Mr Form 1c - Sickle Cell Pain Crisis Hospital Orders

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PHYSICIAN ORDERS
DIAGNOSIS:
DRUG SENSITIVITY:
Patient Identification
SICKLE CELL PAIN CRISIS HOSPITAL ORDERS
RESPONSIBLE SERVICE/PHYSICIANS:
Oncology service
Attending: Dr. _____________________________________. Please notify oncology ward fellow on
arrival to floor (pager # 762-2166.)
CONDITION:
stable
guarded
severe
critical
G
G
G
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VITALS: Every 4 hours x 2, then routine. Notify MD if temperature greater than 100.4 F.
ACTIVITY: Encourage ambulation.
Patients receiving analgesia by PCA pump are restricted from leaving the nursing unit.
NUTRITION: Regular diet.
NURSING ORDERS:
Peripheral IV x 1 with routine maintenance
If patient has central venous access, routine central line care.
Monitor I & Os.
Monitor pain level and record at least once per shift on MR90PM (Pain Management flow sheet)
Assist patient to use heating pad to painful sites.
DIAGNOSTIC ORDERS:
Day 1 (if not done in ED or Clinic)
CBC with diff, CMP, Reticulocyte count, LDH, Direct/indirect bilirubin, Serum pregnancy test in females.
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Blood cultures X 2 from different peripheral sites (if patient has a central line, one blood
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culture should be drawn from this site and one culture from peripheral site)
Urinalysis and urine culture.
G
Chest x-ray: PA and lateral reason: “sickle cell pain crisis”. Portable CXR if on PCA pump.
G
Day 2: morning lab:
CBC with diff, CMP, LDH
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Other: _____________________________________________________________________________
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Respiratory:
O2 saturation on arrival to floor.
Initiate incentive spirometry.
Check O2Sats q12h and PRN, and titrate O2 to keep sats greater than or equal to 92%. Once O2Sats
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stable, check PRN. Notify MD if patient has significant increase in O2 needs or if required O2
concentration is greater than or equal to 50%
___________
Initials
Rev. 4/13
JH 4/4/13
Page 1 of 4
MR FORM 1C
8/96
Distribution: White - Chart Copy

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