09945_postop_laminectomy_tetheredcord - SCANNED TO PHARMACY...

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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 ...
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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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