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MSC – Endocrine Surgery – Adult – Postoperative [5066]

MSC – Endocrine Surgery – Adult – Postoperative [5066] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Madison Surgery Center


MSC - Endocrine Surgery - Adult - Postoperative [5066]
Post-Op/Phase II
Do NOT order phase II medications for cases involving anesthesia.
Analgesics - Acetaminophen - PRN (Single Response) [195667]
acetaMINOPHEN alcohol free (TYLENOL) susp
[126425]
650 mg, Oral, EVERY 4 HOURS PRN, pain/fever,
Temperature greater than *** C or pain
No more than 4 grams acetaminophen per 24 hours for adults
or 15mg/kg per dose for peds <40kg. Temperature greater
than *** C or pain
acetaMINOPHEN (TYLENOL) tab RANGE [750000] 325-650 mg, Oral, EVERY 4 HOURS PRN, pain/fever,
Temperature greater than *** C or pain
No more than 4 grams acetaminophen per 24 hours for adults
or 15mg/kg per dose for peds <40kg. Temperature greater
than *** C or pain
Post-Op/Phase II
acetaMINOPHEN (TYLENOL) suppository [34153] 650 mg, Rectal, EVERY 4 HOURS PRN, pain/fever,
Temperature greater than *** C or pain
No more than 4 grams acetaminophen per 24 hours for adults
or 15mg/kg per dose for peds <40kg. Temperature greater
than *** C or pain
Post-Op/Phase II
Analgesics - NSAID - PRN (Single Response) [195666]
ibuprofen (MOTRIN) tab RANGE [750024] 200-400 mg, Oral, EVERY 6 HOURS PRN, pain,
Temperature greater than *** C or mild pain
Temperature greater than *** C or mild pain
Post-Op/Phase II
ketOROLAC (TORADAL) injection - Note: Do NOT order
ketorolac if patient is 65 years or older, 50 kg or less, or
serum creatinine 1.2 mg/dL or more [58693]
15 mg, Intravenous, EVERY 6 HOURS PRN For 24 Hours,
pain
Analgesics - Opioids (Oral) - PRN (Single Response) [195668]
oxycodone-acetaminophen (PERCOCET) 5-325 mg per
tab RANGE [750033]
1-2 tab, Oral, EVERY 4 HOURS PRN, pain, Severe pain
No more than 4 grams acetaminophen per 24 hours for adults
or 15mg/kg per dose for peds <40kg.
Post-Op/Phase II
hydrocodone-acetaMINOPHEN (NORCO) 5-325 mg per
tab RANGE [750021]
1-2 tab, Oral, EVERY 4 HOURS PRN, pain, Severe pain,
Post-Op/Phase II
oxycodone 5 MG/5ML soln RANGE [750031] 5-10 mg, Oral, EVERY 4 HOURS PRN, pain, Severe pain,
Post-Op/Phase II
Analgesics - Opioids (IV) - PRN (Single Response) [195669]
HYDROmorphone PF (DILAUDID) injection RANGE
[750050]
0.2-0.4 mg, Intravenous, EVERY 2 HOURS PRN, pain,
Severe pain
If patient unable to tolerate oral medications
for 3 Minutes, Post-Op/Phase II
MORPHine injection RANGE [750057] 1-2 mg, Intravenous, EVERY 2 HOURS PRN, pain, Severe
pain
If patient unable to tolerate oral medications
for 4 Minutes, Post-Op/Phase II
Patient to be discharged to home when deemed stable per MSC Discharge from Phase II Recovery to Home Policy
[135357]
Patient to be discharged to home when deemed stable
per MSC Discharge from Phase II Recovery to Home
Policy [NURCOM0022]
ONCE, Phase II Discharge
Outpatient Discharge Orders (Medications)
Medications - Prescriptions - Analgesics (Non-Opioids) [195670]
acetaMINOPHEN (TYLENOL) 325 MG tab [34149] starting 1/14/16, Normal
Medications - Prescriptions - Analgesics - Opioids [135235]
Page 1 of 3
Printed by GUETZLAFF, SCOTT F [SFG091] at 1/14/2016 2:00:19 PM

Copyright © 2015 University of Wisconsin Hospital and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:



















