Unique Plan Description: ED Hypoglycemia
Plan Selection Display: ED Hypoglycemia
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 22:36:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-09-05 09:19:10
Available at all facilities: Yes

ED Hypoglycemia
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
	Pregnancy Test Urine
		
	Beta-HCG Quantitative - Pregnancy
		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
	Lipase Level
		Stat, spec type = Blood
Diagnostic Tests
	ECG in ED
		T;N, Stat, Indication: Weakness
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
		1,000 mL, IV, STAT, 75 ml/hr
		1,000 mL, IV, STAT, 100 ml/hr
		1,000 mL, IV, STAT, 125 ml/hr
		1,000 mL, IV, STAT, 500 ml/hr
	Dextrose 5% in Water
		1,000 mL, IV, STAT, 75 ml/hr
	Dextrose 10% in Water
		1,000 mL, IV, STAT, 75 ml/hr
Medications
	glucose oral gel (JE)
		15 gm, Gel, BY MOUTH, Once, STAT
	glucagon
		1 mg, Injection, SUBCUTANEOUS, Once, STAT
		1 mg, Injection, IM-IntraMUSCULAR, Once, STAT
		1 mg, Injection, IV PUSH, Once, STAT
	Dextrose 50%
		50 mL, Injection, IV PUSH, Once, STAT
		25 mL, Injection, IV PUSH, Once, STAT
	Dextrose 10% intravenous soln (Bolus)
		250 mL, IVPB, Once, STAT, 500 ml/hr
			Comment: bolus over 30min or faster based upon provider discretion; replacement for a D50 syringe
		For pediatric use(NOTE)*
		1 mL/kg, IV Push, Once, STAT
			Comment: Pediatric dosing. Send in syringe.
		2 mL/kg, IV Push, Once, STAT
			Comment: Pediatric dosing. Send in syringe.
Patient Care
	ED Cardiac Telemetry Monitoring
		T;N
			Comment: Continuous
	Continuous Pulse Oximetry by Nurse
		Once
	Oxygen Therapy, Nurse to Administer
		
	Bladder Scan
		Once
	Foley Catheter
		Insert, Once
	Straight Catheter
		Insert, Once
	Glucose POC - RN
		Once
		as needed
			Comment: For signs and symptoms of hyper or hypoglycemia.
	Notify MD of Lab results
		T;N, as needed
			Comment: immediately if initial glucose <55.
	Glucose POC - RN
		T;N+120, Once
			Comment: if initial glucose 200-299, repeat glucose in 2 hours.
	Notify MD of Lab results
		as needed if glucose 200-299, in 2 hours. If no orders received, repeat glucose POC q2h until glucose <200mg/d
	Glucose POC - RN
		Q2H-Sch
	Notify MD of Lab results
		as needed
			Comment: immediately if initial glucose >300mg/dL. If no orders received, repeat glucose POC q1h. If insulin
	Glucose POC - RN
		Q1H
Consults/Follow-up
	Consult Endocrinologist
		Reason for Referral: Hypoglycemia
	Consult Hospitalist
		Reason for Referral: Hypoglycemia

ED Peripheral Lock Insert with Flush
Medications
	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush, 4 hr
Patient Care
	Peripheral Lock-Insert
		T;N, Once

*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