00583_postanesthesia_treatment_drugorders_phase1

00583_postanesthesia_treatment_drugorders_phase1 - 1. 2. 3....

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Unformatted text preview: 1. 2. 3. 4. 5. Admit to PACU or ________________ wt ____________ kg Status Post: __________________________________________________________________________________ Allergies: Patient states none Other: _________________________________________________________ Record Blood Pressure, Heart Rate, Respirations and temperature – Q 15 minutes or per routine. Oxygen per 1) Mask 2) Nasal Cannula 3) Catheter at 2 4 6 8 10 liters/min 4) T-Tube mist to ETT at ____%. Adjust Oxygen to maintain saturations greater than or equal to 92% or ______%. 6. Notify anesthesiologist for Oxygen saturation less than or equal to saturation in #4 or ______%. 7. Initial Ventilator Settings: FiO2 _______ Vt ________ RR ________ PEEP ________ Pressure Support ________ 8. If patient is intubated, extubate patient when awake and demonstrating adequate muscle strength. An anesthesiologist must be immediately available. 9. Initiate Emergency Procedures for Monitored and Non-Monitored Areas if indicated. 10. Continue current IV fluid at TKO or __________ mL/hour or Saline lock Central Line Care per Nursing Protocol 11. Analgesia - Give in numerical order - Give #1 first; if ineffective, give #2; if ineffective, give #3; if still ineffective, call MD. #____ Morphine Sulfate _______________ mg IV, every __________ minutes PRN pain, total __________ mg. or #____ Fentanyl _____________________ mcg IV, every _________ minutes PRN pain, total _________ mcg. or #____ Meperidine (Demerol) ___________ mg IV, every __________ minutes PRN pain, total __________ mg. or #____ Hydromorphone (Dilaudid) ________ mg IV, every __________ minutes PRN pain, total __________ mg. or #____ Nalbuphine (Nubain) ____________ mg IV, every __________ minutes PRN pain, total _____________ mg. 12. Ketorolac (Toradol) ___________________ mg IV/IM, may repeat times one. 13. Nausea/Vomiting - Give in numerical order - Give #1 first; if ineffective, give #2; if ineffective, give #3; if still ineffective, call MD. #____ Metoclopramide (Reglan) 10 mg IV x 1 or _ mg every ______ minutes PRN x _____ . #____ Ondansetron (Zofran) 4 mg IV x 1 or ____ mg every ______ minutes PRN x _____ . Other: _____________________________________________________________________________________ . 14. Shivering ____ Meperidine (Demerol) 12.5 mg IV x 1 or ____________ mg every _____ minutes PRN x________ . 15. Albuterol 2.5 mg 1.25 mg via SVN (Small Volume Nebulizer) PRN wheezing. May repeat X 1. Levalbuterol 1.25 mg 0.63 mg via SVN PRN wheezing. May repeat X 1. Racemic Epinephrine 2.25% via SVN 1 unit dose 2 unit doses 3 unit doses PRN wheezing. May repeat x 1. 16. Patient may be discharged when: a. Discharge to a hospital unit: When discharge score is 9-10 or the expected pre-procedure baseline is reached (not applicable for patient admitted to critical care area) - or Discharge home: When Ambulatory Care Unit discharge criteria are met or exceptions explained. b. May be a PACU “short stay” patient. c. No depressant and/or narcotic or anesthetic, muscle relaxant or benzodiazepine reversal agent has been given in past 30 minutes (except PCA). d. After regional anesthesia, sensory and motor control of the affected areas have returned Or _______________________________________________________________________________________ 17. Additional Orders: _____________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 18. Notify anesthesiologist if a “discharge to home patient” is admitted as inpatient. 19. Please add my name to this patient, in computerized patient record, as anesthesiologist Care Provider. Date: ____________ Time: ____________ ___________________________________________________________ Anesthesiologist Signature Patient Identification Sutter Medical Center, Sacramento A Sutter Health Affiliate Phase I Post-Anesthesia Treatment and Drug Orders 00583 (11/21/08) ORDERS ...
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This note was uploaded on 12/26/2009 for the course PHYS 341 taught by Professor Mavromatis during the Spring '09 term at American University of Beirut.

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