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).
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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)
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VS per PACU routine, then VS per post-op care routine
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Diagnostics: H&H tonight H&H in am Chem 7 in am
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Foley to bedside bag
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Continuous bladder irrigation with NS, titrate to keep pink to clear. Do not interrupt irrigation while transporting patient.
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Irrigate Foley with normal saline to prevent clot retention prn
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Incentive spirometry q 2 hrs while awake
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Diet: Advance as tolerated
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Nutrition Supplement Orders (form # 31417), initiate if patient meets criteria
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Bedrest today. Out of bed in AM Other: ________________________________________________________
SCHEDULED MEDIATIONS:
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IVF: D5 ½ NS with KCl 20 mEq/liter at _____ ml/hr Other: ______________________________________
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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.
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Adult Electrolyte Replacement Orders (form # 21340), initiate
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Severe pain: Morphine 1-4 mg IV q 3 hrs prn
Dilaudid (HYDROmorphone) 0.5-1 mg IV q 3 hrs prn
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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
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Mild pain/temp >100.5F/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
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