PRE-OP
- Multimodal
Acetaminophen 1 g PO (do not give if case length expected >4 hrs)
Gabapentin 600 mg PO
Celecoxib 400 mg PO
- VTE/DVT prophylaxis:
Heparin 5,000 U SQ
Acetaminophen 1 g PO (do not give if case length expected >4 hrs)
Gabapentin 600 mg PO
Celecoxib 400 mg PO
Heparin 5,000 U SQ
from PACU arrival until discharge β while in bed
Allow PO intake while in PACU
Immediately-Allow regular diet or patient specific diet if tolerating clears
Document all PO liquid and solid intake in Dimensions-please document type of diet being consumed
POD 0: 1x in hallway, OOB in chair
POD 1: 3-4x in hallway, OOB 6 hrs in chair or ambulating
POD 2: 4-6x in hallway, OOB 8 hrs in chair or ambulation
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
Tylenol 1,000 mg PO Q8 (Not ordered as "while awake")
Gabapentin 300 mg PO TID starting POD 0
Celebrex 200 mg PO Q12
Oxycodone 5-10 mg PO Q4 PRN
IV opioids for severe breakthrough pain
NO PCA unless necessary
FSBS <200
Case Management if needed