09945_postop_laminectomy_tetheredcord

09945_postop_laminectomy_tetheredcord - SCANNED TO PHARMACY...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: SCANNED TO PHARMACY STAT MEDICATION Date: ____________________ Time: ____________________ Allergies Patient /Parent states none Other:_____________________ Age:________mos/yrs Weight_______ kg. Inpatient Admit to PACU – Nursing Unit S/P __________________________________________________________________________________________ Condition ______________________________________________________________________________________ Vital signs and neuro checks Q 15 minutes x 4, Q 30 minutes x 4, Q 2 hours overnight, then Q 4 hours. HOB flat, bedrest, Log roll side-to-side Q 2 hours. May have head on one pillow. Babies may be held by parents if kept flat. I&O Foley catheter to gravity drainage. IV: D5W ½ NS with 20 mEq KCL/Liter at ___________ mL/hour. Decrease to TKO or Saline Lock when tolerating PO well. Notify Pharmacy when IV discontinued. Diet: Advance to regular diet as tolerated Latex Precautions MEDICATIONS: Cefazolin ________________ mg IV Q 8 hours X______________doses (30 mg / kg Q 8 hours. Max dose = 1 gm) OR Ceftriaxone________________mg IV x 1 dose at______ (50mg/kg x 1post-operative dose. Max dose = 1gm) Analgesia per PCA (Acute Pain Management Orders) OR Morphine _________________ mg IV Q 2 hours PRN moderate to severe pain (0.1 - 0.2 mg / kg Q 2 hours) OR Nalbuphine (Nubain® )_________________ mg IV Q 2 hours PRN moderate to severe pain (0.1 - 0.2 mg/kg Q 2 hours) Acetaminophen with Codeine #3 _______________ tabs PO Q 3 hours PRN mild to moderate pain OR Acetaminophen/Hydrocodone (5/325) _______________ tabs PO Q 3 hours PRN mild to moderate pain OR Acetaminophen with Codeine elixir _____________ mL’s PO Q 3 hours PRN mild to moderate pain (0.5 mg/kg/dose; 12 mg Codeine/5 mL) OR Hydrocodone/Acetaminophen elixir (2.5 mg + 167 mg /5 mL Vicodin®) ____________ mL PO Q 3 hours PRN mild to moderate pain (0.1 mg/kg Q 4 hours) Acetaminophen ______ mg PO/PR Q 3 hours PRN mild pain or T over 38.5 (15 mg/kg/dose. Max = 60 mg/kg/day) Ondansetron (Zofran) _______ mg IV / PO (circle one) Q 6 hours PRN N/V. (IV dose = 0.1 mg/kg, max dose = 4 mg. PO dose = 0.4 mg/kg, max dose = 16 mg). If over 2 doses per 24 hours needed, use Metoclopramide (Reglan) _______ mg IV Q 6 hours PRN N/V (0.1-0.2 mg/kg; max dose = 10 mg) Docusate Sodium (Colace®) _______________ mg PO daily Routine bowel care (adults only) Other: ______________________________________________________________________________________ ___________________________________________________________________________________________ Antiembolic stocking and sequential compression device (adults only) Other instructions: (e.g. brace, therapy) ___________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Call MD if there is a change in neurological status, severe H/A, temperature over 39.5°C. Emergency Procedures for Monitored and Non-Monitored Areas. Physician’s Signature ______________________________________________ Physician # _____________________ Authorization for therapeutic substitution is given unless checked here Patient Identification Sutter Medical Center, Sacramento A Sutter Health Affiliate Sutter Neuroscience Institute Post-Operative Orders Laminectomy for Tethered Cord 09945 (12/18/08) ORDERS ...
View Full Document

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.

Ask a homework question - tutors are online