GENERAL SURGERY POST op

Document Sample
GENERAL SURGERY POST op Powered By Docstoc
					AUTHORIZATION IS GIVEN TO DISPENSE A GENERIC EQUIVALENT UNLESS THE PARTICULAR DRUG IS ENCIRCLED Diagnosis: _________________________________________________________________________________________ Allergies: __________________________________________________________________________________________ Weight: _________________________________________Height: ___________________________________________

GENERAL SURGERY POST-OP ORDERS
Admit to: 2W 1W Peds ICU Observation

Condition: ______________________________________________________________________________ Vital signs: Activity: Nursing: Routine Ad lib Every 4 hours Out of bed/to chair TID Other Out of bed/ambulate TID Bedrest Foley to gravity drainage Chest tube to suction per thoraseal Strict I & O

Sequential compression devices to both lower extremities NG to low intermittent suction Hemovac drain to bulb suction NG to continuous suction

Record Hemovac output every shift

Incentive spirometry every hour when awake with cough and deep breaths Diet: IV fluids: Clear liquids Advance as tolerated meds, Regular ice chips) 1800 calorie ADA 2000 calorie ADA Nothing by mouth (except

D5 ½ normal saline with 20 KCL/liter @ ____________mL/hour D5 Lactated Ringers @ ______________mL/hour D5 Normal saline @ _____________mL/hour Lock IV when tolerating liquids _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

Medications:

Morphine 2 mg IV for mild (pain 2-6) or 4 mg IV for more severe pain every 4 hours as needed for breakthrough pain Zofran 4 mg IV every 6 hours as needed for nausea and vomiting Phenergan 12.5 mg IV every 6 hours as needed for nausea and vomiting Tylenol 650 mg orally or per rectum every 6 hours as needed for pain or temperature > 101 F. Protonix 40 mg IV daily PCA (Please see separate order sheet) _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________

Laboratory/Radiology:

CBC CXR (

Basic metabolic profile Portable or

Magnesium

Phosphorus

ABGs

PA and lat)every ____________________

Physician Signature: _________________________________ Date & Time: ___________________________________

DO NOT WRITE BELOW THIS LINE

DO NOT WRITE BELOW HERE

SOUTH CENTRAL REGIONAL MEDICAL CENTER
PO BOX 607 - LAUREL, MISSISSIPPI 39441

GENERAL SURGERY POST OP ORDERS (July, 2008)

PATIENT LABEL HERE