Luis Cuadros MD 505.243.7670

Pt name: ________________________________________ DOB: _______________

CSN: _______________________________

Date: _______________________________

Weight: ________________ Kg


Status: ADMIT PEDS _____Bedded Outpatient or ______Inpatient

Diet: Advance to regular diet as tolerated

Activity: Ad Lib

IV: D5 ½ NS @ 50cc/hr

Kefzol _______ mg IV Q8 Hour

Morphine Sulfate __________ mg IV Q1 Hour PRN Pain

Tylenol 650 mg PO/PR Q4 Hours PRN T > 101.5°F or PRN pain

Tylenol w/ codeine elixir 5-10 cc PO Q 4 hours PRN pain

Vicodin 5/325 mg 1-2 PO Q4hr PRN pain

Toradol ______ mg Q8h PRN pain

Zofran 4mg IV Q 6 hours PRN nausea

Phenergan 6.25mg-12.5mg IV Q 8 Hours PRN nausea

Benadryl 25mg PO Q 6 Hours PRN itching

Benadryl 12.5mg IV Q 6 Hours PRN itching

Bacitracin ointment: one ounce tube to bedside

Please have at bedside:

Disposable blue chux, box 4x4 gauze, 500cc saline irrigation, 3"x18" petrolatum gauze

            suture removal set, Bacitracin ointment tube

Pulse oximeter

O2 via NC or blow by to keep O2 saturation > 95%

Wound care: as directed