 
01/2016Lee Vermeulen, CCKM@uwhealth.org

oxycodone-acetaMINOPHEN (PERCOCET) 5-325 mg
per tab - 1-2t q4h prn [40668]
starting 1/14/16, Normal
hydrocodone-acetaMINOPHEN (NORCO) 5-325 mg per
tab - 1-2t q4h prn [71425]
starting 1/14/16 until 2/13/16, Normal
oxycodone 5 MG/5ML soln [45975] 240 mL, 0, starting 1/14/16, Normal
Medications - Prescriptions - Non-Categorized [135234]
calcitriol (ROCALTROL) 0.25 MCG cap [44439] 60 cap, 3, starting 1/14/16, Normal
levothyroxine (SYNTHROID) 25 MCG tab [39001] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 50 MCG tab [39002] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 75 MCG tab [39003] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 88 MCG tab [45544] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 100 MCG tab [39004] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 112 MCG tab [45545] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 125 MCG tab [39005] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 137 MCG tab [45546] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 150 MCG tab [39006] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 175 MCG tab [45547] starting 1/14/16, Normal
levothyroxine (SYNTHROID) 200 MCG tab [39007] starting 1/14/16, Normal
Calcium Carbonate 1000mg two times daily [52229] 60 tab, 3, starting 1/14/16, Normal
Calcium Carbonate 1000mg three times daily [52229] 60 tab, 3, starting 1/14/16, Normal
Calcium Carbonate 2000mg two times daily [52229] 60 tab, 3, starting 1/14/16, Normal
Calcium Carbonate 2000mg PRN [52229] 60 tab, 3, starting 1/14/16, Normal
docusate sodium (COLACE) 100 MG cap [36857] 30 cap, 0, starting 1/14/16, Normal
Sennosides-Docusate Sodium (SENNA) 8.6-50 MG per
tab [74039]
starting 1/14/16, Normal
Outpatient Discharge Orders (Discharge Instructions)
Activity [135359]
Activity [NURACT0011] Routine, Most people return to work within one week. Avoid
straining or extreme bending of your neck. Do not lift more
than 20 pounds for the first week. Avoid strenuous activity for
one week. Do NOT drive or operate any machinery until you
are no longer taking narcotic pain pills and can turn your head
to the side 90 degrees with ease.
Nutrition [135361]
Diet [NURDIE0013] Routine
Wound Care [135362]
Wound Care - Closure With Removable Suture
[NURWND0015]
Routine, Comments: Your wound is closed with sutures (that
need to be removed), tape, and a clear dressing. The
dressing is waterproof, so it is OK to shower or get it wet.
Small pieces of tape are used to reinforce the incision. The
pieces of tape should remain in place until your next
appointment (6-8 days). If the edges curl up prior to your next
appointment, it is ok to trim them with a small scissors. The
tape over your incision may be covered with a clear dressing.
If a clear dressing is present, it may be removed in 2 days. No
swimming or soaking in water for 14 days after surgery. Do
NOT use ointments, powders, or creams on the wound.
Wound Care - Closure With Dermabond
[NURWND0015]
Routine, Your wound is closed with glue and tape. The glue is
waterproof, so it is OK to shower or get it wet. The glue and
tape will start to peel off in 10-14 days. If the edges curl up
prior to your next appointement, it is OK to trim them with a
small scissors. You will have pieces of tape over the glue,
leave them on until your next appointment (10-14 days). No
swimming or soaking in water for 14 days after surgery. Do
NOT use ointments, powders, or creams on the wound.
Medication Instructions [135367]
No more than 4 grams of acetaminophen per 24 hour
period [NURCOM0071]
Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine
Page 2 of 3
Printed by GUETZLAFF, SCOTT F [SFG091] at 1/14/2016 2:00:19 PM

Copyright © 2015 University of Wisconsin Hospital and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:



















 
01/2016Lee Vermeulen, CCKM@uwhealth.org

Medication Instructions [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine,
If you develop numbess and tingling in your face, lips,
fingertips, or toes take four 500 mg tablets of calcium
carbonate (TUMS). The symptoms should go away in 15-30
minutes. If the symptoms persist, at 30 minutes you can
repeat this. If the syptoms do still do not go away, call your
doctor.
When to Call Your Surgeon [135431]
When to Call Your Doctor [NURCOM0079] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan.
You should include specific instructions on when and who to
call.
You should include actual provider names (i.e. not 'PCP').
You should NOT include the discharging unit as a contact.,
Routine, •nausea or vomiting lasting more than 24 hours;
•if you have not had a bowel movement in 3 days;
•temperature above 100.4F by mouth, for 2 readings taken 4
hours apart;
•excess swelling or bleeding;
•increased redness and/or warmth at the incision site;
•pus-like drainage;
•pain not relieved by pain pills;
•rapid or excess bruising (some bruising is normal);
•sudden shortness of breath or cough;
•cramping/swelling to leg;
•dark urine;
•numbness and/or tingling of your fingertips, face, lips or toes
that does not resolve with calcium supplements (TUMS). This
is rare, but if you are panicked due to trouble breathing,
sudden swelling in your throat, or are unable to swallow, Call
911.
Other Discharge Instructions [135358]
Please provide patient with appropriate HFFY (thyroid
surgery, minimally invasive parathyroid surgery)
[NURCOM0022]
ONCE, Phase II Discharge
Contact Information [135666]
Contact Information [NURCOM0071] Please complete in PATIENT FRIENDLY terms. This order
will appear on the patient's After Hospital Care Plan., Routine,
Your Surgeon's name is @ATTPROV@ and can be reached
at @ATTENDPH@, Monday - Friday between 8:00am and
4:30pm. After 4:30pm or on weekends please call the after
hours clinic at 262-2122.
Follow-up Appointments [135369]
Patient to Schedule Appointment [NURCOM0026] Routine
Reason for Appointment: Post Operative Visit
When do you want appointment: 1-2 weeks after surgery
Which Clinic or Specialty: Attending Surgeon
Which Provider (Optional):
Page 3 of 3
Printed by GUETZLAFF, SCOTT F [SFG091] at 1/14/2016 2:00:19 PM

Copyright © 2015 University of Wisconsin Hospital and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:



















 
01/2016Lee Vermeulen, CCKM@uwhealth.org