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Anesthesiology - Cesarean Delivery - Recovery-PACU [6269]

Anesthesiology - Cesarean Delivery - Recovery-PACU [6269] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Anesthesiology


SmartSet: ANESTHESIOLOGY - CESAREAN DELIVERY - RECOVERY/PACU
(ID:6269)
General Information
Display name: Anesthesiology - Cesarean Delivery - Recovery/PACU
Type: General
Merge priority:
Version comment:
Content source:
Synonyms: 1. Cesarean
2. Section
3. C Section
4. C-Section
5. PACU
6. Recovery
7. Post
SmartSet notes:
Description:
Web information: Title URL
1.
Questionnaire:
Configuration
Patient Care Orders
Vital Signs
Vital Signs SEE COMMENTS, Routine
Temperature Measurement Method:
Temperature Measurement Restrictions:
BP Source:
BP Location:
BP Position:
BP Restrictions:
Every 2 minutes X 5 times, then every 3 minutes X 4
times, then every 15 minutes until epidural is
discontinued., PACU
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

Respiratory
Respiratory Therapy per Protocol CONTINUOUS, Routine
Protocol Type:
Every 2 minutes X 5 times, then every 3 minutes X 4
times, then every 15 minutes until epidural is
discontinued., PACU
Oxygen Therapy CONTINUOUS, Routine
FiO2 (%) Titrate to Keep Sats >/= to ___%:
Liter Flow: 2
Titrate oxygen to maintain O2 sat at (%): 90
O2 Delivery Device: Nasal Cannula
Attempt to Wean Off Oxygen? Yes
Administer if oxygen saturation less than 90%,
excess somnolence, systolic blood pressure less than
80 mmHg, or excessive motor weakness., PACU
Pulse Oximetry ONCE For 1 Occurrences, Routine, PACU
Pulse Oximetry CONTINUOUS, Routine, PACU
Contingency Parameters
Notify Provider Provider to Notify: Provider
Notify based on: Respiratory Rate,Other
Other: Oxygen saturation less than
90%.,Somnolence, increasing or excessive motor
weakness.
If respiratory rate >:
If respiratory rate <: 10
PACU
Notify Anesthesia Provider to Notify: Other (Comment)
Notify based on: Other
Other: If naloxone (NARCAN) is administered.
PACU
Intravenous Therapy
IV Fluids
Insert and Maintain Peripheral IV CONTINUOUS, Routine
Peripheral IV Size: RN Discretion
Does this need to be inserted/placed?
PACU
Medications - General
Breakthrough Pain Medications
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

MORPHine PF injection 2 mg, Intravenous, EVERY 15 MINUTES PRN For 24
Hours, pain
First Line Parenteral Analgesic Agent - Administer if
unable to tolerate oral opioids or rapid response
required (if for rapid response, may give parenteral
and oral pain meds concurrently). Administer up to
*** mg. If sufficient pain relief, give Second Line
Parenteral Therapy, or notify provider if no second
line therapy is ordered.
PACU
HYDROmorphone PF (DILAUDID) injection 0.5 mg, Intravenous, EVERY 15 MINUTES PRN For
24 Hours, pain
First Line Parenteral Analgesic Agent - Administer if
unable to tolerate oral opioids or rapid response
required (if for rapid response, may give parenteral
and oral pain meds concurrently). Administer up to
*** mg. If sufficient pain relief, give Second Line
Parenteral Therapy, or notify provider if no second
line therapy is ordered.
PACU
FENTanyl PF injection 50 mcg, Intravenous, EVERY 1 HOUR PRN For 24
Hours, pain
First Line Parenteral Analgesic Agent - Administer if
unable to tolerate oral opioids or rapid response
required (if for rapid response, may give parenteral
and oral pain meds concurrently). Administer up to
*** mcg. If sufficient pain relief, give Second Line
Parenteral Therapy, or notify provider if no second
line therapy is ordered.
PACU
NSAID Analgesics
ketOROLAC (TORADOL) injection 15 mg, Intravenous, EVERY 6 HOURS PRN For 5
Days, pain
Maximum of 60 mg in 24 hours.
PACU
ketOROLAC (TORADOL) injection 30 mg, Intravenous, EVERY 6 HOURS PRN For 5
Days, pain
Maximum of 120 mg in 24 hours.
Not recommended for use if patient estimate CrCl 15-
30 mL/minute OR weight less than 50 kg.
PACU
Narcotic Reversal
naloxone (NARCAN) injection 0.4 mg, Intravenous, ONCE PRN For 1 Doses, opioid
overdose
As needed if respiratory rate is less than 8/minute or
patient is difficult to arouse and notify Anesthesia
STAT.
PACU
Anti-pruritics - First Line Therapy (Single Select)
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12/2016CCKM@uwhealth.org

