Unique Plan Description: Cortisol Stimulation
Plan Selection Display: Cortisol Stimulation
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-12-22 14:40:53
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-01-07 09:56:19
Available at all facilities: Yes

Cortisol Stimulation
Laboratory
		Testing must be scheduled with the Infusion Center in order to arrange the cortrosyn stimulation.(NOTE)*
		At Methodist Hospital please call the MECC Infusion Center (402-354-4379) to schedule.(NOTE)*
		At Jennie Edmundson Hospital please call the Scheduling Department (712-396-7600) to schedule.(NOTE)*
		At Methodist Fremont Hospital please call the Scheduling Department (402-727-3882) to schedule.(NOTE)*
		Patients should present to the Infusion Center for testing.(NOTE)*
	ACTH Level - Random
		T;N, Stat, spec type = Blood
	Cortisol Baseline
		T;N, Stat, spec type = Blood
	Cortisol 30 Min
		T;N, Timed, spec type = Blood
	Cortisol 60 Min
		T;N, Timed, spec type = Blood
Medications
	Cortrosyn
		0.25 mg, Injection, IV Push, Once
			Comment: Draw times must be validated based on time Cortrosyn given.  Please notify phlebotomy department to coordinate.
		0.25 mg, Injection, IM-Intramuscular, Once
			Comment: Draw times must be validated based on time Cortrosyn given.  Please notify phlebotomy department to coordinate.
	cosyntropin (In Office)
		0.25 mg, Injection, IM-Intramuscular, Once, T;N
			Comment: Draw times must be validated based on time Cortrosyn given.  Please notify phlebotomy department to coordinate.
		0.25 mg, Injection, IV Push, Once, T;N
			Comment: Draw times must be validated based on time Cortrosyn given.  Please notify phlebotomy department to coordinate.
Patient Care
	Notify MD
		T;N, Pathologist if MD orders cortisol level to be drawn greater than 60 minutes after Cortrosyn dose

*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