October 2001 Table of Contents
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Asthma |
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Date: ____/____/____ Name: _________________________ 1. Admit or Observe to: [ ] Medical floor or [ ] ICU |
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| 5. Condition: | [ ] Stable [ ] Fair [ ] Serious [ ] Critical |
| 6. VS: | Q 1 hr until stable for 4 hr, then Q 4 hr. |
| 7. Activity: | Bed rest with bathroom privileges with assistance. |
| 8. Nursing: | Spot pulse ox on arrival to floor and
with nebulizer treatments. PEFR pre and post nebulizer treatments; record on chart. Call MD if: P < 50 or > 110; BP < 90/60 or > 160/100; RR > 30; pulse ox < 90%; decreased LOC; respiratory distress. |
| 9. Diet: | Clear liquids x 12 hr. |
| 10. IV: | |
| 11. Meds: | O2 @ [ ]
2 [ ] 4 [ ] 6 Liters/min via [ ] NC or [ ] FM. Albuterol nebulizer (2.5 mg in 3 cc NaCl) Q ___ hr. Methylprednisolone 125 mg IV bolus followed by 80 mg IVPS Q 6 hr. Tylenol 500 mg 1-2 PO Q 4-6 hr prn pain/T > 101°F. MOM 30 cc PO Q 12 hr prn constipation. Maalox 30 cc PO Q 2-4 hr prn indigestion. Benadryl 50 mg PO @ bedtime prn insomnia. |
| 12. Other Meds: | |
| 13. Labs: | Hemogram, basal metabolic profile, ABG if pulse ox < 90%, respiratory distress or altered consciousness. |
| 14. Other: | Other: Consider DVT prophylaxis with Lovenox 40 mg SQ Qd or Heparin 5000 u SQ bid. |
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