Unique Plan Description: Amyloidosis Workup
Plan Selection Display: Amyloidosis Workup
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2022-01-13 11:36:41
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-01-13 11:51:46
Available at all facilities: Yes

Amyloidosis Workup
Laboratory
	Bence Jones Urine (Immunofixation).
		spec type = Urine
			Comment: Includes Urine Protein
	IgG
		Routine, spec type = Blood
	Protein Electrophoresis Serum w/Reflex to Immunofixation
		spec type = Blood
			Comment: Includes Serum Protein
	Protein Electrophoresis Serum with Immunofixation
		
	Kappa Lambda Free Light Chains Quant w/ Ratio
		
Chemistry
		Recommended screening orders are Serum Protein Electrophoresis with Immunofixation and the Kappa Lambda Free Light Chains Quant with Ratio.(NOTE)*
		Serum Electrophoresis orderables include orders with Immunofixation, Reflexing to Immunofixation (if a suspicious band is detected), and without Immunofixation.(NOTE)*
		Urine Electrophoresis Order Bence Jones (Preferred sample is a 24 Hour Urine)(NOTE)*
Diagnostic Tests

	Amyloidosis SPECT CT PYP sngl area 1 day
		Routine, Amyloidosis
	Echo w Doppler resting
		
	ECG
		
Consults/Follow-up
	Consult Care Management
		T;N
			Comment: To schedule the Cardiac MRIs at Nebraska Medicine. Call Nebraska Medicine Centralized Scheduling at 402-559-2500 & ask to be transferred to MRI Coordinator if scheduling for a patient who is inpatient at NMH. They will call back with a date & time.

*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