204 PRE-OPERATIVE ORDERS - COSMETIC FACE AND EYES IV SEDATION

Dr. Luis Cuadros 505.243.7670


Pt name: ________________________________________ DOB: _______________

CSN: _______________________________

Date: _______________________________

 

CONSENT FOR:

             ______________________________________________________

 

ORDERS:

      1.   Stryker eye bed

      2.   Baer Hugger

      3.   No Sequential TEDS

      4.   Start on O2 NP 2L in PREOP with CO2 cannula

      5.   Start IV on Right Hand

      6.   IV – TKO (minimal)

      7.   Kefzol 1gm IV

      8.   Record BP and HR on front of chart

 

SEDATION MEDICATION ORDERS:

Upon Arrival, please give:

Demerol 50mg PO

Valium 10mg PO

Clonidine 0.1mg (HOLD if BP systolic less than 90 or diastolic less than 50)

 

Repeat in 20 minutes:

Demerol 50mg PO

Valium 10mg PO

 

Other orders: