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Unformatted text preview: SCANNED TO PHARMACY STAT MEDICATION Date __________________________ Time: _______________ 1. Consent: Cardiac Catheterization with Sedation, Possible Percutaneous Coronary Intervention, Possible Emergent Coronary Artery Bypass, Possible Blood Transfusions. Cardiac Catheterization with Sedation, Possible Peripheral Angiography, Possible Percutaneous Coronary and/or Peripheral Intervention, Possible Emergent Coronary Artery Bypass, Possible Blood Transfusions. Other: __________________________________________________________________________________ 2. Activity: Bedrest with bathroom privileges. May ambulate. 3. Diet: NPO except for sips of water with meds on day of procedure. Clear Liquids. 4. IV: ________________________________ at _________ mL/hour for ______ hours. Start at ______ (time). 5. Vital Signs: Routine per unit standard. 6. Medications: Hold Metformin, if patient is taking, on the day of the procedure. Pre-op “on-call” to cath lab: __________________________________________________________________ _______________________________________________________________________________________ If patient has allergy to iodine, administer Methylprednisolone (SoluMedrol) 125 mg IV x 1, Diphenhydramine (Benadryl) 50 mg IV x 1, and Famotidine (Pepcid) 20 mg IV x 1 Or: _____________________________________________________________________________________ Aspirin __________ mg PO now if not already given today Water soluble Enteric coated Acetylcysteine (Mucomyst) 600 mg if calculated creatinine clearance is less than 50 mL/min and/or serum creatinine is greater than 1.3. Sodium Bicarbonate Infusion (154 mEq / L D5W) - infuse 3 mL/kg/hour one (1) hour prior to procedure if calculated creatinine clearance is less than 50 mL/min and/or serum creatinine is greater than 1.3. Nitroglycerin 0.4 mg SL every 5 minutes times three, PRN angina/chest pain. Notify MD. Acetaminophen (Tylenol) 325 mg PO every 4 hours PRN discomfort. (No more than 4 grams in 24 hours) Check with physician regarding pre-procedural administration of diuretics, anti-diabetics agents, and insulin. Other Meds: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 7. Labs/Diagnostic Tests: 12 lead ECG on admission and with angina/chest pain. Basic Metabolic Panel CBC No Diff PT, PTT CXR-PA and lateral Lipid Panel, AST, ALT Obtain results from outside lab 8. Other Have patient void prior to going to Cath Lab. May insert foley catheter. May use Lidocaine jelly. Complete Cath Lab Checklist. Old chart to nursing unit as soon as possible. Physician Signature ________________________________________________ Physician # _____________________ Authorization for therapeutic substitution is given unless checked here
Patient Identification Sutter Medical Center, Sacramento
A Sutter Health Affiliate Heart Cath Orders Pre Procedure
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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.
- Spring '09