PRE-OP
- Multimodal Analgesic
Acetaminophen 1 g PO
Celecoxib 400 mg PO
Acetaminophen 1 g PO
Celecoxib 400 mg PO
from PACU arrival until discharge β while in bed or chair
Allow PO fluid intake while in PACU if patient awake and not vomiting
Immediately-Regular diet or patient specific diet if tolerating clears
Goal=mobilization within 2 hours of arrival to floor if spinal block has resolved
POD 0: 4x in hallway
POD 1: 4-6x in hallway
OOB 8 hrs in chair or ambulating
elevated 30 degrees at all times
x10 Q 1hr 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
Acetaminophen 1 g PO q8 hrs (Not ordered as "while awake")
Celebrex 200 mg PO BID
Tramadol 50 mg Q6 hrs
Vitamin C 500 mg
Oxycodone 5-10 mg PO q4 hrs PRN
IV opioids for severe breakthrough pain
FSBS <200