Unique Plan Description: NICU Hypercoagulation (WH)
Plan Selection Display: NICU Hypercoagulation (WH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-11-22 14:37:43
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 11:14:32
Available at all facilities: Yes

NICU Hypercoagulation (WH)
Laboratory
	Anti-Factor Xa LMWH Lovenox
		T;N, Routine, spec type = Blood
	Heparin Anti-Xa Heparin
		T;N, Routine, spec type = Blood
	Cardiolipin Antibodies IgG and IgM
		T;N, Routine, spec type = Blood
	Factor V Leiden Mutation  (PreAuth Req)
		T;N, spec type = Blood
	Protein C Functional
		T;N, Routine, spec type = Blood
	Protein C Resistance
		T;N, Routine, spec type = Blood
	Protein C Resistance with Reflex to PCR (PreAuth Req)
		T;N, Routine, spec type = Blood
	Protein S Functional
		T;N, Routine, spec type = Blood
	Prothrombin (F2) G20210A Pathogenic Variant (PreAuth Req)
		T;N, Routine, spec type = Blood
	INR - MH/WH/JE
		T;N, Routine, spec type = Blood
	PTT - MH/WH/JE
		T;N, Routine, spec type = Blood
Diagnostic Tests
Radiology
	CT Head w/o Contrast
		T;N, Routine, Thrombosis
	MRA Head w/o Contrast
		T;N, Routine, Thrombosis
	MRI Brain w/o Contrast
		T;N, Routine, Seizure
	MRV Head w/o Contrast
		T;N, Routine, Thrombosis
	US Head Complete
		T;N, Routine, Intracranial Bleed
Diagnostics
	US Duplex Aorta IVC Limited
		T;N, Routine
			Comment: Doppler shows velocity and resistance of blood flow; color flow  displays the direction of blood flow of the aorta/IVC
IV Solutions

	HEParin 2,500 units/D5W 50 mL (NICU)
		50 mL, IV
		2,500 units, EVERY BAG, 28 unit/kg/hr
Medications
	HEParin 100 units/mL injectable solution (NICU)
		75 units/kg, INT, IVPB, Once, NOW, infuse over 10 min(s)
	enoxaparin 10 mg/1 mL syringe (NICU)
		0.5 mg/kg, Injection, SUBCUTANEOUS, Q12H
Consults/Follow-up
	Consult Nephrologist
		Reason for Referral: Hypercoagulation, Refer to/Consult with: Fred Kader, MD
		Reason for Referral: Hypercoagulation, Refer to/Consult with: Jennifer Hanowell, MD
	Consult Hematologist/Oncologist
		Reason for Referral: Hypercoagulation

*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