ED Pyelonephritis

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 count with automated differential Complete blood cell count without differential Comprehensive metabolic panel (CMP) Basic metabolic panel (BMP) Pregnancy test, serum Pregnancy test, urine 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 Straight cath for non-ambulatory or menstruating females

Radiology
CT abdomen, stone study STAT WITHOUT CONTRAST rule out kidney stones

Nursing/Procedures
Insert IV with site care management

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

Medications

acetaminophen [TYLENOL] 1 GM ORAL for mild pain or fever acetaminophen [TYLENOL] 650 MG RECTAL for mild pain or fever morphine 4 MG 1 MG 2 MG 5 MG 6 MG 8 MG 10 MG IV IM may repeat dose times 1 in 15 MIN if pain not relieved no repeat dose  ONCE for severe pain; may repeat dose times 1 in 15 MIN if pain not HYDROmorphone [DILAUDID] 1 MG 0.5 MG 2 MG  IV may repeat dose times 1 in 15 MIN if pain not relieved no repeat dose  for severe pain; (monitor oxygen saturation if 2 MG or greater given) ketorolac [TORADOL] 30 MG 15 MG 60 MG IV IM ONCE ondansetron [ZOFRAN] 4 MG 0.5 MG 1 MG 1.5 MG 2.5 MG 8 MG IV SL ONCE for nausea/vomiting

Antibacterial Agents: Uncomplicated UTI Oral Agents
trimethoprim 160 MG-sulfamethoxazole 800 MG [BACTRIM DS] 1 TABLET ORAL ONCE nitrofurantoin macrocrystal [MACROBID] 100 MG ORAL ONCE

Antibacterial Agents: Complicated UTI and Pyelonephritis
cefTRIAXone [ROCEPHIN] 1 GM IV IM ONCE gentamicin [GARAMYCIN] 5 MG/KG IV ONCE ampicillin [POLYCILLIN-N] 1 GM 2 GM IV ONCE levofloxacin [LEVAQUIN] 750 MG 500 MG IV ORAL ONCE

Additional Antibiotic Choices
Launch antimicrobial iForm

Other iForms
Launch common lab iForm Launch common radiology iForm Launch IV fluids iForm Launch common medications iForm