Name of 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])
Admitting Diagnosis
Item
Seizures Contributing Diagnoses
text
C0332133 (UMLS CUI [1])
Activity
Item
Bed rest with seizure precautions
boolean
C0004910 (UMLS CUI [1,1])
C0150329 (UMLS CUI [1,2])
Vital signs
Item
Vital signs: every 2 hrs with neuro checks until stable X4, then every 4 hrs
boolean
C0518766 (UMLS CUI [1])
Nursing
Item
Notify MD for: T > 100, BP < 90/60 or > 170/110, seizures, glasgow coma scale < 15
boolean
C0518766 (UMLS CUI [1,1])
C0028678 (UMLS CUI [1,2])
Item
Dilantin loading options
text
C0699512 (UMLS CUI [1])
Code List
Dilantin loading options
CL Item
PO Dilantin____mg (15mg/kg) every 4 hrs X3 doses OR (1)
CL Item
IV Dilantin 50 mg/min; IVP to total of____mg (18mg/kg) then begin Dilantin 300mg PO QD OR (2)
CL Item
Fosphenytoin-load (10-20 PE/kg) (3)
Medications
Item
If PO Dilantin, please specify amount
integer
C0699512 (UMLS CUI [1])
Medications
Item
If IV Dilantin 50 mg/min, please specify IVP to total of
integer
C0699512 (UMLS CUI [1])
Medications
Item
Ativan 2-4 mg slow IVP over 10 min prn active seizures lasting more than 3 min
boolean
C0699194 (UMLS CUI [1])
Medications
Item
Tylenol 650 mg PO every 4-6 hrs prn fever or pain
boolean
C0699142 (UMLS CUI [1])
Medications
Item
MOM 30 mL PO every 12 hrs prn constipation
boolean
C0013227 (UMLS CUI [1])
Medications
Item
Other
boolean
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Medications
Item
If Other, please specify
text
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Lab
Item
Hemogram
boolean
C0200631 (UMLS CUI [1])
Lab
Item
Comp met profile
boolean
C3853758 (UMLS CUI [1])
Lab
Item
VDRL
boolean
C0201406 (UMLS CUI [1])
Lab
Item
Urine Toxicology screen for "drugs of abuse"
boolean
C2702984 (UMLS CUI [1,1])
C0428264 (UMLS CUI [1,2])
Other
Item
MRI of head with and without contrast for "new onset seizures, R/O mass, lesion"
boolean
C0412674 (UMLS CUI [1,1])
C0748604 (UMLS CUI [1,2])
Other
Item
EEG for " new onset seizures"; to be read by neurologist
boolean
C0013819 (UMLS CUI [1,1])
C0748604 (UMLS CUI [1,2])
Consult
Item
Consult
text
C0009818 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Print 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])