ED Seizures

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) Pregnancy test, serum Pregnancy test, urine Urinalysis, dipstick only Urinalysis with reflex microscopic Clean catch Straight cath Indwelling cath Urinalysis with reflex culture Clean catch Straight cath Indwelling cath Alcohol, ethyl level Phenytoin level Valproic acid level Drug screen comprehensive, urine

Radiology
CT brain or head STAT WITHOUT CONTRAST  Reason:

Nursing Orders
Insert IV with site care management 12-lead EKG Telemetry monitoring Seizure precautions
Oxygen -Pulse oximeter -Initiate oxygen protocol

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
LORazepam [ATIVAN] 1 MG 0.5 MG IM IV ORAL diazepam [VALIUM] 1 MG 2 MG 4 MG 6 MG 8 MG 10 MG IV IM RECTAL ORAL levETIRAcetam [KEPPRA] 500 MG 1000 MG ORAL IV phenytoin [DILANTIN] 1000 MG IV phenytoin [DILANTIN] 10 MG/KG IV phenytoin [DILANTIN] 100 MG 200 MG 300 MG ORAL fosphenytoin [CEREBYX] 1000 MG IV valproate [DEPACON] 400 MG IV divalproex enteric coated [DEPAKOTE] 400 MG ORAL

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