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Calcium Chloride IV sliding scale: Hold sliding scale if Creatinine is > 1.9 mg/dL Ca > 1.19 mmol/L, no action required Ca = 1.13-1.19 mmol/L, administer Calcium Chloride 1 gram IV once, infuse over 30-60 minutes Ca = 1.06-1.12 mmol/L, administer Calcium Chloride 2 gram IV once, infuse over 30-60 minutes Ca = 1-1.05 mmol/L, administer Calcium Chloride 3 gram IV once, infuse over 30-60 minutes Ca < 1 mmol/L , administer Calcium Chloride 1 gram IV once, infuse over 30-60 minutes AND NOTIFY HOUSE OFFICER
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Keep Mg > 2.4, call MD for order if level drops below
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Magnesium Sulfate IV sliding scale: Hold sliding scale if creatinine > 1.9 mg/dL. Hold for hypermagnesemia if Mg > 2 mg/dL, contact physician for new order Mg > 2.1 mg/dL, do nothing Mg 1.8-2.1 mg/dL, give Magnesium Sulfate 2 gm IV once, infuse over 2 hours Mg 1.5-1.7 mg/dL, give Magnesium Sulfate 4 gm IV once, infuse over 4 hours Mg 1.2-1.4 mg/dL, give Magnesium Sulfate 6 gm IV once, infuse over 6 hours Mg < 1.2 mg/dL, give Magnesium Sulfate 6 gm IV once, infuse over 6 hours AND NOTIFY HOUSE OFFICER
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Phosphorous IV sliding scale for Sodium Phosphate OR Potassium Phosphate: Sodium Phosphate: Administer for patients with K > 3.9 mEq/dL OR if serum Creatinine > 1.9 mg/dL Potassium Phosphate: Administer for patients with K < 4 mEq/dL Phosphate > 2.9 mg/dL, no action required Phosphate = 2-2.9 mg/dL, administer Phosphate 15 mmol IV once, infuse over 2 hours Phosphate = 1-1.9 mg/dL, administer Phosphate 30 mmol IV once, infuse over 4 hours Phosphate = 0.5-0.9 mg/dL, administer Phosphate 45 mmol IV once, infuse over 6 hours Phosphate < 0.5 mg/dL, administer Phosphate 45 mmol IV once, infuse over 6 hours AND NOTIFY HOUSE OFFICER
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Potassium Chloride IV sliding scale. Hold sliding scale if creatinine > 1.9 K > 5.1 call MD K 4-5.1 do nothing K 3.7-3.9 give KCl 20 mEq IV over 1 hr K 3.4-3.6 give KCl 40 mEq IV over 2 hr K 3-3.3 give KCl 60 mEq IV over 3 hr K < 3 give KCl 60 mEq IV over 3 hr AND NOTIFY HOUSE OFFICER
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ENT
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GU
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Nutrition
Ophthalmic
Other
Pain
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Psychiatric
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Endocrine
ENT
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GU
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Ingestion
IV Fluid
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MRI
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Nutrition
Ophthalmic
Other
Pain
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Psychiatric
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Pulmonary
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Endocrine
ENT
GI
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GU
Hematologic
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Immunologic
Ingestion
IV Fluid
IV Fluid- Special
MRI
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Nutrition
Ophthalmic
Other
Pain
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Psychiatric
PUD
Pulmonary
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Endocrine
ENT
GI
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GU
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Immunologic
Ingestion
IV Fluid
IV Fluid- Special
MRI
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Nutrition
Ophthalmic
Other
Pain
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Psychiatric
PUD
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ENT
GI
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Hematologic
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Ingestion
IV Fluid
IV Fluid- Special
MRI
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Nutrition
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Other
Pain
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Psychiatric
PUD
Pulmonary
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Endocrine
ENT
GI
Gout
GU
Hematologic
Hepatic
HTN
Immunologic
Ingestion
IV Fluid
IV Fluid- Special
MRI
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Nursing
Nutrition
Ophthalmic
Other
Pain
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Psychiatric
PUD
Pulmonary
Radiocontrast Prophylaxis
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