• Gabapentin 600 mg PO

• Acetaminophen 1 g PO

• For patients who will NOT receive Ketorolac introp: Celecoxib 400 mg PO preop

• SCDs

• Q 1 hr with Vioptix and Doppler

• Call Dr. Wormer if loss of doppler tracing and/or sustained ↓10% in StO2 via Vioptix

• Clear diet POD 0

• Advance to regular diet POD 1

• POD 0: x1 with assistance night of surgery

• POD 1-2: TID

• Out of bed to chair for all meals

• Continue lidocaine infusion for 24 hours after termination of anesthesia

• Acetaminophen 1000 mg Q8 (Not ordered as "while awake")

• Gabapentin 300 mg Q8

• Ketorolac 15 mg IV Q6

• Oxycodone 5-10 mg PO Q3 PRN

• Hydromorphone 0.5 mg IV PRN for breakthrough pain

• Flexeril 5 mg PO Q8 PRN muscle spasm

• Ondansetron 4 mg IV/PO Q6 PRN

• Haldol 0.5-1 mg IV PRN

• Continue scopolamine patch (72hrs)

• D/C @ 0700 POD 1

• Maintenance fluids until POD 1 at 7 am

• Enoxaparin – Begin POD 1 @ 0600

• SCDs

• Cont. regimen for 24 hrs

Immediately-Allow regular diet or patient specific diet

• POD 0: at least 1x

• POD 1: 3-4x; OOB 6 hrs in chair or ambulating

• POD 2: 4-6x; OOB 8 hrs in chair or ambulating

• elevated 30 degrees at all times

• 10x/hr while awake

D/C if tolerating PO intake

If IVF needed, balanced crystalloid (LR) preferred over 0.9% NS

• SCD usage while in bed or chair until discharge

• D/C on or before POD 1, if not done in OR

• Acetaminophen 1 g PO Q8 (if dosing meets 3g/24hr limit, contact pharmacy to reschedule; do not skip dose)

• Gabapentin 300 mg PO Q8

• Ketorolac 15 mg IV Q6

• Oxycodone 5-10 mg PO Q4 PRN

• IV opioids for severe breakthrough pain

• FSBS <200