ED Altered Mental Status

Patient Name: HEOTEST, TOMMY  Age: 34 years  Gender: M  Location: 2WB W235  01  Height: 185.4 cm  Weight: 79.5 kgs  BMI: 23.1  Serum Creatinine: ?? Date Drawn: 09/09/2011 06:35am  Ordering Clinician: PATERSON

Select the Patient's Location for Lab Label printing:

MAIN ED   PRIORITY   ECC/Chest Pain Center

Laboratory

Complete blood cell count with automated differential Complete blood cell count without differential Comprehensive metabolic panel (CMP) Basic metabolic panel (BMP) Hepatic panel Troponin CK with CKMB Pregnacy test, serum Pregnancy test, urine Thyrotropin (TSH) Ammonia, serum Blood alcohol level Blood culture x 2 Urine, dipstick only Urinalysis with reflex microscopic Clean catch Straight cath Indwelling cath Urinalysis with reflex culture Clean catch Straight cath Indwelling cath Drug screen, urine Acetaminophen level, serum Salicylate level, serum

Radiology
Chest single view Portable To radiology chest pain Chest PA and lateral To radiology Portable CT head WITHOUT CONTRAST

Nursing/Procedures/Radiology
Insert IV with site care management 12-lead EKG- Reason: Cardiac monitor
Oxygen -Pulse oximeter -Initiate oxygen protocol Finger stick blood sugar notify physician if less than 60 MG/DL

IV Fluids
NS bolus 1 L 500 ML 250 ML IV NS 125 ML/HR 50 ML/HR 75 ML/HR 100 ML/HR 150 ML/HR IV

Medications

naloxone [NARCAN] 0.4 MG 0.2 MG 1 MG 2 MG IV for opiate reversal may repeat every 2 MIN x 3; call physician for respiratory rate less than 8 naloxone [NARCAN] 0.4 MG 0.2 MG 1 MG 2 MG IV for opiate reversal call physician for respiratory rate less than 8 LORazepam [ATIVAN] 0.5 MG-2MG IV IM ORAL ONCE for agitation ziprasidone [GEODON] 10 MG 20 MG ORAL IM ONCE for agitation; maximum of 40 MG DAILY haloperidol [HALDOL] 5 MG-10 MG IM ONCE for agitation

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