diphenhydramine (BENADRYL) injection 25 mg, Intravenous, EVERY 6 HOURS PRN For 72
Hours, itching
First Line Agent: If two - three first line agents are
ordered, these should be considered as concurrent
administration orders. If ordered IV: push slowly. Do
not use 24 hours after conclusion of epidural
anesthesia.
PACU
nalbuphine (NUBAIN) injection 5 mg, Intravenous, EVERY 4 HOURS PRN For 72
Hours, itching
First Line Agent: If two - three first line agents are
ordered, these should be considered as concurrent
administration orders. If ordered IV: push slowly. Do
not use 24 hours after conclusion of epidural
anesthesia.
for 3 Minutes, PACU
loratadine (CLARITIN) tab 10 mg, Oral, 1 X DAILY PRN For 72 Hours, allergies,
itching
First Line Agent: If two - three first line agents are
ordered, these should be considered as concurrent
administration orders. If ordered IV: push slowly. Do
not use 24 hours after conclusion of epidural
anesthesia.
PACU
naloxone (NARCAN) injection 0.1 mg, Intravenous, EVERY 15 MINUTES PRN For
72 Hours, opioid overdose, itching
First Line Agent: If two - three first line agents are
ordered, these should be considered as concurrent
administration orders. If ordered IV: push slowly. Do
not use 24 hours after conclusion of epidural
anesthesia.
PACU
Anti-pruritics - Second Line Therapy
diphenhydramine (BENADRYL) injection 25 mg, Intravenous, EVERY 6 HOURS PRN For 72
Hours, itching
Second Line Agent: Administer if patient fails to
respond to first line agent after 30 minutes. If two -
three first line agents are ordered, these should be
considered as concurrent administration orders. Do
not use 24 hours after conclusion of epidural
anesthesia.
PACU
nalbuphine (NUBAIN) injection 5 mg, Intravenous, EVERY 4 HOURS PRN For 72
Hours, itching
Second Line Agent: Administer if patient fails to
respond to first line agent after 30 minutes. If two -
three first line agents are ordered, these should be
considered as concurrent administration orders. Do
not use 24 hours after conclusion of epidural
anesthesia.
for 3 Minutes, PACU
Page 4 of 6
Printed by STRAKA, KEVIN F [KFS1] at 12/5/2016 12:07:43 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

loratadine (CLARITIN) tab 10 mg, Oral, 1 X DAILY PRN For 72 Hours, allergies,
itching
Second Line Agent: Administer if patient fails to
respond to first line agent after 30 minutes. If two -
three first line agents are ordered, these should be
considered as concurrent administration orders. Do
not use 24 hours after conclusion of epidural
anesthesia.
PACU
naloxone (NARCAN) injection 0.1 mg, Intravenous, EVERY 15 MINUTES PRN For
72 Hours, opioid overdose, itching
Second Line Agent: Administer if patient fails to
respond to first line agent after 30 minutes. If two -
three first line agents are ordered, these should be
considered as concurrent administration orders. Do
not use 24 hours after conclusion of epidural
anesthesia.
PACU
Anti-emetics - First Line Therapy
ondansetron (ZOFRAN) injection 4 mg, Intravenous, EVERY 8 HOURS PRN,
nausea/vomiting
First Line Agent. Do not use beyond 24 hours after
conclusion of epidural anesthesia.
PACU
metoclopramide (REGLAN) injection 5 mg, Intravenous, EVERY 6 HOURS PRN,
nausea/vomiting
First Line Agent. Do not use beyond 24 hours after
conclusion of epidural anesthesia.
PACU
Anti-emetics - Second Line Therapy
ondansetron (ZOFRAN) injection 4 mg, Intravenous, EVERY 8 HOURS PRN,
nausea/vomiting
Second Line Agent. Admnister if patient fails to
responde to first line agent after 30 minutes. Do not
use beyond 24 hours after conclusion of epidural
anesthesia.
PACU
metoclopramide (REGLAN) injection 5 mg, Intravenous, EVERY 6 HOURS PRN,
nausea/vomiting
Second Line Agent. Admnister if patient fails to
responde to first line agent after 30 minutes. Do not
use beyond 24 hours after conclusion of epidural
anesthesia.
PACU
Criteria
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12/2016CCKM@uwhealth.org

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Printed by STRAKA, KEVIN F [KFS1] at 12/5/2016 12:07:43 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org