www.marshallortho.com
 

ADMIT ORDERS FOR MARSHALL ORTHOPAEDICS – HIP FRACTURE

carry out all orders unless marked out

PATIENT NAME :   

   fax to   

1.    Admit to Dr.     ----- inpatient admit 

2.    Diagnosis :       hip fracture

3.    Condition :  stable

4.    Diet :  4 gram Na ;   NPO after   for surgery  

5.    IV fluids:  Ringers’ Lacate 100 mL / hr

6.    Antibiotics:  Ancef 1 gram ivpb on call to surgery ; if penicillin-allergic, give 1 gram  Vancomycin ivpb on call to surgery

7.    Lab:  if not already done :  cbc,  u/a,  bmp, ekg,  pt/ptt,  type and screen

8.     X-rays :  done

9.     PRN Mild pain : Hydrocodone 5 mg po q4h prn;

         if codeine allergic, give Ultram 50 mg po tid

10.    PRN Moderate pain: Hydrocodone 7.5 mg po q4h:

         if codeine allergic, give Ultram 50 mg po tid

11.    PRN severe pain : Morphine 2 mg ivp q2h; if allergic to Morphine,

          give Nubain 5 mg im q4h

12.    Ambien 10 mg po at bedtime prn sleep

13.    Benadryl 25 mg po tid prn itching

14.    Routine vital signs; neurovascular checks of injured extremity with vital signs

15.    Phenergan gel 25 mg q6h prn nausea or vomiting

16.    Milk of Magnesia 30 mL po daily prn constipation

17.     Tylenol 650 mg po or rectal q4h  prn temp over 100 degrees F or headache

18.     Activity:  bed rest ; foley cath; bilateral scd hose ; abduction pillow; overhead frame & trapeze

19.      Consult Hospitalist to see patient regarding:     

20.       Notify hospitalist                           

 

             [I will do h&p and permit  ]

           

        ______________________________________

       

ortho adult admit orders

GOOD SHEPHERD MC / MARSHALL   Marshall, TX     Revised 4/9/08