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Sleeping
| { | |
| "task_id": "hyperkalemia-rollout", | |
| "description": "Synthetic rollout for Hyperkalemia \u2014 emergent cardiac stabilization. Reviews chart, writes progress note, places orders, and signs the encounter.", | |
| "reset_request": { | |
| "patient_id": "pat-1015" | |
| }, | |
| "actions": [ | |
| { | |
| "type": "click", | |
| "selector": "[data-testid='patient-card-pat-1015']" | |
| }, | |
| { | |
| "type": "click", | |
| "selector": "[data-testid='activity-notes']" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Note author']", | |
| "text": "Patrick Sullivan, MD" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Note title']", | |
| "text": "Progress Note" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Progress note content']", | |
| "text": "S: Patient reports generalized weakness and paresthesias in hands. Missed dialysis session 2 days ago. History of CKD stage 4 and heart failure.\nO: Potassium level 7.1 mEq/L. ECG changes: peaked T waves, widened QRS (130ms), loss of P waves. Cr 5.8, BUN 72. No ST changes suggestive of ischemia.\nA: Severe hyperkalemia with cardiac toxicity. Emergent management required immediately given ECG changes. Potassium shifting agents: insulin/dextrose and sodium bicarbonate to temporize while arranging dialysis.\nP: Calcium gluconate IV 2g over 5 minutes for cardiac membrane stabilization. Insulin and dextrose IV: regular insulin 10 units IV + D50 50mL. Sodium bicarbonate 50 mEq IV. Albuterol nebulizer 10mg. Kayexalate 30g PO. Emergent nephrology consult for dialysis. Continuous telemetry. Repeat K+ in 1 hour." | |
| }, | |
| { | |
| "type": "click", | |
| "selector": "[data-testid='save-note-button']" | |
| }, | |
| { | |
| "type": "wait", | |
| "milliseconds": 600 | |
| }, | |
| { | |
| "type": "click", | |
| "selector": "[data-testid='activity-orders']" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Order name']", | |
| "text": "Calcium gluconate IV" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Order category']", | |
| "text": "MED" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Order parameters']", | |
| "text": "IV, per protocol" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Order rationale']", | |
| "text": "Indicated for Hyperkalemia management" | |
| }, | |
| { | |
| "type": "click", | |
| "selector": "[data-testid='save-order-button']" | |
| }, | |
| { | |
| "type": "wait", | |
| "milliseconds": 600 | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Order name']", | |
| "text": "Insulin and dextrose IV" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Order category']", | |
| "text": "MED" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Order parameters']", | |
| "text": "IV, per protocol" | |
| }, | |
| { | |
| "type": "fill", | |
| "selector": "[aria-label='Order rationale']", | |
| "text": "Indicated for Hyperkalemia management" | |
| }, | |
| { | |
| "type": "click", | |
| "selector": "[data-testid='save-order-button']" | |
| }, | |
| { | |
| "type": "wait", | |
| "milliseconds": 600 | |
| }, | |
| { | |
| "type": "click", | |
| "selector": "[data-testid='sign-encounter-button']" | |
| } | |
| ] | |
| } | |