AAFP: Pediatric Vomiting/Diarrhea/Dehydration 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 twenty-fifth section ("AAFP: Pediatric Vomiting/Diarrhea/Dehydration Admission Order")

Link

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

Keywords

Versions (2)
  1. 7/4/16 7/4/16 -
  2. 7/26/16 7/26/16 -
Uploaded on

July 4, 2016

DOI

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License

Creative Commons BY-NC 3.0
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AAFP: Pediatric Vomiting/Diarrhea/Dehydration Admission Order

English

AAFP: Pediatric Vomiting/Diarrhea/Dehydration 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; Pediatric floor:
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

Pediatric Vomiting/Diarrhea/Dehydration Contributing 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

Acitivity
Description

Acitivity

Crib
Description

Acitivity

Data type

boolean

Bassinet
Description

Acitivity

Data type

boolean

Bed
Description

Acitivity

Data type

boolean

Diet
Description

Diet

NPO
Description

Diet

Data type

boolean

Formula/Breast
Description

Diet

Data type

boolean

Age appropriate diet as tolerated
Description

Diet

Data type

boolean

Nursing
Description

Nursing

Vital signs: every 4 hrs
Description

Nursing

Data type

boolean

Medications
Description

Medications

Tylenol (10mg/kg)____PO/PR every 4 hrs prn T > 101
Description

Medications

Data type

boolean

Phenergan 12.5-25 mg PR 1 6-8 hrs prn n/v
Description

Medications

Data type

boolean

IV
Description

IV

Replacement 1/3 over first 4 hrs with Dextrose 5% win 1/2 normal saline
Description

IV: Replacement (mls) = % X wt (kg)

Data type

boolean

Replacement 1/3 over second 8 hrs with Dextrose 5% in 1/2 or 1/4 normal saline
Description

IV: Replacement (mls) = % X wt (kg)

Data type

boolean

Replacement 1/3 over third 12 hrs with D5.2 normal saline
Description

IV: Replacement (mls) = % X wt (kg)

Data type

boolean

Replace in addition to maintenance
Description

IV: Replacement (mls) = % X wt (kg)

Data type

boolean

Lab
Description

Lab

Basal metabolic profile, CBC UA on admission; basal metabolic profile in a.m.
Description

Lab

Data type

boolean

Stool for rotazyme, routine culture, O&P, yersinia
Description

Lab

Data type

boolean

Call MD for
Description

Call MD for

Call MD for
Description

Call MD for

Data type

text

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: Pediatric Vomiting/Diarrhea/Dehydration 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; Pediatric floor:
text
Status
Code List
Status; Pediatric floor:
CL Item
Observation (1)
CL Item
Admission (2)
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
Pediatric Vomiting/Diarrhea/Dehydration Contributing 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 Group
Allergies
Allergies
Item
Allergies
text
Item Group
Acitivity
Acitivity
Item
Crib
boolean
Acitivity
Item
Bassinet
boolean
Acitivity
Item
Bed
boolean
Item Group
Diet
Diet
Item
NPO
boolean
Diet
Item
Formula/Breast
boolean
Diet
Item
Age appropriate diet as tolerated
boolean
Item Group
Nursing
Nursing
Item
Vital signs: every 4 hrs
boolean
Item Group
Medications
Medications
Item
Tylenol (10mg/kg)____PO/PR every 4 hrs prn T > 101
boolean
Medications
Item
Phenergan 12.5-25 mg PR 1 6-8 hrs prn n/v
boolean
Item Group
IV
IV: Replacement (mls) = % X wt (kg)
Item
Replacement 1/3 over first 4 hrs with Dextrose 5% win 1/2 normal saline
boolean
IV: Replacement (mls) = % X wt (kg)
Item
Replacement 1/3 over second 8 hrs with Dextrose 5% in 1/2 or 1/4 normal saline
boolean
IV: Replacement (mls) = % X wt (kg)
Item
Replacement 1/3 over third 12 hrs with D5.2 normal saline
boolean
IV: Replacement (mls) = % X wt (kg)
Item
Replace in addition to maintenance
boolean
Item Group
Lab
Lab
Item
Basal metabolic profile, CBC UA on admission; basal metabolic profile in a.m.
boolean
Lab
Item
Stool for rotazyme, routine culture, O&P, yersinia
boolean
Item Group
Call MD for
Call MD for
Item
Call MD for
text
Signature
Item
Signature
text
Print Name
Item
Print Name
text
Date and Time
Item
Date and Time
datetime
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