Download TURP Transurethral Resection of the Prostate Post Op

PLACE LABEL HERE
TURP (Transurethral Resection of the Prostate)
POST-OP ORDERS
The following orders will be implemented. Orders with a “” are choices and are NOT implemented unless checked.
Initial all handwritten order modifications and the bottom of each page when indicated (multipage).
1.
Diagnosis Same as preprocedure plan _____________ (initials)
and
Admit as Inpatient ________________________________________________(reason for admission)
Status:
Place in Observation ______________________________________________(reason for observation)
Unit:
 ICU  IMCU/PCU  Telemetry Floor  Any Floor Telemetry  Any Floor (No Telemetry)
VS per PACU routine, then VS per post-op care routine
Diagnostics:  H&H tonight  H&H in am  Chem 7 in am
Foley to bedside bag
Continuous bladder irrigation with NS, titrate to keep pink to clear. Do not interrupt irrigation while transporting
patient.
7. Irrigate Foley with normal saline to prevent clot retention prn
8. Incentive spirometry q 2 hrs while awake
9. Diet: Advance as tolerated
10. Nutrition Supplement Orders (form # 31417), initiate if patient meets criteria
11. Bedrest today. Out of bed in AM  Other: ________________________________________________________
2.
3.
4.
5.
6.
SCHEDULED MEDIATIONS:
12. IVF: D5 ½ NS with KCl 20 mEq/liter at _____ ml/hr  Other: ______________________________________
13. Antibiotic: _________________________________________________________________________________
Post-op antibiotic will be automatically stopped within 24 hrs unless indication is documented
Document indication for > 24 hrs: _____________________________________________________________
PRN MEDICATIONS:
(If > one drug is ordered for the same indication, clinical assessment will be used per policy 520-06)
Prior to administering pain medications, assess for difficulties with continuous bladder irrigation.
14.  Adult Electrolyte Replacement Orders (form # 21340), initiate
15. Severe pain:
 Morphine 1-4 mg IV q 3 hrs prn
 Dilaudid (HYDROmorphone) 0.5-1 mg IV q 3 hrs prn
16. Moderate pain:
 Percocet (oxyCODONE/acetaminophen) 5/325 mg 1-2 tabs or 10/325 mg 1 tab po q 4 hrs prn
 Lortab (HYDROcodone/acetaminophen) 5/500 mg 1-2 tabs or 10/500 mg 1 tab po q 4 hrs prn
17. Mild pain/temp >100.5F/HA: Tylenol (acetaminophen) 650 mg po q 4 h
18. Nausea/Vomiting:  Zofran (ondansetron) 4 mg IV q 6 hrs prn
 Reglan (metoclopramide) 10 mg IV q 6 hrs prn (5 mg if > 65 y/o)
 Phenergan (promethazine) 12.5-25 mg po or per rectum q 4 hrs prn
19. Sleep:
 Ambien (zolpidem) 5-10 mg po at HS prn. If 5 mg given, may repeat x 1 dose after 2 hrs
If > 65 year old, begin with 5 mg po at HS, may repeat x 1 dose after 2 hrs
 Other: ___________________________________________________________________
20. Indigestion:
 Maalox XS (aluminum/magnesium/simethicone) 30 ml po four times daily prn
21. Stool Softener:
 Colace (docusate) 100 mg po bid prn; if patient has not had a bowel movement
22. Constipation:
 Milk of Magnesia (MOM) 30 ml po daily prn
23. Anxiety:
 Ativan (lorazepam) 0.5 - 1 mg po q 8 hrs prn
 Xanax (alprazolam) 0.25 - 0.5 mg po q 6 hrs prn
24. Spasms:  B&O (Belladonna & Opium) suppository 1 per rectum q 6 hrs prn
25. Itching:
Benadryl (diphenhydrAMINE) 12.5-25 mg po or IV q 6 hrs prn
Additional Orders: ________________________________________________________________________________
______________
___________________
_________________________________
__________
Send copy to pharmacy
*1-18191*
1
FORM 1-18191 REV. 07/2012
Page 1 of
PLACE LABEL HERE
TURP (Transurethral Resection of the Prostate)
POST-OP ORDERS
Date
Time
Physician Signature
PID Number
Send copy to pharmacy
*1-18191*
1
FORM 1-18191 REV. 07/2012
Page 1 of