2026年4月26日 星期日

(重要)order暴力寫法不被扣點

 【核心監測與通報】

1. Vital Signs: Q4H/Q8H (Based on acuity).

2. Call MD/NP immediately if:

   - SBP < 90 or > 160 mmHg.

   - HR < 50 or > 120 bpm.

   - BT > 38.5°C.

   - SpO2 < 92% on current O2 support.

   - GCS change or sudden onset of distress.


【水分與排泄管理】

1. Hydration: [Fluid Name] at [Rate] ml/hr.

2. Monitor I/O: Q8H/Daily. 

3. Hold IV fluid if: Lung crackles, worsening pitting edema, or U/O > 2500ml/day.

4. Record Body Weight: Every morning before breakfast.


【藥物執行安全閥】

1. Lasix [Dose]mg IVP: Check K+ level and BP before administration.

2. Inotropic agents: Titrate to keep MAP > 65 mmHg.

3. PRN Analgesics: Morphine/Keto [Dose] for Pain Scale > 7; Hold if RR < 12.


【血糖與代謝控管】

1. Sugar Check: AC/PC or QID.

2. Sliding Scale (RI):

   - BS 200-250: RI 2U SQ.

   - BS 251-300: RI 4U SQ.

   - BS > 300: RI 6U SQ and Notify MD.

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