Organ Donor Orders
OPO # ______________________
Ordered Done
Contact admitting to obtain a new billing number for all donor-related charges
Discontinue all previous orders except for the following:
Keep same ventilator settings
Keep currently required IV vasoactive drips
Ordered Done
Notify PNTB coordinator:
SBP 5.5
HR 130 U/O 300 cc per hour
CVP 10 Temperature 100
PO2 45 PH 7.45
Ordered Done
Maintenance IV fluid: D5 1/4 NS with ________ KCL @___________cc/hr
Ordered Done
NG tube to low continuous suction
Foley to gravity
Turn patient q 2 hours
Ordered Done
Arterial line and CVP placement if not done
CXR 40" from sternum (after CVP placement if not previously placed)
Stat 12 lead EKG
Ordered Done
Chem panel: Na, K, CL, Co2, BUN, Cr, Gluc, Mg, Phos
Liver function tests: SGOT(AST), SGPT (ALT), GGT, Total Bili, Alkaline Phos, LDH
CPK with MB, Troponin I
CBC with differential
PT, PTT, INR
ABG
UA with Micro
Urine for C&S
Amylase and Lipase for donors less than 55 years old
CBG q hour
Type (ABO) and Screen
Crossmatch________units leukodepleted PRBC's. Keep________units ahead
Ordered Done
Ancef 1 gm IV q 6 hours
T4 protocol * see organ procurement coordinator for instructions and meds
Albuterol Nebs q 4 hours
Lacrilube OU PRN
OPC Signature:____________________________________________Date&Time__________________
* I-stat lab orders PRN through PNTB I-stat machine