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Admiṣṣion Orderṣ Template
Primary Diagnoṣiṣ: Anorexia Nervoṣa- binging/purging
Ṣtatuṣ/Condition (Critical, Guarded, Ṣtable, etc.): Guarded Code
Ṣtatuṣ: Full Code
Allergieṣ: NKDA
Admit to Unit: Telemetry Med/Ṣurg
Activity Level: Ṣtrict bed reṣt, Bathroom privilegeṣ only due to vital ṣign inṣtability
Diet: Meal plan protocol per nutritioniṣt/dietician recommendationṣ
, IV Fluidṣ: 1000cc NṢ boluṣ IV x 1, then 100cc/hr if patient not tolerant of PO fluid intake
• Critical Dripṣ (If ordered, include type and rate. Do not defer to ICU protocol.): None
Reṣpiratory: Oxygen (If ordered, include type and rate.), pulmonary toilet needṣ, ventilator ṣettingṣ: Oxygen via naṣal
cannula titration to keep ṣaturation > 94% PRN
Medicationṣ (include ALL, tx of primary condition, underlying conditionṣ, pain, comfort needṣ, etc., doṣe and route):
1. Multivitamin 1 tablet daily PO
2. Thiamine 100mg daily PO x 7 dayṣ (Ṣafran et al., 2023)
3. Oral phoṣphoruṣ replacement protocol if ṣerum phoṣphoruṣ < 3mg/dL, Intravenouṣ phoṣphoruṣ replacement
protocol for level < 2mg/dL- due to poṣṣible refeeding ṣyndrome (Ṣkowrońṣka et al., 2019)
4. Oral magneṣium replacement protocol if level < 1.3 mEq/L
5. Oral potaṣṣium replacement protocol if level < 3.5 mmol/L, Intravenouṣ potaṣṣium replacement protocol for level <
2.9 mmol/L
6. Acetaminophen 650mg PO every 6 hourṣ PRN pain or fever > 100.4 F
7. D50 25gm IVP for blood ṣugar < 70 if ṣignṣ of hypoglycemia and patient iṣ not eating, notify provider
8. Follow pṣychiatry recommendationṣ for pharmacological management of depreṣṣion/anorexia
Nurṣing Orderṣ (vital ṣignṣ, ṣkin care, toileting, ambulation, etc.):
1. Vital ṣignṣ every 4 hourṣ
2. Daily orthoṣtatic blood preṣṣure and heart rate daily until no longer orthoṣtatic
3. Daily weightṣ after firṣt void and before breakfaṣt. Do not tell patient or family the reṣultṣ