ID

16925

Beskrivning

AAFP: Hyponatremia 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 nineteenth section ("Hyponatremia Admission Order").

Länk

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

Nyckelord

Versioner (2)
  1. 2016-06-29 2016-06-29 -
  2. 2016-08-14 2016-08-14 -
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14 augusti 2016

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AAFP: Hyponatremia Admission Order

Engelsk

AAFP: Hyponatremia 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
Attending
Beskrivning

Attending

Name of attending physician
Beskrivning

Name of 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

Hyponatremia Associated Diagnoses
Beskrivning

Admitting Diagnosis

Datatyp

text

Alias
UMLS CUI [1]
C0332133
Condition
Beskrivning

Condition

Condition
Beskrivning

Medical Condition

Datatyp

text

Alias
UMLS CUI [1]
C1699700
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

NPO

Datatyp

boolean

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

Clear liquid

Datatyp

boolean

Alias
UMLS CUI [1]
C2184084
AHA step 2
Beskrivning

AHA step 2

Datatyp

boolean

Alias
UMLS CUI [1]
C2191775
ADA_calories
Beskrivning

ADA__calories

Datatyp

boolean

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

Amount of calories

Datatyp

integer

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

Other Diet

Datatyp

boolean

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

If Other, please specify

Datatyp

text

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

Activity

Bed rest with bathroom privileges with assistance
Beskrivning

Bed rest with bathroom privileges

Datatyp

boolean

Alias
UMLS CUI [1]
C0026606
Nursing
Beskrivning

Nursing

Orthostatic VS every 4 hrs until stable x4, then every shift
Beskrivning

Orthostatic Vital signs

Datatyp

boolean

Alias
UMLS CUI [1]
C1827287
Notify MD for: T > 101, BP < 90/60 or > 190/100, neuro changes
Beskrivning

Notify MD for: T > 101, BP < 90/60 or > 190/100, neuro changes

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C1639221
IV
Beskrivning

IV

_normal saline IV @500 mL/hr until orthostasis resolves, then
Beskrivning

__normal saline IV @500 mL/hr until orthostasis resolves, then

Datatyp

boolean

Alias
UMLS CUI [1]
C0445115
UMLS CUI [2]
C0149746
following to the Item above
Beskrivning

dextrose with normal saline

Datatyp

text

Alias
UMLS CUI [1]
C0308813
If ___normal saline IV@ 500mL/hr, ,please specify
Beskrivning

If ___normal saline IV@ 500mL/hr, ,please specify

Datatyp

text

Alias
UMLS CUI [1]
C0445115
If Dextrose 5% normal saline, please specify amount
Beskrivning

If Dextrose 5% normal saline, please specify amount

Datatyp

integer

Alias
UMLS CUI [1,1]
C0308813
UMLS CUI [1,2]
C0678766
If Dextrose 5% in 1/2 normal saline, please specify amount
Beskrivning

IV Hypovolemic

Datatyp

integer

Alias
UMLS CUI [1,1]
C0308813
UMLS CUI [1,2]
C0678766
Lasix 80 mg IV/PO daily
Beskrivning

Lasix

Datatyp

boolean

Alias
UMLS CUI [1]
C0016860
Dextrose 5% in water @___mL/hr
Beskrivning

Dextrose 5% in water @___mL/hr

Datatyp

boolean

Alias
UMLS CUI [1]
C0770259
If Dextrose 5% in water, please specify amount
Beskrivning

If Dextrose 5% in water, please specify amount

Datatyp

integer

Alias
UMLS CUI [1,1]
C0770259
UMLS CUI [1,2]
C0678766
Lab
Beskrivning

Lab

CMP, UA, urine Na+, TSH, urine OSM, plasma osmolality and CXR on arrival daily BMP
Beskrivning

CMP, UA, urine Na+, TSH, urine OSM, plasma osmolality and CXR on arrival daily BMP

Datatyp

boolean

Alias
UMLS CUI [1]
C3853758
UMLS CUI [2]
C0042014
UMLS CUI [3]
C1256585
UMLS CUI [4]
C0860721
UMLS CUI [5]
C0039985
Consider
Beskrivning

