Outpatient Dialysis Orders
Date:
From:
Patient Name:
Date of Birth:
Resume previous outpatient dialysis orders without change except for the following exceptions:
None
While the patient was in the hospital, we dialyzed with the following orders:
| Dialysis Schedule: | Mon/Wed/Fri | Tue/Thur/Sat |
| |
| Duration: | hours | minutes |
| |
| Dry Weight: |
| |
| Dialysis Bath: |
| Ca:2.5 | Potassium: | Bicarb: | Sodium: |
| Heparin:None |