_20001_scn_physician_admitting - SCANNED TO PHARMACY STAT...

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STAT MEDICATION Patient Identification NICU / SCN Physician Admitting Orders ZZ20001 (7/30/08) SAFH SDH SMCS SRMC Physician Signature: __________________________________________ Physician # ________________________ DATE: ______________________ TIME: ______________ Admit to Special Care Nursery NICU / INTERMEDIATE STATUS PRINCIPLE DIAGNOSIS: _____________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ 1) RESPIRATORY: Continuous O 2 saturation monitoring, adjusting FiO 2 to maintain O 2 sats ____________________________________________ Continuous TcCO 2 monitoring, notify MD / do ABG if TcCO 2 under ________________________ or over __________________ Nasal/Bubble CPAP _____________________________________________________________________________________ Nasal Cannula _________________________________________________________________________________________ Ventilation: PIP ____________ PEEP ___________ PS ______________ lt ____________ IMV ____________ SIMV ____________ Tv ______________ Hz ____________ Wean PIP by ___________ every ________ PRN for TCO 2 equal or under _______ until PIP = ________________________ Wean FiO 2 by ____________ % every ________ to maintain O 2 sat equal or over ___________________________________ ABG Q _________________ hours with scheduled ABG’s at _____________ Inhaled Nitric Oxide (iNO)_________PPM. Wean iNO by ____________ PPM every _______ PRN for O 2 sat equal or over _______. Methemaglobin Level every 24 hours. Poractant Alfa (Curosurf) _______ mL via ET tube. Repeat in ______ hours if PIP equal or over ______ and/or FiO 2 = ______ Stat AP Chest / Abdominal X-ray AP Chest x-ray in a.m. Notify MD of mean BP under _______________ 2) NUTRITION: UAC: _________________ with ________ units Heparin/mL at ______ mL/hour Heparin Flush PF 1 unit/mL PRN to clear line UVC:
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