Consider

DVT prophylaxis with Lovenox 40 mg SQ daily
Beskrivning

DVT prophylaxis with Lovenox

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0853245
UMLS CUI [1,2]
C0728963
D/C medications that could contribute to hyponatremia (i.e., diuretics, tegratol, SSRI, amiodarone, theophylline)
Beskrivning

medications that could contribute to hyponatremia

Datatyp

boolean

Alias
UMLS CUI [1]
C0013227
UMLS CUI [2]
C0020625
Signature
Beskrivning

Signature

Datatyp

text

Alias
UMLS CUI [1]
C1519316
Print Name
Beskrivning

Print 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: Hyponatremia 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
Telemetry (4)
CL Item
ICU (5)
Item Group
Attending
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])
Item Group
Admitting Diagnosis
Admitting Diagnosis
Item
Hyponatremia Associated Diagnoses
text
C0332133 (UMLS CUI [1])
Item Group
Condition
Item
Condition
text
C1699700 (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
NPO
Item
NPO
boolean
C0419179 (UMLS CUI [1,1])
C0012155 (UMLS CUI [1,2])
Clear liquid
Item
Clear liquid
boolean
C2184084 (UMLS CUI [1])
AHA step 2
Item
AHA step 2
boolean
C2191775 (UMLS CUI [1])
ADA__calories
Item
ADA_calories
boolean
C0012155 (UMLS CUI [1,1])
C1556156 (UMLS CUI [1,2])
Amount of calories
Item
If Diet according to ADA, please specify amount of calories
integer
C0012155 (UMLS CUI [1,1])
C1556156 (UMLS CUI [1,2])
Other Diet
Item
Other Diet
boolean
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
If Other, please specify
Item
If Other, please specify
text
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Activity
Bed rest with bathroom privileges
Item
Bed rest with bathroom privileges with assistance
boolean
C0026606 (UMLS CUI [1])
Item Group
Nursing
Orthostatic Vital signs
Item
Orthostatic VS every 4 hrs until stable x4, then every shift
boolean
C1827287 (UMLS CUI [1])
Notify MD for: T > 101, BP < 90/60 or > 190/100, neuro changes
Item
Notify MD for: T > 101, BP < 90/60 or > 190/100, neuro changes
boolean
C0518766 (UMLS CUI [1,1])
C1639221 (UMLS CUI [1,2])
Item Group
IV
__normal saline IV @500 mL/hr until orthostasis resolves, then
Item
_normal saline IV @500 mL/hr until orthostasis resolves, then
boolean
C0445115 (UMLS CUI [1])
C0149746 (UMLS CUI [2])
Item
following to the Item above
text
C0308813 (UMLS CUI [1])
IV: Hypovolmic
Code List
following to the Item above
CL Item
Dextrose 5% normal saline (if hyperosmolar) at __mL/hr OR (1)
CL Item
Dextrose 5%in 1/2 normal saline (if not hyperosmolar) at___mL/hr (2)
If ___normal saline IV@ 500mL/hr, ,please specify
Item
If ___normal saline IV@ 500mL/hr, ,please specify
text
C0445115 (UMLS CUI [1])
If Dextrose 5% normal saline, please specify amount
Item
If Dextrose 5% normal saline, please specify amount
integer
C0308813 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
IV Hypovolemic
Item
If Dextrose 5% in 1/2 normal saline, please specify amount
integer
C0308813 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
Lasix
Item
Lasix 80 mg IV/PO daily
boolean
C0016860 (UMLS CUI [1])
Dextrose 5% in water @___mL/hr
Item
Dextrose 5% in water @___mL/hr
boolean
C0770259 (UMLS CUI [1])
If Dextrose 5% in water, please specify amount
Item
If Dextrose 5% in water, please specify amount
integer
C0770259 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
Item Group
Lab
CMP, UA, urine Na+, TSH, urine OSM, plasma osmolality and CXR on arrival daily BMP
Item
CMP, UA, urine Na+, TSH, urine OSM, plasma osmolality and CXR on arrival daily BMP
boolean
C3853758 (UMLS CUI [1])
C0042014 (UMLS CUI [2])
C1256585 (UMLS CUI [3])
C0860721 (UMLS CUI [4])
C0039985 (UMLS CUI [5])
Item Group
Consider
DVT prophylaxis with Lovenox
Item
DVT prophylaxis with Lovenox 40 mg SQ daily
boolean
C0853245 (UMLS CUI [1,1])
C0728963 (UMLS CUI [1,2])
medications that could contribute to hyponatremia
Item
D/C medications that could contribute to hyponatremia (i.e., diuretics, tegratol, SSRI, amiodarone, theophylline)
boolean
C0013227 (UMLS CUI [1])
C0020625 (UMLS CUI [2])
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])
Tillbaka till toppen 

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