_00255_heartTransTelemeAdult

_00255_heartTransTelemeAdult - SCANNED TO PHARMACY STAT...

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Unformatted text preview: SCANNED TO PHARMACY STAT MEDICATION Date: ____________ Time: ____________ 1. NURSING PROCEDURES: a. Transfer to 4 East b. Vital signs Q _______ hours c. Daily weights d. I&O Q 8 hours e. Telemetry monitoring f. Strict handwashing g. Patient to wear protective mask when out of room h. Low fat, low cholesterol, no added salt diet i. Routine care of IV sites j. Incentive spirometer Q 2 hours while awake k. Change incentive spirometer every week l. O2 per nasal cannula at ________ L/minute m.Stool guaiac once per week 2. MEDICATIONS: a. PO pain medications as ordered by physician b. Psyllium 5 mL in H2O BID PO c. Maalox maximum strength 30 mL PO with steroid dose. (Both IV and/or PO steroid doses.) d. Mycophenolate Mofetil (CellCept): ________ mg PO Q ________ hours Check most recent WBC prior to administering dose; if WBC is less than 4,000 hold dose and notify physician e. Cyclosporine microemulsion capsules (Neoral) __________ mg PO Q ________ hours f. Prednisone: SEE STEROID TAPER ORDERS g. Other: ___________________________________________________________ 3. ACTIVITY: a. Physical Therapy to help with cough, deep breathing, active exercises and ambulation BID b. Dietitian to teach above diet and practice meal planning 4. LABORATORY: a. Cyclosporine by HPLC trough level at 0500 Q day Q Monday, Wednesday and Friday b. CBC (auto diff) at 0500 Q day Q Monday, Wednesday and Friday c. Basic Metabolic Panel at 0500 Q day Q Monday, Wednesday and Friday d. Basic Metabolic Panel, Hepatic Function Panel, Magnesium and Phosphorus every Monday at 0500 e. EKG with first biopsy f. Chest x-ray Monday, Wednesday and Friday (erect, PA and lateral in AM) PHYSICIAN SIGNATURE: ____________________________________________ M.D. Authorization for therapeutic substitution is given unless checked here Patient Identification Sutter Memorial Hospital A Sutter Health Affiliate Adult Heart Transplant Telemetry Orders 00255 (4/19/05) ORDERS ...
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This note was uploaded on 12/26/2009 for the course PHYS 341 taught by Professor Mavromatis during the Spring '09 term at American University of Beirut.

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