Unique Plan Description: ED Headache
Plan Selection Display: ED Headache
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-20 14:52:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-07-24 13:01:18
Available at all facilities: Yes

ED Headache
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Sed Rate
		Stat, spec type = Blood
	hsCRP
		Stat, spec type = Blood
	Cell Count and Diff CSF
		Stat, spec type = Cerebrospinal Fluid
	Glucose CSF
		Stat, spec type = Cerebrospinal Fluid
	Protein CSF
		Stat, spec type = Cerebrospinal Fluid
	Culture Routine
		Stat, spec type = Cerebrospinal Fluid, Lumbar Puncture
	INR - MH/WH/JE
		Stat, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N, Stat, spec type = Diagnostic Blood
		T;N, Stat, spec type = Therapeutic Blood
	PTT - MH/WH/JE
		Stat, spec type = Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N, Stat, spec type = Diagnostic Blood
Diagnostic Tests
	CT Head w/o Contrast
		Stat, Headaches
	CT Head w & w/o Contrast
		Stat, Headaches
	MRI Brain w & w/o Contrast
		Stat, Headaches
	CTA Head
		Stat, Headaches
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 1 Dose(s)/Time(s), 999 ml/hr
		1,000 mL, IV, 125 ml/hr
		1,000 mL, IV, 75 ml/hr
Medications
		Toradol Dosing Recommendations: Normal Renal Function = 60 mg IM or 30 mg IV; If > 65 yrs old, < 50kg or CrCl<50mL/min=30mg IM or 15mg IV(NOTE)*
	ketorolac injectable
		15 mg, Injection, IV PUSH, Once, STAT, 1 Dose(s)/Time(s)
		30 mg, Injection, IV PUSH, Once, STAT, 1 Dose(s)/Time(s)
		60 mg, Injection, IM-IntraMUSCULAR, Once, STAT, 1 Dose(s)/Time(s)
	nalbuphine
		5 mg, Injection, IM-Intramuscular, Once, STAT
		10 mg, Injection, IM-Intramuscular, Once, STAT
		5 mg, Injection, IV Push, Once, STAT
		10 mg, Injection, IV Push, Once, STAT
	droPERidol
		2.5 mg, Injection, IV Push, Once, STAT
		2.5 mg, Injection, IM-Intramuscular, Once, STAT
	Reglan
		10 mg, Injection, IV PUSH, Once, STAT
	prochlorperazine
		5 mg, Injection, IV Push, Once, STAT
		10 mg, Injection, IV Push, Once, STAT
		5 mg, Injection, IM-Intramuscular, Once, STAT
		10 mg, Injection, IM-Intramuscular, Once, STAT
	ondansetron
		4 mg, Injection, IV Push, Once, STAT
	ondansetron (MH/WH)
		8 mg, Injection, IV Push, Once, STAT
	Phenergan (FH)
		6.25 mg, INT, IVPB, Once, STAT
		12.5 mg, INT, IVPB, Once, STAT
	Benadryl
		25 mg, Injection, IV PUSH, Once, STAT
		Dilaudid Dosing Recommendations:  Opiate Naïve=0.2-0.6mg, 65 yrs old=0.1-0.4mg; Hydromorphone 1mg IV=Morphine 7mg IV(NOTE)*
	Dilaudid
		0.5 mg, Injection, IM-Intramuscular, Once, STAT
		1 mg, Injection, IM-Intramuscular, Once, STAT
		0.5 mg, Injection, IV Push, Once, STAT
		1 mg, Injection, IV PUSH, Once, STAT
	acetaminophen-hydrocodone 325 mg-5 mg oral tablet
		1 TAB, Tab, By Mouth, Once, STAT
		2 TAB, Tab, By Mouth, Once, STAT
	acetaminophen-hydrocodone 325 mg-7.5 mg oral tablet
		1 TAB, Tab, By Mouth, Once, STAT
		2 TAB, Tab, By Mouth, Once, STAT
	ibuprofen
		800 mg, Tab, By Mouth, Once, STAT
	Tylenol Extra Strength
		500 mg, Tab, By Mouth, Once, STAT
		1,000 mg, Tab, By Mouth, Once, STAT
	Imitrex
		6 mg, Injection, SUBCUTANEOUS, Once, STAT
	hydrOXYzine
		25 mg, Injection, IM-Intramuscular, Once, STAT
		50 mg, Injection, IM-Intramuscular, Once, STAT
	dihydroergotamine
		1 mg, Injection, IM-Intramuscular, Once, STAT
	dexamethasone Injectable
		10 mg, Injection, IV PUSH, Once, STAT
Patient Care
	Continuous Pulse Oximetry by Nurse
		T;N, Once
	Oxygen Therapy, Nurse to Administer
		T;N
	Glucose POC - RN
		T;N, Once
	ED Cardiac Telemetry Monitoring
		T;N
Consults/Follow-up
	Consult Hospitalist
		Reason for Referral: headache
	Consult Neurologist
		Reason for Referral: headache
	Consult Neurosurgery
		Reason for Referral: headache
	Consult Tele Neurology (JEFH)
		Reason for Referral: headache

ED Blood Culture with Lactate
Laboratory
		<!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)*
		<!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

CSF/Meningitis Panel (MH WH FH)
Laboratory
	Protein CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
	Glucose CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
	Cell Count and Diff CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
	Culture Routine
		T;N, Stat, Body Fluid, spec type = Cerebrospinal Fluid

ED Blood Culture Set
	.Blood Culture.
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
	.Blood Culture
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
		<!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)*
		<!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)*

*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