Unique Plan Description: Cards Peripheral Intervention/Angiogram post op EKM
Plan Selection Display: Cards Peripheral Intervention/Angiogram post op
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-11-04 20:24:08
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 09:46:46
Available at all facilities: Yes

Cards Peripheral Intervention/Angiogram post op EK
Vital Signs
	Vital Signs
		Routine: Post op
Activity
	Bedrest
		
	Activity-Restrictions
		
	Activity-As Tolerated
		
	Elevate head of bed
		Elevate head of bed 30 degrees
			Comment: continuously
Diet
	NPO
		
	Cardiac Diet
		
	Diabetic Diet
		
Laboratory
Tomorrow's Lab
	CBC with Diff
		T+1;0400, Routine, spec type = Blood
	Basic Metabolic Panel
		T+1;0400, Routine, spec type = Blood
	Homocysteine Total
		T+1;0400, Routine, spec type = Blood
	Lipid Panel
		T+1;0400, Routine, spec type = Blood
	hs Troponin I - FH
		T+1;0400, Routine, spec type = Blood
	hs Troponin T - MH/WH/JE
		T+1;0400, Routine, spec type = Blood
	Myoglobin
		T+1;0400, Routine, spec type = Blood
Diagnostic Tests

	ECG
		T;N, Routine, Indication: Post Cardiac Procedure
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, 50 ml/hr
		1,000 mL, IV, T;N+600, 100 ml/hr
			Comment: to start after 1000mL bicarb for Renal Protocol (GFR<60)
	Dextrose 5% in Lactated Ringers
		1,000 mL, IV, 125 ml/hr
Medications
	aspirin
		325 mg, Tablet-Enteric-Coated, BY MOUTH, DAILY
	Plavix
		75 mg, Tab, BY MOUTH, DAILY, T+1;0900
	aluminum hydroxide/magnesium hydroxide/simethicone 200 mg-200 mg-20 mg/5 mL oral susp
		15 mL, Suspension-Oral, By Mouth, Q4H, PRN, indigestion
	Milk of Magnesia 8% oral suspension
		30 mL, Suspension, By Mouth, DAILY, PRN for constipation
	Tylenol
		650 mg, Tab, BY MOUTH, Q4H, PRN, for temperature > ...
			Comment: 100.6; Total acetaminophen not to exceed 4,000 mg in 24 hours.
	morphine  IV
		4 mg, Syringe, IV PUSH, Q30MIN, PRN, pain-moderate
	Xanax
		0.25 mg, Tab, BY MOUTH, TID, PRN, anxiety
			Comment: hold if too sedated
	Ambien
		5 mg, Tab, BY MOUTH, QHS, PRN, insomnia
	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IV PUSH, BID, IV line flush
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush
Patient Care
	Resuscitation Status
		Full Code
		No Code
	VTE Advisor
		Medical
	Vascular Assessment-Focused
		
		T;N, Q15MIN, 2, Dose(s)/Time(s)
		T;N, Q30MIN, 2, Dose(s)/Time(s)
		T;N, Q4H-Sch minus Q12 Start of Shift
	Incision/Drain Assessment-Focused
		
		T;N, Q15MIN, 2, Dose(s)/Time(s)
		T;N, Q30MIN, 2, Dose(s)/Time(s)
		T;N, Q4H-Sch minus Q12 Start of Shift
	Straight Catheter
		unable to void
	Foley Catheter
		T;N
	Intake and Output
		Q1H
			Comment: Renal Protocol if GFR<60
	Do not give medication
		T;N, Do not give glucophage (metformin) containing medications for 48 hours post peripheral intervention
Cardiac Monitoring
	Cardiac Telemetry Monitoring
		
Therapies

	Oxygen Therapy
		Titrate->Keep Sats>/= to 90

*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