Unique Plan Description: PMR Inpatient Neurogenic Bowel
Plan Selection Display: PMR Inpatient Neurogenic Bowel
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-11-22 18:59:07
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2014-10-09 10:36:02
Available at all facilities: No

PMR Inpatient Neurogenic Bowel
Medications
	Dulcolax
		20 mg, Tablet, Enteric-Coated, By Mouth, Q3D, PRN, if no BM
			Comment: for 3 days in a row
		10 mg, Suppository, RECTALLY, Q3D, PRN, if no BM
			Comment: Give 8 hours after tabs if no results.  If no results 1 hour after suppository, transfer patient to commode and begin digital stimulation per neurogenic bowel program
	Enemeez Mini Enema
		283 mg, Enema, RECTALLY, Q3D, PRN, if no BM
			Comment:  give 8 hours after tabs if no BM per neurogenic bowel program
Patient Care
	Digital Stimulation
		T;1800, Q24H, Neurogenic Bowel protocol: repeat digital stimulation every 5-10 minutes until the BM is complete.
			Comment: Neurogenic Bowel protocol: repeat digital stimulation every 5-10 minutes until the BM is complete.
	Notify MD
		T;N, Notify Rehab physician if no regular BM in 72 hours. If no BM for 3 days in a row, give dulcolax tab as ordered.  If no BM after dulcolax tabs give dulcolax suppository as ordered. If no BM provide digital stimulation as ordered
			Comment: per neurogenic bowel program as ordered.

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