Unique Plan Description: ED Seizure
Plan Selection Display: ED Seizure
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 21:17:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-08-09 08:46:22
Available at all facilities: Yes

ED Seizure
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Phenytoin Level
		Stat, spec type = Blood
	Carbamazepine Level
		Stat, spec type = Blood
	Valproic Acid Level
		Stat, spec type = Blood
	Keppra Level
		Stat, spec type = Blood
	Phenobarbital Level
		Stat, spec type = Blood
	Magnesium Level
		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
	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
	Toxicology Screen DAU - MH/WH/JE
		Stat, Stat, Urine, spec type = Urine
	Drug Screen Urine - FH
		T;N, Stat, Stat, spec type = Urine
	Phosphorus
		Stat, spec type = Blood
	Ethanol Level
		Stat, spec type = Blood
	Procalcitonin
		T;N, Stat, spec type = Blood
Diagnostic Tests
	ECG in ED
		Stat, Indication: Altered Mental Status
	CT Head w/o Contrast
		Stat, Seizure
	CT Head w & w/o Contrast
		Stat, Seizure
	MRI Brain w/o Contrast
		Stat, Seizure
	CT Spine Cervical w/o Contrast
		Stat, Abnormal Findings
			Comment: Trauma
IV Solutions
	Sodium Chloride 0.9%
		1,000 mL, IV, STAT, 999 ml/hr
		1,000 mL, IV, STAT, 75 ml/hr
		1,000 mL, IV, STAT, 100 ml/hr
		1,000 mL, IV, STAT, 125 ml/hr
		1,000 mL, IV, STAT, 500 ml/hr
Medications
	Ativan Injectable
		1 mg, Injection, IV Push, Once, STAT
		2 mg, Injection, IV Push, Once, STAT
		2 mg, Injection, IM-Intramuscular, Once, STAT
		4 mg, Injection, IM-Intramuscular, Once, STAT
	Valium Injectable
		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
	Dilantin
		100 mg, Capsule, Extended-Release, BY MOUTH, Once, STAT
	Dilantin IVPB
		15 mg/kg, INT, IVPB, Once, STAT
	Keppra
		1,500 mg, Tab, BY MOUTH, Once, STAT
		20 mg/kg, INT, IVPB, Once, STAT
			Comment: to infuse over 30minutes
	Tegretol
		200 mg, Tab, BY MOUTH, Once, STAT
	Cerebyx
		20 mg/kg, INT, IVPB, Once, STAT
		1,000 mg, INT, IVPB, Once, STAT
	PHENobarbital
		30 mg, Injection, IV PUSH, Once, STAT
		60 mg, Injection, IV PUSH, Once, STAT
Patient Care
	Glucose POC - RN
		Once
	ED Cardiac Telemetry Monitoring
		
	Oxygen Therapy, Nurse to Administer
		Via Nasal Cannula, Titrate->Keep Sats>/= to 90%
	Foley Catheter
		Foley, Insert, Once
	Straight Catheter
		Straight, Insert, Once
	Continuous Pulse Oximetry by Nurse
		Once
	Seizure Precautions
		T;N
Consults/Follow-up
	Consult Hospitalist
		Reason for Referral: seizure
	Consult Neurologist
		Reason for Referral: seizure
	Consult Tele Neurology (JEFH)
		Reason for Referral: seizure

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