Master of Science Nursing, Walden University
NRNP 6550
Admission Orders Template
Primary Diagnosis: L4 compression fracture secondary to metastatic bone cancer
Status/Condition (Critical, Guarded, Stable, etc.): Stable
Code Status: Full Code
Allergies: NKDA
Admit to Unit: med/surg tele
Activity Level: Bedrest, then as ordered by specialty
Diet: Cardiac
, IV Fluids: NS @ 100cc/hr- ( to assist with hypercalcemia and clearance)
• 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 PRN 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. Lidocaine patch to lumbar spine every 12 hours
2. Gabapentin 300 mg orally daily (Tanna & Ong, 2022)
3. Fluticasone/salmeterol Inhalation daily (consult with primary pharmacy for dose)
4. Hydrochlorothiazide orally daily (consult with primary pharmacy for dose)
5. Albuterol MDI 2 puffs PRN every 4 hours as needed for wheezing
6. Morphine 4 mg IVP now and then 2mg IVP every 4 hours PRN breakthrough pain
7. Norco 5/325mg 1 tab orally every 4 hours PRN pain 1-5/10
8. Norco 10/325mg 1 tab orally every 6 hours PRN pain ≥ 6/10
9. Acetaminophen 650 mg orally every 6 hours PRN temp > 100.4 F
10. Zofran 4 mg IVP every 4 hours PRN nausea
11. Maalox 30 cc orally every 4 hours PRN indigestion
Nursing Orders (vital signs, skin care, toileting, ambulation, etc.):
1. Vital signs every 4 hours
2. Neurochecks every 4 hours
NRNP 6550
Admission Orders Template
Primary Diagnosis: L4 compression fracture secondary to metastatic bone cancer
Status/Condition (Critical, Guarded, Stable, etc.): Stable
Code Status: Full Code
Allergies: NKDA
Admit to Unit: med/surg tele
Activity Level: Bedrest, then as ordered by specialty
Diet: Cardiac
, IV Fluids: NS @ 100cc/hr- ( to assist with hypercalcemia and clearance)
• 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 PRN 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. Lidocaine patch to lumbar spine every 12 hours
2. Gabapentin 300 mg orally daily (Tanna & Ong, 2022)
3. Fluticasone/salmeterol Inhalation daily (consult with primary pharmacy for dose)
4. Hydrochlorothiazide orally daily (consult with primary pharmacy for dose)
5. Albuterol MDI 2 puffs PRN every 4 hours as needed for wheezing
6. Morphine 4 mg IVP now and then 2mg IVP every 4 hours PRN breakthrough pain
7. Norco 5/325mg 1 tab orally every 4 hours PRN pain 1-5/10
8. Norco 10/325mg 1 tab orally every 6 hours PRN pain ≥ 6/10
9. Acetaminophen 650 mg orally every 6 hours PRN temp > 100.4 F
10. Zofran 4 mg IVP every 4 hours PRN nausea
11. Maalox 30 cc orally every 4 hours PRN indigestion
Nursing Orders (vital signs, skin care, toileting, ambulation, etc.):
1. Vital signs every 4 hours
2. Neurochecks every 4 hours
