Unique Plan Description: Acute Diarrhea
Plan Selection Display: Acute Diarrhea
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 14:58:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-01-24 13:44:37
Available at all facilities: Yes

Acute Diarrhea
Vital Signs
	BP, Orthostatic
		T;N, DAILY
Diet
	BRAT Diet
		T;N, Advance as Tolerated
Laboratory
	Fecal Lactoferrin
		T;N, Routine, spec type = Stool
	Stool Pathogen Panel (PCR)
		T;N, Routine, spec type = Stool
		Includes targets for: Campylobacter, Salmonella, Shigella, Vibrio, Yersinia enterocolitica, Shiga Toxins 1 and 2, Norovirus and Rotavirus.(NOTE)*
	C Diff EIA Reflex to PCR
		T;N, Routine, spec type = Stool
	O and P Screen
		T;N, Routine, spec type = Stool
	Norovirus PCR
		T;N, Routine, spec type = Stool
	Occult Blood Stool - MH/WH/FH
		T;N, Routine, spec type = Stool
		T+1;0400, Routine, spec type = Stool
	Occult Blood Stool - JE
		T;N, Routine, spec type = Stool
		T+1;0400, Routine, spec type = Stool
IV Solutions
	Dextrose 5% with 0.9% NaCl
		1000 mL IV, 125 ml/hr
	Dextrose 5% with 0.9% NaCl w/KCl 20 mEq
		1,000 mL, IV, 125 ml/hr
	Sodium Chloride 0.9%
		1,000 mL, IV, Bolus
Medications
	Imodium
		4 mg, Capsule, By Mouth, Once, NOW
			Comment: Do not give if blood stools/fever
		2 mg, Capsule, By Mouth, Q4H, PRN, diarrhea
			Comment: Do not give if blood stools/fever; do not exceed 16mg/day
	Pepto-Bismol
		524 mg, Tablet-Chew, BY MOUTH, Q30MIN, PRN, 8 Dose(s)/Time(s)
		30 mL, Suspension, BY MOUTH, Q30MIN, PRN, duration: 8 Dose(s)/Time(s)
	Questran Light
		4 gm, Packet, BY MOUTH, QID, PRN, diarrhea
			Comment: avoid administration with other oral medications
	Lomotil
		1 TAB, Tab, By Mouth, Q6H, PRN, diarrhea
			Comment: Do not give if blood stools/fever
		2 TAB, Tab, By Mouth, Q6H, PRN, diarrhea
			Comment: 2 tabs PRN, then 1 tab PRN after each loose stool; max 8 tabs/day
Consults/Follow-up
	Consult Gastroenterologist
		Reason for Referral: diarrhea, Refer to/Consult with: Midwest GI
	Consult Infectious Disease
		Reason for Referral: diarrhea, Refer to/Consult with: Kotula/Gholami
		Reason for Referral: diarrhea, Refer to/Consult with: Penn
		Reason for Referral: diarrhea, Refer to/Consult with: Southard/Alvarez
			Comment: JE only
		Reason for Referral: diarrhea, Refer to/Consult with: Dr. Angela Sukstorf
			Comment: FH only

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase