Unique Plan Description: ED Advanced Triage Dyspnea (Adult)
Plan Selection Display: ED Advanced Triage Dyspnea (Adult)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2019-07-29 06:54:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 10:08:48
Available at all facilities: Yes

ED Advanced Triage Dyspnea (Adult)
Laboratory
	CBC with Diff
		Stat, spec type = Blood
			Comment: if suspect electrolyte imbalance, pulmonary infection or sepsis
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
			Comment: if suspect electrolyte imbalance, pulmonary infection or sepsis
	hs Troponin T - MH/WH/JE
		Stat, spec type = Blood
			Comment: if suspect electrolyte imbalance, pulmonary infection or sepsis
	hs Troponin I - FH
		Stat, spec type = Blood
		Stat, spec type = Blood
			Comment: if suspect electrolyte imbalance, pulmonary infection or sepsis.
	ProBNP
		Stat, spec type = Blood
			Comment: if suspected fluid overload.
	B-Type Natriuretic Peptide - FH
		Stat, spec type = Blood
	Procalcitonin
		Stat, spec type = Blood
			Comment: if fever or history of fever >100.4 F.
		Enter ED blood culture if fever or history of fever >100.4 F.(NOTE)*
Diagnostic Tests
	ECG in ED
		Stat, Indication: Dyspnea
			Comment: if >40 years old AND if suspect electrolyte imbalance, pulmonary infection or sepsis
Radiology
	Chest 2 View
		Stat, Pain/Chest
			Comment: If patient is ambulatory AND has productive cough AND fever.
	Chest 1 View
		Stat, Pain/Chest
			Comment: If patient is unable to ambulate AND has productive cough AND fever.
Medications

	albuterol-ipratropium 2.5 mg-0.5 mg/3 mL inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Once, STAT
			Comment: if dyspnea exclude patients with chest pain or history of SVT
Patient Care
	Oxygen Therapy, Nurse to Administer
		Via Nasal Cannula, O2 @ 2L
			Comment: If COPD history, to maintain O2 sats between 88-92%
		Via Nasal Cannula, O2 @ 2L
			Comment: If no COPD history, and O2 Sat < 93% on room air.
	Continuous Pulse Oximetry by Nurse
		T;N, Once
			Comment: If patient has hypoxia

ED Blood Culture with Lactate
Laboratory
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		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
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		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
		<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"><HTML><HEAD><META content="text/html; charset=windows-1252" http-equiv=Content-Type><STYLE> BODY margin:0; P margin:0 </STYLE><META name=GENERATOR content="MSHTML 11.00.10570.1001(NOTE)*
	Lactate
		T;N, Stat, spec type = Blood
	.Blood Culture.
		T;N, Stat, spec type = Blood
	.Culture Blood
		T;N, Stat, spec type = Blood

ED Peripheral Lock Insert with Flush
Medications
	sodium chloride 0.9% flush injectable soln
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush, 4 hr
Patient Care
	Peripheral Lock-Insert
		T;N, Once

ED Lab Rainbow
Laboratory
	Extra Drk Grn Tube
		T;N, Stat, spec type = Blood
	Extra EDTA Tube
		T;N, Stat, spec type = Blood
	Extra NaCit Tube
		T;N, Stat, spec type = Blood
	Extra PST Tube
		T;N, Stat, spec type = Blood
		T;N, Stat, spec type = Blood
	Extra SST Tube
		T;N, Stat, spec type = Blood
	Extra NaFlor Tube
		T;N, Stat, spec type = Blood

*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