Outpatient Preop Cardiac Cath Plan (Page 2 of 2) in pdf

Outpatient Preop Cardiac Cath Plan Page 2

Patient Label Here

Diet:

NPO after midnight except for medication with small amount of water.

When diet resumed: Controlled Fat Diet, ADA if diabetic

Activity:

Up Ad Lib unless otherwise ordered

Medications:

1. List patient’s home medications for physician to review later.

If taking Coumadin or insulin, please check with physician

2. Hold Glucophage, Glucovance, Avandamet, Metaglip, Fortamet, and Riomet and continue to hold two days after cath

3. Patients with dye allergy who are not on oral prednisone give Solu-Medrol 125mg IV push and Benadryl

(diphenhydramine) 50 mg IV push x1(one) dose and Pepcid mg IV push x1 (one) dose

4. If BUN/Creatinine 1.4 or greater give Mucomyst 600 mg PO and again 2 hours post cath

5. If creatinine greater than 2.0, notify physician as soon as possible

Pre-op:

IV:

If no fluids infusing, start IV and fluids. (Prefer left arm)

 0.9% Sodium Chloride

 0.45% Sodium Chloride

 Dextrose 5% / 0.45% Sodium Chloride

Pre-Op Medications:

 Diphenhydramine (Benadryl) 50 mg now IV or PO

 Diphenhydramine (Benadryl) 50 mg IV ON CALL

 Methylprednisolone (Solu-Medrol) 125 mg IV ON CALL

 Meperidine (Demerol) ___________ mg IV ON CALL

 Diazepam (Valium) 5 mg PO ON CALL

 Diazepam (Valium) 10 mg PO ON CALL

 Other: ___________________________________________________________________________________________

Patient Counseling:

 Pre and Post Procedure Teaching

 Other: _____________________________________________________________________________________________

_____________________________________________________________________________________________

 TO  Read back

Order taken by Signature: ________________________________________Date/Time: _____________________________

Physician Signature

Date/Time

__________________________________________

_____________________________

Page 2 of 2- Pre-Op Cardiac Catheterization & Intervention Orders 10/10/2014 (#971 R-3)

Outpatient Preop Cardiac Cath Plan Page 2