Unique Plan Description: ED Pedi Respiratory (MH WH FH)
Plan Selection Display: ED Pedi Respiratory (MH WH FH)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 21:12:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 10:24:35
Available at all facilities: Yes

ED Pedi Respiratory (MH WH FH)
Laboratory
	Influenza A and B Screen PCR
		T;N, Stat, spec type = Nasopharynx
	Strep Group A PCR
		T;N, Stat, spec type = Throat
	Respiratory Syncytial Virus (RSV) PCR
		T;N, Stat, spec type = Nasopharynx
	Infectious Mononucleosis Screen
		T;N, Stat, spec type = Blood
	CBC with Diff
		T;N, Stat, spec type = Blood
	Basic Metabolic Panel
		T;N, Stat, spec type = Blood
	Blood Gases VENOUS (VBG)
		T;N, Stat, spec type = Blood
Diagnostic Tests
	Chest 1 View
		T;N, Stat, Dyspnea
	Chest 2 View
		T;N, Stat, Dyspnea
Medications
	albuterol-ipratropium 2.5 mg-0.5 mg/3 mL inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Once, STAT
		1.5 mL, Solution-Nebulization, NEBULIZED, Once, STAT
	albuterol 2.5 mg/3 mL (0.083%) inh soln
		3 mL, Solution-Nebulization, NEBULIZED, Once, STAT
	albuterol 1.25 mg/3 mL (0.042%) inh soln
		3 mL, Solution-Nebulization, NEBULIZED, Once, STAT
	ipratropium 0.02% inhalation solution
		1.25 mL, Solution-Nebulization, NEBULIZED, Once, STAT
	sodium chloride 0.9% inhalation solution
		3 mL, Solution-Nebulization, Inhalation, Once, STAT
	EPINEPHrine 1 mg/mL injectable solution
		0.3 mg, Injection, IM-Intramuscular, Once, STAT
	Benadryl
		12.5 mg, Injection, IM-Intramuscular, Once, STAT
		12.5 mg, Injection, IV PUSH, Once, STAT
		12.5 mg, Liquid, BY MOUTH, Once, STAT
		25 mg, Injection, IV PUSH, Once, STAT
		25 mg, Injection, IM-Intramuscular, Once, STAT
		25 mg, Liquid, BY MOUTH, Once, STAT
		25 mg, Capsule, By Mouth, Once, STAT
	predniSONE
		5 mg, Tab, BY MOUTH, Once, STAT
		10 mg, Tab, BY MOUTH, Once, STAT
		20 mg, Tab, BY MOUTH, Once, STAT
	prednisoLONE
		1 mg/kg, Syrup, By Mouth, Once, STAT
	dexAMETHasone
		0.6 mg/kg, Concentrate, BY MOUTH, Once, STAT
			Comment: Maximum dose of 16mg
	dexamethasone 10mg/mL injectable solution
		0.6 mg/kg, Injection, IM-Intramuscular, Once, STAT
			Comment: Maximum dose of 16mg
Patient Care
	Oxygen Therapy, Nurse to Administer
		T;N, Continuous
	Continuous Pulse Oximetry by Nurse
		T;N, Once
Consults/Follow-up
	Consult Hospitalist
		
	Consult Pediatrics
		
	Consult Pulmonologist

zzlevalbuterol (Xopenex) 1.25mg (ONCE)
Medications
	levalbuterol 1.25 mg/3 ml inhalation solution
		0.5 mL, Solution-Nebulization, NEBULIZED, Once
	sodium chloride 0.9% inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Once

racemic epinephrine-NS (racepinephrine)
	racepinephrine 2.25% inhalation soln
		0.5 mL, Solution-Nebulization, NEBULIZED, Once, NOW
			Comment: Mix with 3 mL sodium chloride 0.9% inh soln.
	sodium chloride 0.9% inhalation solution
		3 mL, Solution-Nebulization, NEBULIZED, Once, NOW
			Comment: Mix with 0.5 mL racemic EPINEPHrine

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)*
		<!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

levalbuterol (Xopenex) PED 0.625 mg/0.25 mL (ONCE)
Medications
	levalbuterol 1.25 mg/3 ml inhalation solution
		1.5 mL, Solution-Nebulization, NEBULIZED, Once, STAT
	sodium chloride 0.9% inhalation solution
		1.5 mL, Solution-Nebulization, NEBULIZED, Once, STAT

Respiratory Panel Expanded
Laboratory
	Influenza A and B Screen PCR
		T;N, Stat, spec type = Nasopharynx
			Comment: spec type=Nasoph Micro Swab, RT to Collect
	Respiratory Syncytial Virus (RSV) PCR
		T;N, Stat, spec type = Nasopharynx
	COVID-19 (2019 Novel Coronavirus) by PCR
		T;N, Stat, spec type = Nasopharynx
	.Respiratory Panel Reflex to RVP
		T;N, Stat, spec type = Nasopharynx
			Comment: spec type=Nasoph Micro Swab, RT to Collect
Therapies
	Influenza specimen collection
		T;N

*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