ED Chest Pain
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
Lipase level, serum
Troponin
Prothrombin time (PT) with international normalized ratio (INR)
Pregnancy test, serum
Pregnancy test, urine
D-dimer
CK with CKMB
CK total
Radiology
Chest single view
Portable
To radiology
chest pain
Chest PA and lateral
Portable
To radiology
chest pain
CT chest-PE protocol
Nursing/Procedures
Insert IV with site care management
12-lead EKG- Reason:
.
Telemetry monitoring
Oxygen
-Pulse oximeter
-Initiate oxygen protocol
Old EKG
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
aspirin chewable
324 MG
81 MG
162 MG
ORAL; chew and swallow; (if not allergic or if not taken prior to arrival)
nitroglycerin [NITROSTAT] 0.4 MG SL Q5MIN PRN for 3 DOSES
nitroglycerin paste [NITRO-BID] 0.5-2 INCH TOPL
nitroglycerin infusion [TRIDIL] 5 MCG/MIN IV CONTINUOUS titrate to a maximum of 200 MCG/MIN to pain free, keep SBP greater than 100 MMHG
morphine
2 MG
1 MG
4 MG
5 MG
6 MG
8 MG
10 MG
IV
IM
for severe pain;
may repeat dose times 1 in 15 MIN if pain not relieved
no repeat dose
clopidogrel [PLAVIX]
75 MG
300 MG
600 MG
ORAL
metoprolol tartrate [LOPRESSOR] 5 MG IV EVERY 15MIN PRN for 3 DOSES keeping SBP greater than 90 MMHG and pulse greater than 60 BPM
ondansetron [ZOFRAN]
4 MG
0.5 MG
1 MG
1.5 MG
2.5 MG
8 MG
IV
SL
ONCE for nausea/vomiting
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