Unique Plan Description: Cards HF Diuretic Protocol - After hours (MH WH)
Plan Selection Display: Cards HF Diuretic Protocol - After hours (MH WH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2019-05-06 10:53:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 09:42:32
Available at all facilities: Yes

Cards HF Diuretic Protocol - After hours (MH WH)
Vital Signs
	Vital Signs
		T;N, upon arrival and 1 hour post infusion
Laboratory
	Basic Metabolic Panel
		T;N, Stat, spec type = Blood
Medications
		Diuretic-Select the following if home diuretic is equal; to Lasix </=80mg per day or torsemide </= 40mg per day(NOTE)*
	Lasix Injection
		80 mg, IV Push, Once
			Comment: administer over 3-5 min
	Notify MD
		Diuresis results (weight, vitals, output) within 1 hour post infusion
		Diuretic-Select the following if home diuretic is equal; to Lasix > 80mg per day or torsemide > 40mg per day(NOTE)*
	Lasix Injection
		100 mg, IV Push, Once
			Comment: administer over 3-5 min
	Notify MD
		Diuresis results (weight, vitals, output) within 1 hour post infusion
	potassium chloride Oral (MH/WH)
		20 mEq, Tablet-Extended-Release, By Mouth, Once
			Comment: If potassium <4.0 from most recent BMP
Patient Care
	Intake and Output
		
	Patient Education
		Instructions: Inform patient they will be receiving a follow up phone call from the CHF Nurse navigator post discharge
Consults/Follow-up
	Consult Care Navigator
		Education
			Comment: Regarding: CHF management and symptom follow up

*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