401 POST-OP ORDERS AND INSTRUCTIONS – AMBULATORY DAY SURGERY ADULT

Dr. Luis Cuadros 505.243.7670



Pt name: ________________________________________ DOB: _______________

CSN: _______________________________

Date: _______________________________

 

Status: Ambulatory outpatient - patient to go home on day of surgery

Positioning:

Meds:                                                       

Percocet 5mg 1-2 PO PRN

Demerol 50mg PO PRN

Zofran 4mg IV PRN

Phenergan 25mg suppository PR PRN

Phenergan 6.25mg-12.5mg IV PRN

Toradol 30 mg IV PRN

Fentanyl 12.5 - 25 micrograms IV PRN

Move to lounge chair and discharge to home when ready

Other orders:

 

 

RX’s given:

RTO:

PICK UP PERSON:

STAYING AT:

CONTACT PHONE NUMBERS: