Unique Plan Description: Cards TAVR Pre op (MH)
Plan Selection Display: Cards TAVR Pre op (MH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2019-04-24 15:24:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 09:48:25
Available at all facilities: Yes

Cards TAVR Pre op (MH)
Admit/Discharge/Transfer
	Admit to Inpatient Status
		T;N
Vital Signs
	Vital Signs
		T;N, Routine
Activity
	Activity-As Tolerated
		
Diet
	NPO
		After Midnight, Except for Medications
Laboratory
	CBC with Diff
		T;N, Stat, spec type = Blood
	INR - MH/WH/JE
		T;N, Stat, spec type = Blood
	Basic Metabolic Panel
		T;N, Stat, spec type = Blood
	Magnesium Level
		T;N, Stat, spec type = Blood
	Urinalysis (Culture if Pos)
		T;N, Stat, Stat, spec type = Urine
	Albumin
		T;N, Stat, spec type = Blood
	ProBNP
		T;N, Stat, spec type = Blood
	Type and Screen (No Product on hold)
		T;N, Stat, spec type = Blood
	Type and Crossmatch (Product Available)
		T;N, Stat, 2, No Requirements, Keep Ahead
Diagnostic Tests
	Chest 2 View
		T;N, Routine, Chest Pain
	ECG
		
IV Solutions
	Sodium Chloride 0.45%
		1,000 mL, IV, 100 ml/hr
		1,000 mL, IV, 10 ml/hr
		1,000 mL, IV, 20 ml/hr
	Dextrose 5% in Water
		1,000 mL, IV, 100 ml/hr
		1,000 mL, IV, 20 ml/hr
Medications
	metoprolol TARTRATE
		12.5 mg, Tab, By Mouth, PREOP, for see comment
			Comment: if no beta blocker ordered
	aspirin
		81 mg, Tablet-Chew, By Mouth, PREOP, T;N
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
			Comment: To be started 1 hour prior to procedure; coordinate with Cath Lab
	vancomycin IVPB
		15 mg/kg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: To be started 2 hours prior to procedure; coordinate with Cath Lab
Patient Care
	Obtain Consent/Permit for:
		Transcatheter Aortic Valvular Replacement Transfemoral
			Comment: Possible aortagram with possible percutaneous angioplasty and stent
		Transcatheter Aortic Valvular Replacement, Subclavian
			Comment: Possible aortagram with possible percutaneous angioplasty and stent
		Transcatheter Aortic Valvular Replacement Direct Aortic
		Transcatheter Aortic Valvular Replacement Transapical
		Possible permanent pacemaker
	Foley Catheter
		Insert, am of procedure
	Notify MD
		Temperature > 101.5, pulse < 50 or >120, resp rate <8 or >28, systolic bp < 90 or >180, diastolic bp >90, oxygen saturation < 88%.
	Resuscitation Status
		Full Code
Therapies
	Consult Physical Therapy, Evaluate and Treat
		T;N, Reason to See: Evaluate and Treat
			Comment: to include 5 M walk with 3 different times documented. To be done within 30 days of procedure

*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