Unique Plan Description: Acute Renal Failure
Plan Selection Display: Acute Renal Failure
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-03-15 13:05:47
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-11-14 09:06:49
Available at all facilities: Yes

Acute Renal Failure
Diet
	Renal Diet
		
	Fluid Restriction
		1500 ml/per day
Laboratory
	Comprehensive Metabolic Panel
		Routine, spec type = Blood
		Stat, spec type = Blood
	CBC with Diff
		Routine, spec type = Blood
		Stat, spec type = Blood
	Magnesium Level
		Routine, spec type = Blood
		Stat, spec type = Blood
	Phosphorus
		Routine, spec type = Blood
		Stat, spec type = Blood
	UA (Culture if Positive)
		Routine, Routine, spec type = Urine
		Stat, Stat, spec type = Urine
	Sodium Urine Random
		Routine, Routine, spec type = Urine
		Stat, Stat, spec type = Urine
	Creatinine Urine Random
		Routine, Routine, spec type = Urine
		Stat, Stat, spec type = Urine
	Urea Urine Random
		Routine, Routine, spec type = Urine
		Stat, Stat, spec type = Urine
	Osmolality Urine Random
		Routine, Routine, spec type = Urine
		Stat, Stat, spec type = Urine
	Protein Urine Random
		Routine, Routine, spec type = Urine
		Stat, Stat, spec type = Urine
	Eosinophil Urine
		Routine, Routine, spec type = Urine
		Stat, Stat, spec type = Urine
	Renal Function Panel
		Routine, spec type = Blood
		Stat, spec type = Blood
	Ionized Calcium
		Routine, spec type = Blood
		Stat, spec type = Blood
	ANA Screen
		Routine, spec type = Blood
		Stat, spec type = Blood
	zzANCA
		Routine, spec type = Blood
		Stat, spec type = Blood
Diagnostic Tests
	US Renal Retro Complete
		Acute Renal Failure
			Comment: Abnormal Findings
	US Duplex Abd Pelvis Renal Scrotum Complete
		Routine, Abnormal Findings
			Comment: Acute Renal Failure
	US Duplex Abd Pelvis Renal Scrotum Limited
		Routine, Abnormal Findings
			Comment: Acute Renal Failure
Patient Care
	Foley Catheter
		T;N, Insert
	Intake and Output
		Q6H-Sch
	No NSAIDS (non steroidal anti-inflamatory)
		
	No ACE (angiotensin converting enzyme) inhibitors
		
	No ARB (angiotensin receptor blocker)
		
	Do not give medication
		Blood pressure medications if SBP less than 100.
	Do Not Notify Nephrologist
		Results of critical BUN and creatinine
	Intake and Output
		Q6H
Consults/Follow-up
	Consult Nephrologist
		Reason for Referral: Acute Renal Failure
	Consult Vascular Surgeon
		Reason for Referral: Vascular Access

Electrophoresis
Laboratory
	Protein Electrophoresis Serum w/Reflex to Immunofixation
		
	Protein Electrophoresis Serum with Immunofixation
		
	Protein Electrophoresis Serum
		
	Kappa Lambda Free Light Chains Quant w/ Ratio
		
	Bence Jones Urine (Immunofixation).
		
	Protein Electrophoresis CSF
		
	Hgb Eval Rflx EP/RBC Solubility
		
Chemistry
		Recommended screening orders are Serum Protein Electrophoresis with Immunofixation and the Kappa Lambda Free Light Chains Quant with Ratio.(NOTE)*
		Serum Electrophoresis orderables include orders with Immunofixation, Reflexing to Immunofixation (if a suspicious band is detected), and without Immunofixation.(NOTE)*
		Urine Electrophoresis Order Bence Jones (Preferred sample is a 24 Hour Urine)(NOTE)*

*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