Unique Plan Description: ED Kidney Stone
Plan Selection Display: ED Kidney Stone
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 22:39:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-09-05 09:19:33
Available at all facilities: Yes

ED Kidney Stone
Diet
	NPO
		
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Basic 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
		Stat, Stat, spec type = Urine
	Beta-HCG Quantitative - Pregnancy
		Stat, spec type = Blood
Diagnostic Tests
	KUB
		Stat, Kidney Stone(s)
	CT Abd Pelvis R/O Kidney Stone
		Stat, Renal Calculi
		Flank pain, stone disease suspected, T;N, Stat, Other, Please specify
		Flank pain, recurrent stone disease suspected, T;N, Stat, Other, Please specify
		Urinary tract stone, known, symptomatic, complications or risk factors, T;N, Stat, Other, Please specify
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
Medications
	ketorolac injectable
		15 mg, Injection, IV PUSH, Once, STAT
			Comment: < 50ml/min, < 50kg or >= 65 y/o
		30 mg, Injection, IV PUSH, Once, STAT
			Comment: >=50ml/min, >=50kg or <65 y/o
	Dilaudid
		0.5 mg, Injection, IV Push, Once, STAT
		1 mg, Injection, IV PUSH, Once, STAT
		1 mg, Injection, IM-IntraMUSCULAR, Once, STAT
	Phenergan (FH)
		6.25 mg, INT, IVPB, Once, STAT
	ondansetron
		4 mg, Injection, IV Push, Once, STAT
	ondansetron (MH/WH)
		8 mg, Injection, IV Push, Once, STAT
	droPERidol
		0.625 mg, Injection, IV Push, Once, STAT
		1.25 mg, Injection, IV Push, Once, STAT
		0.625 mg, Injection, IM-Intramuscular, Once, STAT
		1.25 mg, Injection, IM-Intramuscular, Once, STAT
	morphine  IV
		4 mg, Syringe, IV PUSH, Once, STAT
		2 mg, Syringe, IV PUSH, Once, STAT
		6 mg, Syringe, IV PUSH, Once, STAT
	acetaminophen-hydrocodone 325 mg-5 mg oral tablet
		1 TAB, Tab, By Mouth, Once, STAT
		2 TAB, Tab, By Mouth, Once, STAT
	acetaminophen-hydrocodone 325 mg-7.5 mg oral tablet
		1 TAB, Tab, By Mouth, Once, STAT
		2 TAB, Tab, By Mouth, Once, STAT
	Percocet 5 mg-325 mg oral tablet
		1 TAB, Tab, By Mouth, Once, STAT
		2 TAB, Tab, By Mouth, Once, STAT
	Flomax
		0.4 mg, Capsule, By Mouth, Once, STAT
	Bentyl
		20 mg, Injection, IM-Intramuscular, Once, STAT
Patient Care
	Bladder Scan
		IN ED
	Oxygen Therapy, Nurse to Administer
		Via Nasal Cannula, Titrate->Keep Sats>/= to 90%
	Foley Catheter
		T;N, Foley
	Straight Catheter
		T;N, Straight
	ED Cardiac Telemetry Monitoring
		T;N
	Continuous Pulse Oximetry by Nurse
		T;N
Consults/Follow-up
	Consult Hospitalist
		Reason for Referral: kidney stone
	Consult Urology
		Reason for Referral: kidney stone

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