Unique Plan Description: Delirium
Plan Selection Display: Delirium
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2022-09-06 08:30:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-09-21 09:58:58
Available at all facilities: Yes

Delirium
Activity
	Ambulate
		T;N
			Comment: Frequent mobilization of patient. If unable to ambulate, initiate ROM
	Toilet patient
		T;N, Q2H-Sch, While awake
Laboratory
STAT Lab
	CBC with Diff
		T;N, Stat, spec type = Blood
	Comprehensive Metabolic Panel
		T;N, Stat, spec type = Blood
	TSH
		T;N, Stat, spec type = Blood
	Vitamin B12 Level
		T;N, Stat, spec type = Blood
	Blood Gases Arterial (ABG) - MH/WH/JE
		Stat, spec type = Blood
	Blood Gases Arterial (ABG) - FH
		T;N, Stat, spec type = Blood
	Lactate
		T;N, Stat, spec type = Blood
	UA (Culture if Positive)
		T;N, Stat, Stat, spec type = Urine
	COVID-19 (2019 Novel Coronavirus) by PCR
		T;N, Stat, spec type = Nasopharynx
	Glucose POC - RN
		T;N, Stat, spec type = Blood
	hs Troponin T - MH/WH/JE
		T;N, Stat, spec type = Blood
	hs Troponin I - FH
		T;N, Stat, spec type = Blood
Diagnostic Tests

	Chest 1 View
		T;N, Stat
	Chest 2 View
		T;N, Stat
	CT Head w/o Contrast
		T;N, Stat, Mental Status Change
	ECG
		
Medications
	acetaminophen
		1,000 mg, Tab, By Mouth, Q8H
	acetaminophen 10 mg/mL intravenous solution
		1,000 mg, Solution-Injection, IVPB, Q8H, infuse over 3 Dose(s)/Time(s)
	melatonin
		5 mg, By Mouth, QHS, PRN insomnia
			Comment: May repeat once after 2 hours if needed
		                                Antipsychotics should be used as a last resort. If necessary, start at the lowest possible dose and increase if not effective(NOTE)*
	QUEtiapine
		12.5 mg, Tab, By Mouth, QHS, PRN psychosis
			Comment: hallucinations/paranoia/delusions
		12.5 mg, Tab, By Mouth, Q12H, PRN psychosis
			Comment: hallucinations/paranoia/delusions
		25 mg, Tab, By Mouth, QHS, PRN psychosis
			Comment: hallucinations/paranoia/delusions
		25 mg, Tab, By Mouth, Q12H, PRN psychosis
			Comment: hallucinations/paranoia/delusions
	OLANZapine
		2.5 mg, Tab, By Mouth, QHS, PRN psychosis
			Comment: hallucinations/paranoia/delusions
		2.5 mg, Tab, By Mouth, Q12H, for psychosis
			Comment: hallucinations/paranoia/delusions
		5 mg, Tab, By Mouth, QHS, PRN psychosis
			Comment: hallucinations/paranoia/delusions
		5 mg, Tab, By Mouth, Q12H, for psychosis
			Comment: hallucinations/paranoia/delusions
		2.5 mg, Injection, IM-Intramuscular, Q8H, PRN psychosis
			Comment: hallucinations/paranoia/delusions. If unable to administer oral or IV antipsychotic
		5 mg, Injection, IM-Intramuscular, Q8H, PRN psychosis
			Comment: hallucinations/paranoia/delusions. If unable to administer oral or IV antipsychotic
	haloperidol  Injectable
		2 mg, IV, Q8H, PRN psychosis
			Comment: hallucinations/paranoia/delusions. If unable to administer oral antipsychotic.
Patient Care
	Notify MD
		T;N, if NPO for IVF Order
	Bladder Scan
		T;N, Stat
	Enter Care Plan
		T;N, Confusion Actue or Delirium: Risk for or present
	Offer Fluids
		Encourage fluid intake
Consults/Follow-up
	Pharmacy Consult
		T;N, Review all medications/doses focusing on medications that may contribute to acute confusion, Routine
			Comment: Review all medications/doses focusing on medications that may contribute to acute confusion (Such as: diphenhydramine, lorazepam, zolpidem, metoclopramide, promethazine, prochlorperazine, Do NOT stop certain medications abruptly, such as: Acetycholinesterase inhibitors, Antieleptics, Benzodiazapines, Opioids, Sedatives/hypnotics, SSRIs, Steroids)
	Cardiac Telemetry Monitoring
		Telemetry Indications: IV Haldol, Telemetry Indications: Other

*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