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7 Cards in this Set

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Give an outline for post-op orders:
A useful acronym is ADDAVIDD

A - Admit to...
D - Diagnosis...
D - Diet...
A - Activity...
V - Vitals...
I - Investigations (labs, imaging...)
D - Drains...
D - Drugs (pain, puke, poop, prophylaxis, antibiotics)

There's also fluids, so don't forget those.
What are the five classes of medications that you need to consider when writing an admission note or post-op orders?
Anticoagulants (to prevent DVT/PE)

You can remember the first four through the "4 Ps": pain, puke, poop, and prophylaxis.

Not everyone needs post-op antibiotics, either.
What's the "4, 2, 1 rule" for fluid maintenance?
4 ml/kg for the first 10 kg
2 ml/kg for the next 10 kg
1 ml/kg for every kg after that

Example: 70 kg (160 lb.) man

4 x 10 = 40
2 x 10 = 20
1 x 50 = 50

Total = 110 ml/h

The usual post-op amount is usually more, usually 125 ml/h.
What's a typical post-op dose of morphine?
2-6 mg q3H PRN
What's a typical post-op or admit dose of laxative (the "poop" in the 4 Ps)?
Colace 100 mg PO q12H PRN
What's a typical post-op or admit dose of prophylactic heparin?
Heparin 5000 units SC BID
What's a typical post-op or admit dose of gravol?
Gravol 25-50 mg IV or PO q4H PRN