Elisa Henderick
NRNP 6550- Walden University
Admission Orders Template
Primary Diagnosis: Anorexia Nervosa- binging/purging
Status/Condition (Critical, Guarded, Stable, etc.): Guarded
Code Status: Full Code
Allergies: NKDA
Admit to Unit: Telemetry Med/Surg
Activity Level: Strict bed rest, Bathroom privileges only due to vital sign instability
Diet: Meal plan protocol per nutritionist/dietician recommendations
, IV Fluids: 1000cc NS bolus IV x 1, then 100cc/hr if patient not tolerant of PO fluid intake
• Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.): None
Respiratory: Oxygen (If ordered, include type and rate.), pulmonary toilet needs, ventilator settings:
Oxygen via nasal cannula titration to keep saturation > 94% PRN
Medications (include ALL, tx of primary condition, underlying conditions, pain, comfort needs, etc., dose
and route):
1. Multivitamin 1 tablet daily PO
2. Thiamine 100mg daily PO x 7 days (Safran et al., 2023)
3. Oral phosphorus replacement protocol if serum phosphorus < 3mg/dL, Intravenous
phosphorus replacement protocol for level < 2mg/dL- due to possible refeeding syndrome
(Skowrońska et al., 2019)
4. Oral magnesium replacement protocol if level < 1.3 mEq/L
5. Oral potassium replacement protocol if level < 3.5 mmol/L, Intravenous potassium replacement
protocol for level <
2.9 mmol/L
6. Acetaminophen 650mg PO every 6 hours PRN pain or fever > 100.4 F
7. D50 25gm IVP for blood sugar < 70 if signs of hypoglycemia and patient is not eating, notify provider
8. Follow psychiatry recommendations for pharmacological management of depression/anorexia
Nursing Orders (vital signs, skin care, toileting, ambulation, etc.):
1. Vital signs every 4 hours
2. Daily orthostatic blood pressure and heart rate daily until no longer orthostatic
3. Daily weights after first void and before breakfast. Do not tell patient or family the results
4. Monitor and record patient compliance with meals and PO fluid intake
NRNP 6550- Walden University
Admission Orders Template
Primary Diagnosis: Anorexia Nervosa- binging/purging
Status/Condition (Critical, Guarded, Stable, etc.): Guarded
Code Status: Full Code
Allergies: NKDA
Admit to Unit: Telemetry Med/Surg
Activity Level: Strict bed rest, Bathroom privileges only due to vital sign instability
Diet: Meal plan protocol per nutritionist/dietician recommendations
, IV Fluids: 1000cc NS bolus IV x 1, then 100cc/hr if patient not tolerant of PO fluid intake
• Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.): None
Respiratory: Oxygen (If ordered, include type and rate.), pulmonary toilet needs, ventilator settings:
Oxygen via nasal cannula titration to keep saturation > 94% PRN
Medications (include ALL, tx of primary condition, underlying conditions, pain, comfort needs, etc., dose
and route):
1. Multivitamin 1 tablet daily PO
2. Thiamine 100mg daily PO x 7 days (Safran et al., 2023)
3. Oral phosphorus replacement protocol if serum phosphorus < 3mg/dL, Intravenous
phosphorus replacement protocol for level < 2mg/dL- due to possible refeeding syndrome
(Skowrońska et al., 2019)
4. Oral magnesium replacement protocol if level < 1.3 mEq/L
5. Oral potassium replacement protocol if level < 3.5 mmol/L, Intravenous potassium replacement
protocol for level <
2.9 mmol/L
6. Acetaminophen 650mg PO every 6 hours PRN pain or fever > 100.4 F
7. D50 25gm IVP for blood sugar < 70 if signs of hypoglycemia and patient is not eating, notify provider
8. Follow psychiatry recommendations for pharmacological management of depression/anorexia
Nursing Orders (vital signs, skin care, toileting, ambulation, etc.):
1. Vital signs every 4 hours
2. Daily orthostatic blood pressure and heart rate daily until no longer orthostatic
3. Daily weights after first void and before breakfast. Do not tell patient or family the results
4. Monitor and record patient compliance with meals and PO fluid intake
