Unique Plan Description: RAD CTA Coronary Procedure
Plan Selection Display: RAD CTA Coronary Procedure
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-03-26 10:54:55
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-02-14 13:51:06
Available at all facilities: Yes

RAD CTA Coronary Procedure
Vital Signs
	BP, Pulse and Respirations
		T;N, Prior to medication administration
		T;N, Q15MIN, post medication administration
		T;N, Q15MIN, 2, Dose(s)/Time(s), post imaging exam
Laboratory
	Glucose POC - RN
		T;N, Once
Medications
	Lopressor
		5 mg, Solution-Injection, IV Push, Q5MIN, PRN for see comment, duration: 4 Dose(s)/Time(s)
			Comment: In Imaging per protocol.  If HR >60 give first 5mg IV dose.  If HR >/=56 5 minutes after first dose, give 2nd 5mg dose. If HR > /=61  5 minutes after 2nd dose, give 3rd 5mg dose and notify IR MD. Administer doses over 1 minute. Max dose 15mg.
	Cardizem
		10 mg, Injection, IV Push, Q5MIN, PRN, see comment, 2 Dose(s)/Time(s)
			Comment: In Imaging per protocol.   If HR > 56 give first dose.  If HR >= 56  five minutes after first dose give 2nd dose.  Administer doses over 2 minutes.
		5 mg, Injection, IV Push, Once, PRN, as needed
			Comment: In Imaging per protocol.  If HR >=61  five minutes after 2nd dose, give 5mg dose and notify IR MD. Administer doses over 2 minutes. Max diltiazem dose is 25mg.
	Nitrostat
		0.4 mg, Tab, SUBLINGUAL, Once
			Comment: In Imaging. For SBP 90-110
		0.8 mg, Tab, SUBLINGUAL, Once
			Comment: In Imaging. For SBP > 110
	midazolam
		1 mg, Injection, IV Push, Q5MIN, PRN, anxiety, 5 Dose(s)/Time(s)
			Comment: In Imaging per MD up to 5 mg.
Patient Care
	Notify MD
		T;N, if HR <45 or SBP <90.
Therapies
Respiratory Therapy
	Oxygen Therapy
		T;N
	Pulse Oximetry Spot Check RT
		T;N, BID
	Continuous Pulse Oximetry Monitoring Check
		T;N, BID

*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