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POST-OPERATIVE ORDERS
#clerk
For this, you can again use of the mnemonic AD DAVID

Admit to Plastic Surgery, under Dr. Surgeon
Diagnosis

Diet
Activity
Vitals
IVF, Investigations, Ins and outs
Drugs (the 5 P’s)
• Pain (analgesia)
• Puke (anti-emetic)
• Prophylactic (anti-coagulation)
• Pus (antibiotic)
• Precedent medications (restart appropriate home meds)

Example (post-op orders, patient for same day discharge)
Admit to Plastic Surgery, under Dr. Martin
Diagnosis: Flexor tenosynovitis L D3

Sips to DAT
AAT (activity as tolerated)
Splint L hand
Vitals q8h
IV RL @ 100cc/hr; SLIV (Saline lock IV) when drinking well
Tylenol #3 PO 1 -2 tabs q4h PRN
Gravol 25-50 mg PO/IV q6h PRN
*No DVT prophylaxis (patient ambulatory, low risk for DVT/PE)
*No home meds
Discharge home when well
Rx on chart
F/u with Dr. Martin in 2 weeks

Please note that all orders should be reviewed and co-signed by a resident. Be mindful of patient’s allergies before ordering medications.
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