{\rtf1\ansi\ansicpg1252\uc0\deff0{\fonttbl {\f0\fswiss\fcharset0\fprq2 Arial;} {\f1\froman\fcharset2\fprq2 Symbol;}} {\colortbl;\red0\green0\blue0;\red255\green255\blue255;} {\stylesheet{\s0\f0\fs24 [Normal];}{\*\cs10\additive Default Paragraph Font;}} {\*\generator TX_RTF32 10.1.323.501;} \deftab1134\paperw12000\paperh15000\margl770\margt770\margr770\margb770\pard \tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\tx10080\plain\f0\fs20\b Unique Plan Description: DKA HHS\par Plan Selection Display: DKA HHS\par PlanType: Medical \par Version: 3 \par Begin Effective Date: 2023-07-25 15:33:00\par End Effective Date: 2100-12-31 00:00:00\par Last Updated Date: 2024-02-12 11:42:16\par Available at all facilities: Yes\par \plain\f0\fs20\b\par\par DKA HHS \par \plain\f0\fs20\b Diet \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab NPO \par\tab\tab\plain\f0\fs20\i T;N \par \plain\f0\fs20\b Laboratory \par \plain\f0\fs20\b STAT, one time \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Blood Gases Arterial (ABG) - MH/WH/JE \par\tab\tab\plain\f0\fs20\i T;N, Stat, spec type = Blood \par\tab\tab\tab\plain\f0\fs20\i Comment: IF NOT DONE IN ED \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Blood Gases Arterial (ABG) - FH \par\tab\tab\plain\f0\fs20\i T;N, Stat, spec type = Blood \par\tab\tab\tab\plain\f0\fs20\i Comment: IF NOT DONE IN ED \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Blood Gases VENOUS (VBG) \par\tab\tab\plain\f0\fs20\i T;N, Stat, spec type = Blood \par\tab\tab\tab\plain\f0\fs20\i Comment: IF NOT DONE IN ED \par\tab\tab\plain\f0\fs20\i T;N+240, Stat, spec type = Blood \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab CBC with Diff \par\tab\tab\plain\f0\fs20\i T;N, Stat, spec type = Blood \par\tab\tab\tab\plain\f0\fs20\i Comment: IF NOT DONE IN ED \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab CMP \par\tab\tab\plain\f0\fs20\i T;N, Stat, spec type = Blood \par\tab\tab\tab\plain\f0\fs20\i Comment: IF NOT DONE IN ED \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Magnesium Level \par\tab\tab\plain\f0\fs20\i T;N, Stat, spec type = Blood \par\tab\tab\tab\plain\f0\fs20\i Comment: IF NOT DONE IN ED \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Phosphorus \par\tab\tab\plain\f0\fs20\i T;N, Stat, spec type = Blood \par\tab\tab\tab\plain\f0\fs20\i Comment: IF NOT DONE IN ED \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab UA (Culture if Positive) \par\tab\tab\plain\f0\fs20\i T;N, Stat, Stat, spec type = Urine \par\tab\tab\tab\plain\f0\fs20\i Comment: IF NOT DONE IN ED \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Beta-Hydroxybutyrate (Inpatient) \par\tab\tab\plain\f0\fs20\i T;N, Stat, spec type = Blood \par\tab\tab\tab\plain\f0\fs20\i Comment: IF NOT DONE IN ED \par \plain\f0\fs20\b Timed Lab \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Basic Metabolic Panel \par\tab\tab\plain\f0\fs20\i T;N+240, Timed, Q4H, 24, hr, spec type = Blood \par\tab\tab\plain\f0\fs20\i T;N+1680, Timed, Q6H, 24, hr, spec type = Blood \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Magnesium Level \par\tab\tab\plain\f0\fs20\i T+1;0400, Routine, Q24H, 2, Day(s), spec type = Blood \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Phosphorus \par\tab\tab\plain\f0\fs20\i T+1;0400, Routine, Q24H, 2, Day(s), spec type = Blood \par \plain\f0\fs20\b IV Solutions \par \plain\f0\fs20\b \par \plain\f0\fs20\tab\tab
120. Make sure there is D5% in IV fluid, if not add D5% to existing IV fluids. Glucose 60 - 119mg/dL, STOP insulin infusion. Check every 30 minutes. Restart at 50% prior rate once the glucose is >119mg/dL. Make sure there is D5% in IV fluid, if not add D5% to existing IV fluids. Glucose 120-249mg/dL = Therapeutic Range - No Changes Glucose <250 ensure a D5 fluid is running and decrease fluid rate to 125 mL/hr. Infusion goal is to decrease blood glucose by ~60mg/dL/hr until glucose is 120-250mg/dL. Glucose >=250mg/dL goal is to decrease ~60mg/dL per hour; If glucose has decreased by >70mg/dl from the last glucose check, decrease insulin rate by 50%, and check glucose in 30 minutes. If glucose has decreased 50 - 70mg/dL from the last check, continue current rate. If glucose has decreased <50mg/dL,or is greater than previous BG from last check, double the current rate, and check glucose in 30 minutes \par\tab\tab\plain\f0\fs20\i 100 units, EVERY BAG, 4 units/hr \par \plain\f0\fs20\b Medications \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab insulin regular for IV injection \par\tab\tab\plain\f0\fs20\i 0.1 units/kg, Solution-Injection, IV Push, Once, STAT \par\tab\tab\tab\plain\f0\fs20\i Comment: if blood sugar is greater than 300 and IF NO BOLUS GIVEN IN ED \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Dextrose 50% \par\tab\tab\plain\f0\fs20\i 50 mL, Injection, IV Push, Q15MIN, PRN low blood sugar, STAT \par\tab\tab\tab\plain\f0\fs20\i Comment: If glucose <60mg/dL: Repeat the blood glucose in 15 minutes. May repeat dextrose as often as needed if blood sugar still less than 60 mg/dL. \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab glucagon \par\tab\tab\plain\f0\fs20\i 1 mg, Injection, IV Push, Q15MIN, PRN low blood sugar \par\tab\tab\tab\plain\f0\fs20\i Comment: If glucose < 60 mg/dL and if dextrose 50% not available or inadequate response to IV dextrose 50%. May give SQ or IM if patient does not have IV access. Notify provider if given with corresponding POC glucose recheck value \par \plain\f0\fs20\tab\tab 95 to decrease rate. \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, T;N+180, 1 Dose(s)/Time(s), 250 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: for SBP>95 \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, T;N+420, 125 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: For SBP>95 \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Dextrose 5% with 0.45% NaCl \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, 125 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: Initiate and replace IV fluids when glucose < or = to 250, and patient not on any IV or TPN \plain\f0\fs20\b\par\par Lactated Ringer Option \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Lactated Ringers Injection \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, 1 Dose(s)/Time(s), 1,000 ml/hr, 1 hr \par\tab\tab\tab\plain\f0\fs20\i Comment: for SBP < 95 and NS 1000mL not already completed in ED \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, T;N+60, 1 Dose(s)/Time(s), 500 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: for SBP < 95; Notify provider when SBP consistently > 95 to decrease rate. \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, T;N+180, 1 Dose(s)/Time(s), 250 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: for SBP>95 \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, T;N+420, 125 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: For SBP>95 \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Dextrose 5% in Lactated Ringers \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, 125 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: Initiate and replace IV fluids when glucose < or = to 250, and patient not on any IV or TPN \plain\f0\fs20\b\par\par Sodium Chloride 0.9% Option \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Sodium Chloride 0.9% \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, 1 Dose(s)/Time(s), 1,000 ml/hr, 1 hr \par\tab\tab\tab\plain\f0\fs20\i Comment: for SBP < 95 and not already completed in ED; Stat Sodium Level when complete. \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, T;N+60, 1 Dose(s)/Time(s), 500 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: for SBP < 95; Notify provider when SBP consistently > 95 to decrease rate. \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, T;N+180, 1 Dose(s)/Time(s), 250 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: for SBP>95 \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, T;N+420, 125 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: For SBP>95 \plain\f0\fs20\par {\pict\wmetafile8\picw423\pich423\picwgoal240\pichgoal240\picscalex100\picscaley100 010009000003b80100000000a20100000000050000000b0200000000050000000c02a701a701a2010000430f2000cc0000001000100000000000a701a70100000000280000001000000010000000010018000000000000030000c40e0000c40e00000000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffff808080000000c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffff000000ffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffff000000000000000000ffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffff000000000000ffffff000000000000ffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffff000000000000ffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffff000000000000ffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffc0c0c0000000ffffffffffffffffff808080000000000000000000000000000000000000000000000000000000000000c0c0c0000000ffffffffffffffffff808080808080808080808080808080808080808080808080808080808080808080808080000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff030000000000} \tab Dextrose 5% with 0.9% NaCl \par\tab\tab\plain\f0\fs20\i 1,000 mL, IV, 125 ml/hr \par\tab\tab\tab\plain\f0\fs20\i Comment: Initiate and replace IV fluids when glucose < or = to 250, and patient not on any IV or TPN \par\par\plain\f0\fs20\b *Report Legend: \par\plain\f0\fs20 DEF - This order sentence is the default for the selected order\par GOAL - This component is a goal\par IND - This component is an indicator\par INT - This component is an intervention\par IVS - This component is an IV Set\par NOTE - This component is a note\par Rx - This component is a prescription\par SUB - This component is a sub phase\par }