ID

16561

Beskrivning

AAFP: Pyelonephritis 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-second section ("AAFP: Pyelonephritis Admission Order")

Länk

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

Nyckelord

Versioner (2)
  1. 2016-07-05 2016-07-05 -
  2. 2016-07-24 2016-07-24 -
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24 juli 2016

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AAFP: Pyelonephritis Admission Order

Engelsk

AAFP: Pyelonephritis Admission Order

1 Formulär  
Default Itemgroup
Beskrivning

Default Itemgroup

Name
Beskrivning

Name

Datatyp

text

Alias
UMLS CUI [1]
C0027365
Age
Beskrivning

Age

Datatyp

integer

Alias
UMLS CUI [1]
C0001779
Date of Birth
Beskrivning

Date of Birth

Datatyp

date

Alias
UMLS CUI [1]
C0421451
Medical record number
Beskrivning

Medical record number

Datatyp

integer

Alias
UMLS CUI [1]
C1301894
Status
Beskrivning

Status

Status
Beskrivning

Status

Datatyp

text

Alias
UMLS CUI [1]
C0449438
If Other, please specify
Beskrivning

Status

Datatyp

text

Alias
UMLS CUI [1,1]
C0449438
UMLS CUI [1,2]
C0205394
Attending
Beskrivning

Attending

Name of attending physician
Beskrivning

attending physician

Datatyp

text

Alias
UMLS CUI [1]
C2361125
Phone number of attending physician
Beskrivning

Phone number of attending physician

Datatyp

integer

Alias
UMLS CUI [1]
C3262226
Admitting Diagnosis
Beskrivning

Admitting Diagnosis

Pyelonephritis Associated Diagnoses
Beskrivning

Admitting Diagnosis

Datatyp

text

Alias
UMLS CUI [1]
C0332133
Condition
Beskrivning

Condition

Condition
Beskrivning

Condition

Datatyp

text

Alias
UMLS CUI [1]
C3714565
Code Status
Beskrivning

Code Status

Datatyp

text

Alias
UMLS CUI [1]
C0742531
Allergies
Beskrivning

Allergies

Allergies
Beskrivning

Allergies

Datatyp

text

Alias
UMLS CUI [1]
C0020517
Diet
Beskrivning

Diet

NPO
Beskrivning

Diet

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0419179
UMLS CUI [1,2]
C0012155
Clear liquid
Beskrivning

Diet

Datatyp

boolean

Alias
UMLS CUI [1]
C2184084
AHA step 2
Beskrivning

Diet

Datatyp

boolean

Alias
UMLS CUI [1]
C2191775
ADA___calories
Beskrivning

Diet

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C1556156
If Diet according to ADA, please specify amount of calories
Beskrivning

Diet

Datatyp

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C1556156
Other
Beskrivning

Diet

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0205394
If Other, please specify
Beskrivning

Diet

Datatyp

text

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0205394
Activity
Beskrivning

Activity

Bed rest with bedside commode
Beskrivning

Activity

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0026606
UMLS CUI [1,2]
C0004910
bathroom privileges
Beskrivning

Activity

Datatyp

boolean

Alias
UMLS CUI [1]
C1827269
Up ad lib
Beskrivning

Activity

Datatyp

boolean

Alias
UMLS CUI [1]
C0510756
Nursing
Beskrivning

Nursing

Vital signs every 4 hrs for 24 hrs then every shift
Beskrivning

Nursing

Datatyp

boolean

Alias
UMLS CUI [1]
C0518766
Notify MD for: T > 101.5, P > 120, BP < 90/60 or > 180/110
Beskrivning

Nursing

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C0028678
Daily weight
Beskrivning

Daily weight

Datatyp

boolean

Alias
UMLS CUI [1]
C1305866
I&O
Beskrivning

I&O

Datatyp

boolean

Alias
UMLS CUI [1]
C0204708
Medications
Beskrivning

Medications

Levaquin 500 mg IV every 24 hrs
Beskrivning

Medications

Datatyp

boolean

Alias
UMLS CUI [1]
C0721336
Tylenol 650 mg PO every 4 hrs prn temp > 100/pain
Beskrivning

Medications

Datatyp

boolean

Alias
UMLS CUI [1]
C0699142
Phenergan 25 mg IV/IM every 4 hrs prn nausea
Beskrivning

Medications

Datatyp

boolean

Alias
UMLS CUI [1]
C0591971
Demerol 50 mg IM every 4 hrs prn pain
Beskrivning

Medications

Datatyp

boolean

Alias
UMLS CUI [1]
C0935966
If toxic: consider adding Gentamycin (7mg/kg/day) IVP; adjust for renal dose if indicated
Beskrivning

Medications

Datatyp

boolean

Alias
UMLS CUI [1]
C3854019
IV
Beskrivning

IV

Dextrose 5% in 1/2 normal saline @ 100 mL/hr
Beskrivning

IV

Datatyp

boolean

Alias
UMLS CUI [1]
C0308813
Other
Beskrivning

IV

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205394
If Other, please specify
Beskrivning

IV

Datatyp

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205394
Lab
Beskrivning

Lab

Admission: blood cultures x2 prior to antibiotics, CBC, UA, urine culture, basal metabolic profile
Beskrivning

Lab

Datatyp

boolean

Alias
UMLS CUI [1]
C0200949
UMLS CUI [2]
C0009555
UMLS CUI [3]
C0042014
UMLS CUI [4]
C0848716
UMLS CUI [5]
C3853758
Daily: CBC
Beskrivning

Lab

Datatyp

boolean

Alias
UMLS CUI [1]
C0009555
Other
Beskrivning

Other

If history of stones or recurrent pyelo consider IVP or renal ultrasound
Beskrivning

