Unique Plan Description: ED Alcohol Withdrawal
Plan Selection Display: ED Alcohol Withdrawal
PlanType: Medical                                 
Version: 3          
Begin Effective Date: 2020-04-20 14:50:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-05-02 14:22:26
Available at all facilities: Yes

ED Alcohol Withdrawal
Laboratory
	Ammonia
		Stat, spec type = Blood
	Beta-HCG Quantitative - Pregnancy
		Stat, spec type = Blood
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Ethanol Level
		Stat, spec type = Blood
	Protime - MH/WH/JE
		Stat, spec type = Blood
	Prothrombin Time (PT) - FH
		Stat, spec type = Diagnostic Blood
		Stat, spec type = Therapeutic Blood
	Magnesium Level
		Stat, spec type = Blood
	PTT - MH/WH/JE
		Stat, spec type = Blood
	Partial Thromboplastin Time (PTT) - FH
		Stat, spec type = Diagnostic Blood
	Toxicology Screen DAU - MH/WH/JE
		Stat, spec type = Urine
	Drug Screen Urine - FH
		Stat, Stat, spec type = Urine
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
	Lipase Level
		Stat, spec type = Blood
Diagnostic Tests
	CT Head w/o Contrast
		Stat, Mental Status Change
	ECG in ED
		Stat, Indication: Tachycardia
IV Solutions
	Banana Bag IV
		1,000 mL, EVERY BAG
		100 mg, EVERY BAG
		1 mg, EVERY BAG
		10 mL, IVPB, Once, Routine, 999 ml/hr, T;N, duration: 1 Dose(s)/Time(s)
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 1 Dose(s)/Time(s), 500 ml/hr
Medications
	chlordiazePOXIDE
		25 mg, Capsule, BY MOUTH, Once, STAT
	cloNIDine
		0.1 mg, Tab, BY MOUTH, Once, STAT
	folic acid
		1 mg, Tab, BY MOUTH, Once, STAT
	Haldol  injectable
		5 mg, Injection, IM-Intramuscular, Once, STAT
		10 mg, Injection, IM-Intramuscular, Once, STAT
	hydrALAZINE
		10 mg, Injection, IV Push, Once, STAT
	labetalol  injection
		10 mg, = 2 mL, Injection, IV PUSH, Once, STAT
	Ativan
		1 mg, Injection, IV Push, Once, STAT
		2 mg, Injection, IV Push, Once, STAT
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	PHENobarbital IVPB
		4 mg/kg, INT, IVPB, Once, STAT, infuse over 15 min(s)
			Comment: Dose #1 of 3.  Give over 15 min; Dose using ideal body weight; Hold for RR< 10, or RASS <-2. Prepare in 50mL NS.
		3 mg/kg, INT, IVPB, Q45MIN, for withdrawal symptoms, infuse over 15 min(s), T;N+45, duration: 2 Dose(s)/Time(s)
			Comment: Doses #2 & #3 of 3.  Give over 15min; Dose using ideal body weight; Hold for RR< 10, or RASS <-2; Prepare in 50mL NS.
	multivitamin Oral Tablet
		1 TAB, Tab, BY MOUTH, Once, STAT
	ondansetron
		4 mg, Injection, IV PUSH, Once, STAT
	droPERidol
		0.625 mg, Injection, IV Push, Once, STAT
		1.25 mg, Injection, IV Push, Once, STAT
		0.625 mg, Injection, IM-Intramuscular, Once, STAT
		1.25 mg, Injection, IM-Intramuscular, Once, STAT
	Vitamin B1
		100 mg, Tab, By Mouth, Once, STAT
	Vitamin B1 (FH)
		100 mg, Tab, By Mouth, Once, STAT
Patient Care
	ED Cardiac Telemetry Monitoring
		
	Glucose POC - RN
		Once
			Comment: In ED
	Seizure Precautions
		T;N
	Straight Catheter
		T;N, Insert, Once
	Peripheral Lock-Insert
		T;N, Once
	Alcohol Withdrawal Assessment ED
		T;N, every 4 hours if alcohol withdrawal score is 1-5, every 2 hours if alcohol withdrawal score is 6-10, every 1 hour if alcohol withdrawal score >11. Notify provider of each AWS

*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