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Wheeless' Textbook of Orthopaedics

Post Op Orders





- See Orders for the Spine Injured Patient

    - Neuro / C-spine
        - Morphine PCA (Fetanyl in the unstable pt);
        - Tylenol 650 PO q4hr prn
        - HOB
    - Cardiac Orders / Meds:
    - Hct: T & C and Sulcotrans (BleedingRx Bleeding):
    - Pulmonary:
        - CXR qAM
        - SCD's to Legs and/or SQ Heparin 5000 SQ q8hr
        - HOB to 30 deg
        - IPPB
    - FEN
        - NPO x Meds
        - IVF D5W LR at 100 ml/hr
        - MVI qd
    - GI tract:
        - NG tube: pH
        - Zantac / Carafate / Amoxicillin
        - EOC/LOC/Metamucil
    - ID:
        - Allergies
        - ATB q8 hr x 3 doses
        - Hiboclens Bath and Bactroban Ointment to Nares q shift
        - Cleocin solution 300 mg per 100 ml NS q6hr as mouth wash;
    - Renal
        - Myo-Heme
        - Foley - Septra
    - Endo: Insulin Sliding Scale:
    - Skin: Turn q2hr
    - MSK:
        - Activity: Wt Bearing / CPM
        - Calcium Carbonate 500-650 mg qAC and Vit D;
        - Trapeze Bar:
        - Post Op X-ray:
    - Labs:
        - Musculoskeletal Labs
        - CBC, Chem CS, Mg, ionized Ca, ABG, DIC;
        - Type & Cross 2 units pRBC and/or FFP




Original Text by Clifford R. Wheeless, III, MD.