Unique Plan Description: ED Nausea Vomiting
Plan Selection Display: ED Nausea Vomiting
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 21:06:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-07-24 12:55:37
Available at all facilities: Yes

ED Nausea Vomiting
Vital Signs
	BP and Pulse, Orthostatic
		Once, in ED
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Urinalysis
		T;N, Stat, Stat, spec type = Urine
	UA (Culture if Positive)
		Stat, Stat, spec type = Urine
			Comment: change the indwelling catheter prior to obtaining specimen if catheter in place greater than 2 weeks, or unknown.
	Lipase Level
		Stat, spec type = Blood
	Pregnancy Test Urine
		Stat, Stat, spec type = Urine
	Pregnancy Test Whole Blood - JE
		Stat, spec type = Blood
	hs Troponin I - FH
		Stat, spec type = Blood
	hs Troponin T - MH/WH/JE
		Stat, spec type = Blood
	Beta-HCG Quantitative - Pregnancy
		Stat, spec type = Blood
	Toxicology Screen DAU - MH/WH/JE
		Stat, Stat, spec type = Urine
	Drug Screen Urine - FH
		Stat, Stat, spec type = Urine
	Blood Gases VENOUS (VBG)
		Stat, spec type = Blood
	Blood Gases Arterial (ABG) - MH/WH/JE
		Stat, spec type = Blood
	Blood Gases Arterial (ABG) - FH
		T;N, Stat, spec type = Blood
	Lactate
		T;N, Stat, spec type = Blood
	Beta-Hydroxybutyrate (Inpatient)
		T;N, Stat, spec type = Blood
Diagnostic Tests
	CT Abd Pelvis w Contrast
		Stat, Nausea
	Abd & Upright
		Stat, Nausea
	Abd & Upright w Chest
		Stat, Nausea
	US Abd Limited
		Stat
	ECG in ED
		Stat
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
		1,000 mL, IV, STAT, 500 ml/hr
		1,000 mL, IV, STAT, 125 ml/hr
		1,000 mL, IV, STAT, 100 ml/hr
		1,000 mL, IV, STAT, 75 ml/hr
Medications
	ondansetron
		4 mg, Injection, IV Push, Once, STAT
	ondansetron (MH/WH)
		8 mg, Injection, IV Push, Once, STAT
	ondansetron
		4 mg, Tablet, Disintegrating, By Mouth, Once, STAT
		8 mg, Tablet, Disintegrating, By Mouth, 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
	Phenergan (FH)
		6.25 mg, INT, IVPB, Once, STAT
		12.5 mg, INT, IVPB, Once, STAT
	ondansetron (JE)
		1.6 mg, Liquid, By Mouth, Once, STAT, 4 hr
			Comment: Infants 6 months-1 year
		3.2 mg, Liquid, By Mouth, Once, STAT, 4 hr
			Comment: Infants 6 months-1 year
		4 mg, Liquid, By Mouth, Once, STAT, 4 hr
			Comment: Children 1-3 years
	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
Patient Care
	Enteral Tube
		T;N, Per Nasogastric Tube (NG), Insert, X Ray, Once
	Continuous Pulse Oximetry by Nurse
		T;N, Once
	Foley Catheter
		T;N, Insert, Once
	Straight Catheter
		T;N, Insert, Once
	ED Cardiac Telemetry Monitoring
		T;N
	Oxygen Therapy, Nurse to Administer
		T;N
Consults/Follow-up
	Consult Gastroenterologist
		Reason for Referral: nausea/vomiting
	Consult General Surgery
		Reason for Referral: nausea/vomiting
	Consult Hospitalist
		Reason for Referral: nausea/vomiting

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

*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