TESTS

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TESTS

  1. 1. Western States Stroke ConsortiumIschemic Stroke Patient Care Admission OrdersDispensing by non-proprietary name under formulary system is permitted, unless checked here: Date / / Time:Attending Physician: Service: Allergies: Diagnosis: Ischemic Stroke Admit to: Condition of Patient: NIHSS: TESTS EKG if not done in DEM, π Chem 7 πCBC πPT/PTT/INR π Mg, Calcium πliver panel πfasting lipid panel π fasting homocysteine π C-reactive protein π Heme stools x 3 π CT Scan: π with contrast π without contrast π MRI π with diffusion πMRA π Carotid Ultrasound Study π Trans Thoracic Echocardiogram (ECHO) πwith bubble study π Trans Esophageal Echocardiogram (TEE) π Transcranial Doppler Ultrsound π Urinalysis, C & S π Chest X-ray TREATMENTS / INTERVENTIONS Vitals signs: π Every 4 hours π Every 8 hours π Other: Neuro signs: π Every 4 hours π Every 8 hours π Other: Notify HO for: π temp > 38.0 C π glucose > 180 π I&O Daily weight π Anti-embolic stockings/ pneumatic stockings π units SQ heparin every hours π low molecular weight heparin every hours π Telemetry/Cardiac Monitor 24 hours only unless otherwise indicated Bowel/ Bladder Program: π Docusate 100mg PO BID π Bisacodyl or Glycerine Suppository 10mg prn for constipation π Milk of Magnesia 30cc every _____hours PO prn
  2. 2. Western States Stroke ConsortiumIschemic Stroke Patient Care Admission Orders
  3. 3. Western States Stroke ConsortiumIschemic Stroke Patient Care Admission Orders IVs / MEDICATIONS (drug, route, dose, frequency) Maintenance IV Fluid: Antihypertensive Plan: Angiotensin Converting Enzyme inhibitor ____________________________ Beta-blocker____________________________ Diuretic____________________________ Angiotensin Receptor Blocker____________________________ other____________________________ Stroke Prophylaxis Plan: Aspirin PO dose__________ frequency______________ Enteric Coated Aspirin PO dose__________ frequency______________ Clopidrogrel (plavix) PO dose___________ frequency____________ Extended-release Dipyridamole plus Aspirin (Aggrenox): Warfarin PO dose___________ frequency_____________ Hyperlipidemic Plan HMG CoA Reductase inhibitor_______________ PO dose_______________frequency_______________ other :___________________________ DIET π Dysphagia Screen in the ED or at bedside π NPO till speech evaluation Aspiration precautions Diet: ACTIVITY In ICU: Bedrest with HOB up π 30 degrees π 45 degree π Assist with turning and positioning every 2 hours while in bed π Safety/ Fall precautions CONSULTS π Rehab MD π PT π OT π Speech π Evaluate for peg placement- consult GI Service ADDITIONAL ORDERS π Stroke Education π Rehab Education
  4. 4. Western States Stroke ConsortiumIschemic Stroke Patient Care Admission Orders DISCHARGE PLANNING

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