Master of Science Nursing, Walden University
NRNP 6550
Admission Orders Template
Primary Diagnosis: Hyperthyroidism with thyrotoxic
crisis, CAP Status/Condition (Critical, Guarded, Stable,
etc.): Critical Code Status: Full Code
Allergies: NKDA
Admit to Unit: Intensive care unit
Activity Level: Bedrest with bathroom privileges with assistance
Diet: NPO except for meds until stable, then regular diet
, IV Fluids: NS 2000cc bolus IV, then D5NS 150cc/hr while NPO
• 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 NC to maintain saturation of ≥ 94%, titrate up to 6 lpm
Medications (include ALL, tx of primary condition, underlying conditions, pain, comfort needs, etc., dose
and route):
1. Propanolol 60 mg orally every 4 hours (Chiha et al., 2013)
2. Propylthiouracil (PTU) 1000 mg orally initially, then 250mg orally every 4 hours
3. Lugol’s solution 10 drops diluted in 4oz water orally every eight hours (give one hour after PTU
administration)
4. Hydrocortisone 300 mg IV initially, then 100mg IV every 8 hours (Radhi et al., 2020)
5. Ceftriaxone 1g IV every 24 hours
6. Azithromycin 500 mg IV, then 250mg IV every 24 hours
7. Lorazepam 1 mg IVP every 4 hours PRN agitation
8. Acetaminophen 650 mg orally every 4 hours PRN mild pain or temp > 100.4 F
9. Zofran 4 mg IVP every 4 hours PRN nausea
10. Maalox 30 cc orally every 4 hours PRN indigestion
Nursing Orders (vital signs, skin care, toileting, ambulation, etc.):
1. Vital signs every 1 hour
2. Daily weight
3. Strict IOs
NRNP 6550
Admission Orders Template
Primary Diagnosis: Hyperthyroidism with thyrotoxic
crisis, CAP Status/Condition (Critical, Guarded, Stable,
etc.): Critical Code Status: Full Code
Allergies: NKDA
Admit to Unit: Intensive care unit
Activity Level: Bedrest with bathroom privileges with assistance
Diet: NPO except for meds until stable, then regular diet
, IV Fluids: NS 2000cc bolus IV, then D5NS 150cc/hr while NPO
• 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 NC to maintain saturation of ≥ 94%, titrate up to 6 lpm
Medications (include ALL, tx of primary condition, underlying conditions, pain, comfort needs, etc., dose
and route):
1. Propanolol 60 mg orally every 4 hours (Chiha et al., 2013)
2. Propylthiouracil (PTU) 1000 mg orally initially, then 250mg orally every 4 hours
3. Lugol’s solution 10 drops diluted in 4oz water orally every eight hours (give one hour after PTU
administration)
4. Hydrocortisone 300 mg IV initially, then 100mg IV every 8 hours (Radhi et al., 2020)
5. Ceftriaxone 1g IV every 24 hours
6. Azithromycin 500 mg IV, then 250mg IV every 24 hours
7. Lorazepam 1 mg IVP every 4 hours PRN agitation
8. Acetaminophen 650 mg orally every 4 hours PRN mild pain or temp > 100.4 F
9. Zofran 4 mg IVP every 4 hours PRN nausea
10. Maalox 30 cc orally every 4 hours PRN indigestion
Nursing Orders (vital signs, skin care, toileting, ambulation, etc.):
1. Vital signs every 1 hour
2. Daily weight
3. Strict IOs
