304 POST-OP ADMISSION ORDERS FOR ADMISSION - PEDIATRICS OTHER

Dr. Luis Cuadros 505.243.7670


Pt name: ________________________________________ DOB: _______________

CSN: _______________________________

Date: _______________________________

Allergies: ______________________

Weight: _______________________ Kg

 

Status: ___ Bedded outpatient or _____ Inpatient

Peds Unit 6th floor

Dx: __________________________

Diet: Advance to regular as tolerated

Activity: Ad lib

IV: D5-1/2NS @ _________ cc/hr

Medications:

Kefzol _________ mg IV Q 8 hours

Morphine Sulfate _________ mg IV Q 1 Hour PRN Pain

Tylenol _________ mg PO/PR Q 4° PRN T > 101.5°F or PRN Pain

Tylenol with codeine elixir _________ cc PO Q 4° PRN Pain

            Toradol (0.5mg/kg) _________ mg Q8hr PRN pain

Zofran (0.1mg/kg) IV for patients weighing 40kg or less Q6hr PRN nausea or

            Zofran 4mg IV for patients weighing more than 40kg Q6hr PRN nausea

Bacitracin ointment 1oz Tube

Please have at bedside:

[2] Blue disposable Chux

            [1] box 4X4 gauze

            250cc Saline irrigation

            [2] 4" Kling

            [2] 3X18" petrolatum gauze

            [1] suture removal set

 


PEDIATRIC DOSING CHART - DR. CUADROS

 

Weight

Kg

IV FLUIDS

D5½NS cc/hr

KEFZOL mg IV

25mg/kg q8h

MS mg IV

q1-2h

TYLENOL mg

q4h PRN

TYLENOL/codeine

cc q4h PRN

4

17

100

0.125

60

1-2cc

5

21

125

0.125

75

1-2cc

6

25

150

0.25

90

1-2cc

7

29

175

0.25

105

2cc

8

33

200

0.25

120

2cc

9

38

225

0.5

135

2cc

10

42

250

0.5

150

2-3cc

12

45

300

0.5

180

2-3cc

15

52

375

1.0

225

3cc

20

63

500

1.0

300

3cc

25

67

625

2.0

375

3-4cc

30

71

750

2.0

450

3-4cc

35

75

875

2.0

525

4cc

40

79

1000

2.5

600

5cc

 

Preoperative Diet orders: NPO solids 8 hours - Formula & Milk 6 hours - Breast Milk 4 hours - Clear Liquids 2 hours.

Acetominophen [TYLENOL] 10-15 mg/kg PO q4-6h prn; Max: 75 mg/kg/day

Ibuprofen [MOTRIN, ADVIL] 5-10 mg/kg PO q6-8h prn; Max: 40 mg/kg/day

Midazolam [VERSED] oral medication 0.5mg/kg in 5cc Tylenol elixir

Topical oral analgesia: Mix 10cc Viscous lidocaine 2% + 10cc Benadryl Elixir; 1-2cc PRN.

Codeine: 0.5 -1.0 mg/kg q4-6h; Elixir 5ml = 120mg acetaminophen + 12 mg codeine. 2.4mg codeine/cc;1mg/.416 cc

Ondansetron [ZOFRAN]: under 40kg give 0.1mg/kg. Over 40kg give 4mg

Promethazine [PHENERGAN]: not for under 2 years. Oral 0.2 mg/kg, Rectal 6.25-12.5 mg PR

Metoclopramide [REGLAN] (0.1-0.25 mg/kg)

Diphenhydramine [BENADRYL] (0.5-1 mg/kg)

Fentanyl: 1-2 mcg/kg Q1-4h, 0.5-1 mcg/kg/hr infusion

Naloxone [NARCAN]: (0.01mg/kg) repeat Q5min

Ketorlac [TORADOL]: .5mg/kg Q8h

Dexamethasone [DECADRON] 0.25 mg/kg