Age >65 | Albumin, creatinine, hemoglobin |
Alcohol abuse: | ECG, electrolytes, hemoglobin, LFTs, platelet count, PT/INR |
Anasarca: | Albumin, BUN, creatinine, ECG, electrolytes, TSH, T3, T4 |
Anemia: | CBC, creatinine, ferritin, iron, transferrin saturation, TSH, T3, T4, Vit B12 |
Bleeding disorder (personal or family history): | LFTs, platelet count, PT/INR, PTT |
Blood loss (anticipated) significant: | Hemoglobin, type and screen |
BMI <16: | Albumin, ECG, electrolytes, hemoglobin, PT/INR, TSH, T3, T4 |
BMI >50: | ECG, HgA1c/glucose |
Cardiac disease: | |
Arrhythmias (new or undiagnosed brady, irregular, or tachy): | BNP, ECG, electrolytes, hemoglobin, TSH, T3, T4 |
Chest pain (new or worsening): | BNP, ECG, hemoglobin |
Heart failure (decompensated or NYHA class 3 or 4): | BNP, chest radiograph, creatinine, ECG, electrolytes, hemoglobin |
Murmur (undiagnosed): | BNP, ECG |
Chemotherapy (within last 30 days): | BUN, CBC, creatinine, platelet count |
CIED (pacemaker, ICD): | ECG |
Cocaine abuse: | ECG |
Contrast dye (anticipated use): | Creatinine |
Diabetes: | Creatinine, HgA1c/glucose |
Dyspnea (severe and undiagnosed): | Albumin, BNP, BUN, chest radiograph, creatinine, ECG, electrolytes, hemoglobin, TSH, T3, T4 |
Goiter: | T3, T4, TSH |
Hematologic disorders (eg, leukemia, myeloma): | CBC, platelet count |
Hepatic disease: | Albumin, BUN, creatinine, electrolytes, hemoglobin, LFTs, platelet count, PT/INR |
Hypercoagulable condition (undiagnosed): | Platelet count, PTT |
Inflammatory bowel disease: | Electrolytes, hemoglobin |
Instrumentation of the urinary tract: | Urinalysis |
Malabsorption: | Albumin, BUN, CBC, electrolytes, hemoglobin, PT/INR |
Malnutrition: | Albumin, BUN, CBC, creatinine, electrolytes, hemoglobin, PT/INR |
Medications: | |
Amiodarone use: | ECG, T3, T4, TSH |
Digoxin: | ECG, electrolytes |
Diuretics: | Electrolytes |
Heparin (unfractionated): | PTT |
Steroids (systemic): | Electrolytes, HgA1c/glucose |
Thyroid replacement: | TSH, T3, T4 |
Warfarin: | PT/INR |
Planned initiation of warfarin for first time in hospital: | PT/INR |
Palpitations: | ECG, hemoglobin, T3, T4, TSH |
Positive antibody screen on previous type and screen: | Type and screen (except for procedures with no blood loss potential) |
Pulmonary disease (eg, cough, severe dyspnea, abnormal findings on chest examination): | Chest radiograph |
Pulmonary HTN: | ECG |
Radiation therapy (to chest, breasts, lungs, thorax): | Chest radiograph, ECG |
Renal disease: | BUN, creatinine, electrolytes, hemoglobin |
Suspected pregnancy: | B-hCG |
Syncope: | BNP, creatinine, ECG, electrolytes, hemoglobin, HgA1c/glucose, TSH, T3, T4 |
Thyroid disease: | TSH, T3, T4 |
Tobacco use + diabetes + age >55 years: | Creatinine |
Thrombocytopenia: | Platelet count |
Urinary tract infection (suspected): | Urinalysis; sample hold for C/S if UA suggestive of infection |
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