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7 Cards in this Set
- Front
- Back
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Give an outline for post-op orders:
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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. |
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What are the five classes of medications that you need to consider when writing an admission note or post-op orders?
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Analgesics
Anti-emetics Laxatives Anticoagulants (to prevent DVT/PE) Antibiotics You can remember the first four through the "4 Ps": pain, puke, poop, and prophylaxis. Not everyone needs post-op antibiotics, either. |
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What's the "4, 2, 1 rule" for fluid maintenance?
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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. |
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What's a typical post-op dose of morphine?
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2-6 mg q3H PRN
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What's a typical post-op or admit dose of laxative (the "poop" in the 4 Ps)?
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Colace 100 mg PO q12H PRN
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What's a typical post-op or admit dose of prophylactic heparin?
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Heparin 5000 units SC BID
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What's a typical post-op or admit dose of gravol?
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Gravol 25-50 mg IV or PO q4H PRN
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