Unique Plan Description: ED Nausea Vomiting
Plan Selection Display: ED Nausea Vomiting
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 21:06:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-10-23 09:53:44
Available at all facilities: Yes

ED Nausea Vomiting
Vital Signs
	BP and Pulse, Orthostatic
		Once, in ED
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
			Comment: change the indwelling catheter prior to obtaining specimen if catheter in place greater than 2 weeks, or unknown.
	Lipase Level
		Stat, spec type = Blood
	Pregnancy Test Urine
		Stat, Stat, spec type = Urine
	hs Troponin T
		Stat, spec type = Blood
	Beta-HCG Quantitative - Pregnancy
		Stat, spec type = Blood
	Toxicology Screen DAU
		T;N, Stat, Urine Random, spec type = Urine
	Blood Gases VENOUS (VBG)
		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
	Beta-Hydroxybutyrate (Inpatient)
		T;N, Stat, spec type = Blood
Diagnostic Tests
	CT Abd Pelvis w Contrast
		Stat, Nausea
	Abd & Upright
		Stat, Nausea
	Abd & Upright w Chest
		Stat, Nausea
	US Abd Limited
		Stat
	ECG in ED
		Stat
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
		1,000 mL, IV, STAT, 500 ml/hr
		1,000 mL, IV, STAT, 125 ml/hr
		1,000 mL, IV, STAT, 100 ml/hr
		1,000 mL, IV, STAT, 75 ml/hr
Medications
	ondansetron
		4 mg, Injection, IV Push, Once, STAT
	ondansetron (MH/WH)
		8 mg, Injection, IV Push, Once, STAT
	ondansetron
		4 mg, Tablet, Disintegrating, By Mouth, Once, STAT
		8 mg, Tablet, Disintegrating, By Mouth, Once, STAT
	Reglan
		10 mg, Injection, IV Push, Once, STAT
	prochlorperazine
		5 mg, Injection, IV Push, Once, STAT
		10 mg, Injection, IV Push, Once, STAT
	Phenergan (FH)
		6.25 mg, Injection, IM-Intramuscular, Once, STAT
			Comment: Give as Deep IM Injection
		12.5 mg, Injection, IM-Intramuscular, Once, STAT
			Comment: Give as Deep IM Injection
	ondansetron (JE)
		1.6 mg, Liquid, By Mouth, Once, STAT, 4 hr
			Comment: Infants 6 months-1 year
		3.2 mg, Liquid, By Mouth, Once, STAT, 4 hr
			Comment: Infants 6 months-1 year
		4 mg, Liquid, By Mouth, Once, STAT, 4 hr
			Comment: Children 1-3 years
	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
Patient Care
	Enteral Tube
		T;N, Per Nasogastric Tube (NG), Insert, X Ray, Once
	Continuous Pulse Oximetry by Nurse
		T;N, Once
	Foley Catheter
		T;N, Insert, Once
	Straight Catheter
		T;N, Insert, Once
	ED Cardiac Telemetry Monitoring
		T;N
	Oxygen Therapy, Nurse to Administer
		T;N
Consults/Follow-up
	Consult Gastroenterologist
		Reason for Referral: nausea/vomiting
	Consult General Surgery
		Reason for Referral: nausea/vomiting
	Consult Hospitalist
		Reason for Referral: nausea/vomiting

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