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Protocol Parameters |
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Protocols
are service specific (GI, Renal, CV, Onc, etc.) |
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Protocols
are provider specific |
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Total
fluid management (account for all sources of fluid) |
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Fluid
ordering in ml/kg |
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Fluid
ordering in ml/day or ml/hour |
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Use
Hydration Volume (non-nutritional fluid expansion volume) |
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Cycle TPN |
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Use
Standard Solutions |
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Use
Standard Electrolyte products |
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Administer
electrolyte products |
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Specify
Acetate |
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Specify
Chloride |
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Specify
Acetate-Chloride as a ratio |
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Ion-based
dosing (i.e. Na, K, PO4, Acetate, Cl) |
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Salt-based
dosing (i.e. NaCl, NaAct, NaPO4, KCl, KAct, KPO4) |
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Weight-based
dosing of additives (i.e. mg/kg, mEq/l, mM/l, etc.) |
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Concentration-based
dosing of additives (mEq/l, mM/l, etc.) |
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Volume-based
dosing of additives (ml/kg, ml/day) |
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Order
Dextrose in percent (%) |
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Order
Dextrose in mg/kg/min |
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Non-TPN Fluid Sources |
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Fluid
from non-nutritional lines (Arterial, CVP) in fluid order |
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Electrolytes
and calories from non-nutritional lines in fluid order |
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Fluid
from Enteral feeds in fluid order |
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Calories
from Enteral feeds |
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Fat
emulsion volume in fluid order |
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Fat
emulsion ordered as a "3-in-one" solution |
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Work Flow |
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Review
TPN order |
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Review
CaPO4 PPT Curves |
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Review
TPN mixing instructions |
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Track
serum values daily |
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QA Measures and Checks |
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