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PhysicianOrder Set PATIENT LABEL UPPER …

Physician Order Set UPPER gastrointestinal BLEED HOSPITAL ORDERS PATIENT LABEL General Location Consider ICU Admission if one or more of the following conditions exists: Admit to ICU Admit to Medical/Surgical Unit with Telemetry Responsible Service/Physicians: Diagnosis: Vital Signs VS - q1h VS - q4h Allergies: Activity Bed rest Nursing Orders Assessments Cardiac monitor Measure Orthostatic VS Measure I&O and record q shift Measure weight - daily Pulse oximetry monitoring Interventions If Suspicious for Variceal Bleed - okay to place temporary NGT - this will not worsen ongoing variceal bleeding or cause a varix to rupture For BOTH Suspicious and NOT Suspicious Variceal Bleed - Avoid foley catheter Elevate HOB at least 30 degrees Insert 2 large bore IVs NG/OG tube insertion - place to low intermittent suction

PhysicianOrder Set UPPER GASTROINTESTINAL BLEED HOSPITAL ORDERS PATIENT LABEL General Location Consider€ICU Admission if one or more of the following conditions exists:

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  Upper, Gastrointestinal, Upper gastrointestinal

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