Foot and Ankle International
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Wheeless' Textbook of Orthopaedics

PreOp Evaluation


- Frx - Menu (See: Post Op Orders) - Axial Skeleton: - C-spine - Spine - Pelvis - Upper Extremity: - Shoulder - Humerus - Elbow - Wrist - Hand - Lower Extremity: - Hip - Femur - Knee - Tibia - Ankle - Foot - Systems: - Neuro - Cranio-Maxillo-Facial - Spine - Cardiac - Pulmonary - Renal - Vascular - Compartments - Hepatic / GI tract: - Coag - Checklist: - Anesthesia: - request GEA if compartment syndrome is possible; - Cardiology - Blood & Cell Saver; - X-rays and Template - Implant Selection; - Consent - ATB - Posting - DVT prophylaxis - Positioning - Table type and Flouro - Incision - Bone Graft - Initial Orders: (Post Op Orders) - NPO p Midnight x Meds - IVF D5W 1/2 NS c 20 KCL at 100 ml/hr - 2 large bore IV; - Foley - Type & Cross 2-4 units pRBC and/or FFP - Meds (Trade Names) - Insulin (1/2 NPH dose) + S.S. - Accu Check in AM and on call - ATB: - Heparin 5000 units SQ q8 hrs; - Zantac - Morphine - PreOp Labs: - Musculoskeletal Labs: - EKG - CXR - Urinalysis - Buck's Traction - 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; - Pneumovax and Influenza A vaccines: if appropriate;



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