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Admitting Orders Final

The patient is being admitted to the burn ward under Dr. ______/Dr. ______. Consent for admission and management will be secured. The patient is to be NPO and IV fluids including lactated ringers and normal saline with potassium will be administered. Vital signs will be monitored every shift and diagnostic tests including bloodwork and imaging will be performed. Wound care and elevation of affected areas is ordered along with intubation if needed and mechanical ventilation settings adjusted by IM.

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Luis Padilla
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60 views3 pages

Admitting Orders Final

The patient is being admitted to the burn ward under Dr. ______/Dr. ______. Consent for admission and management will be secured. The patient is to be NPO and IV fluids including lactated ringers and normal saline with potassium will be administered. Vital signs will be monitored every shift and diagnostic tests including bloodwork and imaging will be performed. Wound care and elevation of affected areas is ordered along with intubation if needed and mechanical ventilation settings adjusted by IM.

Uploaded by

Luis Padilla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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ADMITTING ORDERS

• Please admit the patient to Surgery BURN ward under the service of Dr._____/Dr._______.
• Secure consent for admission and management.
• DIET: NPO
• TPR q Shift and Record
• IVF: Line 1: Lacteted Ringers 4ml/hr IV
• decrease rate of LR by 20% if urine output is greater than 50ml/hr for 2 consecutive hours
• Increase rate of LR by 20% if urine output is less than 30ml/hr for 2 consecutive hours
Line 2: PNSS 1L x KVO, Omeprazole 40mg/IV
• Infuse diazepam 0.2mg/kg/IV
Therapeutics: Ampicillin-Sulbactam 1.5g/IV q8 ( )ANST
Ketorolac 30mg/ IV q8 PRN for pain
Omeprazole 40mg/IV OD
Tetanus Prophylaxis
• Aseptically insert NGT
• Aseptically inset IFC and connect to urine bag
• Hook to 02, STAT intubation and initiate to continuous ambubagging
• Refer to IM for Mech Vent settings
• Continue Wound care, apply available topical anti microbial agent again after 48 hours
• Strictly monitor I/O
• Elevate Head of the bed 30 degrees
• Elevate affected extremities
• Diagnostics:
• CBC,
• Ca, Mg, Phos,
• PT/PTT/INR,
• Amylase, Lipase
• Initial ABGs and another after 30mins hooked to mechvent,
• ECG
• AP CXR, Xray of Left Arm APL

• VS q1 shift and record


• Refer

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