Turp transurethral Resection of the Prostate Post Op Orders



Yüklə 13,88 Kb.
tarix14.06.2018
ölçüsü13,88 Kb.
#48463




PLACE LABEL HERE

TURP (Transurethral Resection of the Prostate)

POST-OP ORDERS

The following orders will be implemented. Orders with a “” are choices and are NOT implemented unless checked.

Initial all handwritten order modifications and the bottom of each page when indicated (multipage).


  1. Diagnosis Same as preprocedure plan _____________ (initials)

and Admit as Inpatient ________________________________________________(reason for admission)

Status: Place in Observation ______________________________________________(reason for observation)

2. Unit:  ICU  IMCU/PCU  Telemetry Floor  Any Floor Telemetry  Any Floor (No Telemetry)


  1. VS per PACU routine, then VS per post-op care routine

  2. Diagnostics:  H&H tonight  H&H in am  Chem 7 in am

  3. Foley to bedside bag

  4. Continuous bladder irrigation with NS, titrate to keep pink to clear. Do not interrupt irrigation while transporting patient.

  5. Irrigate Foley with normal saline to prevent clot retention prn

  6. Incentive spirometry q 2 hrs while awake

  7. Diet: Advance as tolerated

  8. Nutrition Supplement Orders (form # 31417), initiate if patient meets criteria

  9. Bedrest today. Out of bed in AM  Other: ________________________________________________________

SCHEDULED MEDIATIONS:

  1. IVF: D5 ½ NS with KCl 20 mEq/liter at _____ ml/hr  Other: ______________________________________

  2. Antibiotic: _________________________________________________________________________________

Post-op antibiotic will be automatically stopped within 24 hrs unless indication is documented

Document indication for > 24 hrs: _____________________________________________________________



PRN MEDICATIONS: (If > one drug is ordered for the same indication, clinical assessment will be used per policy 520-06)

Prior to administering pain medications, assess for difficulties with continuous bladder irrigation.



  1.  Adult Electrolyte Replacement Orders (form # 21340), initiate

  2. Severe pain:  Morphine 1-4 mg IV q 3 hrs prn

 Dilaudid (HYDROmorphone) 0.5-1 mg IV q 3 hrs prn

  1. Moderate pain:

 Percocet (oxyCODONE/acetaminophen) 5/325 mg 1-2 tabs or 10/325 mg 1 tab po q 4 hrs prn

 Lortab (HYDROcodone/acetaminophen) 5/500 mg 1-2 tabs or 10/500 mg 1 tab po q 4 hrs prn



  1. Mild pain/temp >100.5F/HA: Tylenol (acetaminophen) 650 mg po q 4 hrs prn

18. Nausea/Vomiting:  Zofran (ondansetron) 4 mg IV q 6 hrs prn

 Reglan (metoclopramide) 10 mg IV q 6 hrs prn (5 mg if > 65 y/o)

 Phenergan (promethazine) 12.5-25 mg po or per rectum q 4 hrs prn

19. Sleep:  Ambien (zolpidem) 5-10 mg po at HS prn. If 5 mg given, may repeat x 1 dose after 2 hrs

If > 65 year old, begin with 5 mg po at HS, may repeat x 1 dose after 2 hrs

 Other: ___________________________________________________________________

20. Indigestion:  Maalox XS (aluminum/magnesium/simethicone) 30 ml po four times daily prn

21. Stool Softener:  Colace (docusate) 100 mg po bid prn; if patient has not had a bowel movement

22. Constipation:  Milk of Magnesia (MOM) 30 ml po daily prn

23. Anxiety:  Ativan (lorazepam) 0.5 - 1 mg po q 8 hrs prn

 Xanax (alprazolam) 0.25 - 0.5 mg po q 6 hrs prn

24. Spasms:  B&O (Belladonna & Opium) suppository 1 per rectum q 6 hrs prn

25. Itching: Benadryl (diphenhydrAMINE) 12.5-25 mg po or IV q 6 hrs prn

Additional Orders: ________________________________________________________________________________

______________ ___________________ _________________________________ __________



Date Time Physician Signature PID Number

Send copy to pharmacy
*1-18191* FORM 1-18191 REV. 07/2012 Page 1 of 1

Yüklə 13,88 Kb.

Dostları ilə paylaş:




Verilənlər bazası müəlliflik hüququ ilə müdafiə olunur ©www.genderi.org 2024
rəhbərliyinə müraciət

    Ana səhifə