Other

Datatyp

boolean

Alias
UMLS CUI [1]
C0022650
UMLS CUI [2]
C0748199
UMLS CUI [3]
C0203408
DVT prophylaxis with Lovenox 40 mg sc daily
Beskrivning

Other

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0853245
UMLS CUI [1,2]
C0728963
Signature
Beskrivning

Signature

Datatyp

text

Alias
UMLS CUI [1]
C1519316
Print Name
Beskrivning

Name

Datatyp

text

Alias
UMLS CUI [1]
C0027365
Date and Time
Beskrivning

Date and Time

Datatyp

datetime

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0040223
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Similar models

AAFP: Pyelonephritis Admission Order

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Medical record number
Item
Medical record number
integer
C1301894 (UMLS CUI [1])
Item Group
Status
Item
Status
text
C0449438 (UMLS CUI [1])
Status
Code List
Status
CL Item
Observation (1)
CL Item
Admission (2)
CL Item
Medical floor (3)
CL Item
Monitored bed (4)
CL Item
Other (5)
Status
Item
If Other, please specify
text
C0449438 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Attending
attending physician
Item
Name of attending physician
text
C2361125 (UMLS CUI [1])
Phone number of attending physician
Item
Phone number of attending physician
integer
C3262226 (UMLS CUI [1])
Item Group
Admitting Diagnosis
Admitting Diagnosis
Item
Pyelonephritis Associated Diagnoses
text
C0332133 (UMLS CUI [1])
Item Group
Condition
Item
Condition
text
C3714565 (UMLS CUI [1])
Condition
Code List
Condition
CL Item
Stable (1)
CL Item
Fair (2)
CL Item
Serious (3)
CL Item
Critical (4)
Item
Code Status
text
C0742531 (UMLS CUI [1])
Condition
Code List
Code Status
CL Item
Full Code (1)
CL Item
DNR (2)
Item Group
Allergies
Allergies
Item
Allergies
text
C0020517 (UMLS CUI [1])
Item Group
Diet
Diet
Item
NPO
boolean
C0419179 (UMLS CUI [1,1])
C0012155 (UMLS CUI [1,2])
Diet
Item
Clear liquid
boolean
C2184084 (UMLS CUI [1])
Diet
Item
AHA step 2
boolean
C2191775 (UMLS CUI [1])
Diet
Item
ADA___calories
boolean
C0012155 (UMLS CUI [1,1])
C1556156 (UMLS CUI [1,2])
Diet
Item
If Diet according to ADA, please specify amount of calories
integer
C0012155 (UMLS CUI [1,1])
C1556156 (UMLS CUI [1,2])
Diet
Item
Other
boolean
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Diet
Item
If Other, please specify
text
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Activity
Activity
Item
Bed rest with bedside commode
boolean
C0026606 (UMLS CUI [1,1])
C0004910 (UMLS CUI [1,2])
Activity
Item
bathroom privileges
boolean
C1827269 (UMLS CUI [1])
Activity
Item
Up ad lib
boolean
C0510756 (UMLS CUI [1])
Item Group
Nursing
Nursing
Item
Vital signs every 4 hrs for 24 hrs then every shift
boolean
C0518766 (UMLS CUI [1])
Nursing
Item
Notify MD for: T > 101.5, P > 120, BP < 90/60 or > 180/110
boolean
C0518766 (UMLS CUI [1,1])
C0028678 (UMLS CUI [1,2])
Daily weight
Item
Daily weight
boolean
C1305866 (UMLS CUI [1])
I&O
Item
I&O
boolean
C0204708 (UMLS CUI [1])
Item Group
Medications
Medications
Item
Levaquin 500 mg IV every 24 hrs
boolean
C0721336 (UMLS CUI [1])
Medications
Item
Tylenol 650 mg PO every 4 hrs prn temp > 100/pain
boolean
C0699142 (UMLS CUI [1])
Medications
Item
Phenergan 25 mg IV/IM every 4 hrs prn nausea
boolean
C0591971 (UMLS CUI [1])
Medications
Item
Demerol 50 mg IM every 4 hrs prn pain
boolean
C0935966 (UMLS CUI [1])
Medications
Item
If toxic: consider adding Gentamycin (7mg/kg/day) IVP; adjust for renal dose if indicated
boolean
C3854019 (UMLS CUI [1])
Item Group
IV
IV
Item
Dextrose 5% in 1/2 normal saline @ 100 mL/hr
boolean
C0308813 (UMLS CUI [1])
IV
Item
Other
boolean
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
IV
Item
If Other, please specify
text
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Lab
Lab
Item
Admission: blood cultures x2 prior to antibiotics, CBC, UA, urine culture, basal metabolic profile
boolean
C0200949 (UMLS CUI [1])
C0009555 (UMLS CUI [2])
C0042014 (UMLS CUI [3])
C0848716 (UMLS CUI [4])
C3853758 (UMLS CUI [5])
Lab
Item
Daily: CBC
boolean
C0009555 (UMLS CUI [1])
Item Group
Other
Other
Item
If history of stones or recurrent pyelo consider IVP or renal ultrasound
boolean
C0022650 (UMLS CUI [1])
C0748199 (UMLS CUI [2])
C0203408 (UMLS CUI [3])
Other
Item
DVT prophylaxis with Lovenox 40 mg sc daily
boolean
C0853245 (UMLS CUI [1,1])
C0728963 (UMLS CUI [1,2])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Name
Item
Print Name
text
C0027365 (UMLS CUI [1])
Date and Time
Item
Date and Time
datetime
C0011008 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Tillbaka till toppen 

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