Perinatology Orders for Asthma1. Allergies: 2. Admit or OBS to: [ ] Antepartum [ ] Labor and Delivery [ ] ICU 3. Admitting Diagnoses: Asthma Intrauterine pregnancy 5. Condition: [ ] Stable [ ] Fair [ ] Serious [ ] Critical 6. VS: Q 1 hr until stable for 4 hr, then Q 4 hr. 7. Fetal Monitoring: [ ] FHT q shift [ ] NST q shift [ ] Continuous fetal monitoring 8. Activity: [ ] Bed rest with bathroom privileges with assistance. [ ] Other_____________________ 9. 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. [ ] Other______________________________ 10. Diet: [ ] NPO [ ] Clear liquids [ ] Regular diet [ ] Other______________________ 11. IV: [ ] Heplock [ ] Saline lock [ ] D5LR at 125- 150 12. Meds: O2 @ [ ] 2 [ ] 4 [ ] 6 Liters/min via [ ] NC or [ ] FM. Albuterol nebulizer (2.5 mg in 3 cc NaCl) Q ___ hr. every 20 minutes for 3 doses, then 2.5-10 mg every 1-4 hours as needed [ ] Prednisone 60 mg PO Q day. [ ] Methylprednisolone (Solumedrol) 125 mg IV bolus followed by 80 mg IVPS Q 8 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. 13. Other Meds: 14. Labs: [ ] CBC with differental [ ] Chem 12 [ ] ABG if pulse ox < 90%, respiratory distress or altered consciousness. [ ] Theophyilline level 15. Other: [ ] CXR [ ] Echocardiogram [ ] Pulmonary consult [ ] If patient does not have peak flow meter please provide one with instructions on its use.