Admission Orders With Question & Answer Guide (With Explanation)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to admission orders with and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves admission orders with. A strong answer should include explanation, application, and examples.

Original Question

Admission Orders • IV D5 ½ NS with 20 mEq KCl at 75 mL/hr; add 1 ampule multivitamins to 1 L of IV fluid per day. • Insert Salem Sump nasogastric tube (NGT) and attach to low continuous suction (LCS). • Insert Foley catheter to gravity drainage. • Elevate head of bed (HOB) at 30 to 45 degrees at all times. • Check all stools for occult blood. • Lactulose (Cephulac) 45 mL PO qid until diarrhea • Abdominal ultrasound (US) in AM • Vitamin K (AquaMEPHYTON) 10 mg/day IV or PO may (when alert and able to swallow) ï‚´ 3 doses • Vitamin B1/thiamine (generic) 100 mg/day IV; change to PO when alert and able to swallow. • Vitamin B9/folic acid (generic) 0.4 mg/day IM • Vitamin B6/pyridoxine (generic) 100 mg/day PO • Labs: CBC with differential, basic metabolic panel (BMP), liver function tests (LFTs), PT/INR and PTT, serum ammonia (NH3) now and in AM • Once patient is alert and able to swallow, may have low-protein diet. Observe for any difficulty swallowing, and offer assistance with meals if needed. • Call house officer for any sign of gastrointestinal bleed; delirium tremens (DTs); systolic blood pressure (BP) over 140 or less than 100 mm Hg; diastolic BP less than 50 mm Hg; or pulse over 120 beats/min.

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