Clickable Image Map: -
Trauma Systems: Neuro (see
Glasgow)
Cranio-Maxillo-Facial Cardiac Respiratory Renal Vascular Compartments Hepatic Coag X-rays and Template Planned Incision
Consent Bone Graft Open vs Closed Reduction
Anesthesia &
Cardiology Consults
Prophylactic ATB DVT prophylaxis Posting Blood & Cell Saver Implant Selection Positioning Table type and Flouro
- Initial Orders: - NPO p Midnight x Meds - IVF D5W LR at 100 ml/hr (in stable patients use D5W 1/2 NS w/ 20 KCl) - 2 large bore IV - Foley -
Monitoring; -
EKG and/or Continuous Cardiac Monitoring; - Continuous Pulse Ox monitoring; -
PreOp Labs: - Type & Cross 2-4 units
pRBC and/or
FFP -
Musculoskeletal Labs: -
Urinalysis -
Meds (
Trade Names) -
Prophylactic ATB -
DVT prophylaxis -
Steroids: - for neurological deficits - for
FES prophylaxis -
Heparin 5000 units SQ q8 hrs -
Insulin (1/2 NPH dose) + S.S. - Accu Check in AM and on call -
Zantac -
Morphine -
Tetanus or
Pneumovax if appropriate; - Traction: (Buck's vs.
Skeletal) -
Decubiti Prophylaxis: Egg Crate / Pillow and turn 20 deg q2hr - Hiboclens Shower and Bactroban to nares q12 hrs until OR - Cleocin solution 300 mg per 100 ml NS q6hr as mouth wash