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GOOD SHEPHERD MC / MARSHALL - MARSHALL, TEXAS            

 MAJOR POSTOP ORDERS - MARSHALL ORTHOPAEDICS  -    PAGE 1 OF 2

1.  Admit to PACU - discharge after criteriae are met ; O2 [humidifed oxygen] per protocol

2.  Activity :              3.  Diet :

4. Vital signs hourly x 6 hours, then q2h x 4, then routine

5.  IV  -- convert to saline lock when taking PO fluids

6.  Neurovascular checks to operated extremity with vital signs

7. Physical therapy consult, start tomorrow  on operated lower extremity

8.  X- Ray    in PACU     9.  Ice pack to surgical wound prn

10. Bedside incentive spirometer 10 min/hr while awake         

11. Place foley cath if unable to void; give Gentamicin 80 mg ivpb prior to insertion

12. Lab: 

13.  If patient smokes, apply Nicotine patch 14 mg daily

14. Sequential compression device to

15. Elevate  :   

16.     prn nausea / vomiting 

16a. OK TO RENEW MEDICATIONS AS THEY EXPIRE

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                   D. Waldman, MD                    date / time                         PATIENT NAME