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Part X - Order Sets

Published online by Cambridge University Press:  31 March 2017

Edited by
Sharon E. Mace
Sharon E. Mace
Affiliation:
Department of Emergency Medicine, Cleveland Clinic, Ohio
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Type
Chapter
Information
Observation Medicine
Principles and Protocols
 , pp. 601 - 765
Publisher: Cambridge University Press
Print publication year: 2017

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References

References

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References

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References

Shulman, ST, Bisno, AL, Clegg, HW, et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. CID 2012; 55(10):E86-102.CrossRefGoogle Scholar
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References

Fine, MJ, Auble, TE, Yealy, DM, et al. A prediction rule to indentify low-risk patients with community-acquired pneumonia. N Engl J Med 1997; 23:336(4):243–250. (PSI/PORT score)CrossRefGoogle Scholar
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Chalmers, JD, Singanayagam, A, Hill, AT. Predicting the need for mechanical ventilation and/or inotropic support for young adults admitted to the hospital with community-acquired pneumonia. Clin Infect Dis 2008; 47: 1571–1574. (IDSA/ATS)CrossRefGoogle ScholarPubMed

Reference

** Activity depends upon clinical situation. Consider physical therapy as indicated. Encourage ambulation whenever possible. A swallowing screen can be done on patients prior to PO intake. The option for unlimited sodium in the diet can be deleted to promote a decreased sodium intake as part of control for hypertension. Check for diabetes and hypercholesterolemia, and counsel for smoking cessation, which are treatable risk factors for stroke and TIA. Consider consult with internal medicine/family practice regarding initiation of treatment for diabetes and hypercholesterolemia. Neurology consult is recommended for patients with TIA and stroke. The TIA order set can be customized from our template by stressing certain key factors.

*** Consider hypercoagulation panel if patient has strong family history of clotting disorders (such as deep vein thrombosis [DVT] or pulmonary emboli [PE]) and/or is young and has no risk factors for DVT yet has a DVT or PE. The coagulation panel includes such tests as protein S, protein C, antithrombin III, and factor VIII; and is a screen for inherited clotting disorders. It is expensive and thus, should be done only when there is a suspicion for an inherited disorder being present.

Johnson, SC, Rothwell, PM, Nguyen-Huynh, MN, et al. Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack. Lancet 2007; 369: 283–292.CrossRefGoogle Scholar

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