Perinatology Orders for Asthma  

1. 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 > 101F.

                                    [ ] 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.

         

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