DOCTOR’S ORDER RATIONALE

2-06-10@7:30 PM

 Pls. Admit  For proper medical intervention

 Secure consent  For legality of actions
 TPR Q4®  For baseline and comparative data
 NPO  For preparation for surgery and
laboratory examinations
 Labs: CBC, BT, U/A  For data in determining alterations of
the results
 Start IVF with d5LR 1L, @ 20gtts/min  For fluid and electrolytes balance

 Meds:

•Ampicillin 500mg IVTT Q6® ANST  ANTIBIOTIC

•Cimitidine 200mg IVTT Q8®  ANTI-ULCER
•Tramadol 50mg IVTT Q8®  FOR PAIN

 PLS. insert FBC F16 attach to Urobag  To facilitate urine output and for
specimen collection for u/a.
 v/s Q4®  For monitoring and comparative data

 I&o Q shift  For monitoring of input and output of

the patient.
 Refer to surgeon on call
 For proper continuation of
management .

 Î IVF rate to 40gtts/min; FD 500ml  To prevent hypovolemia

present IVF
 TF: D5LR 1L SR  FOR fluid and electrolytes balance
 Add meds:

•ketorolac 15mg IVTT Q6®  FOR PAIN

•Gentamicin 80mg IVTT Q8® ANST  ANTIBIOTIC
•Metronidazole 500mg IVTT Q8• ANST  ANTIPROTOZOAL

 For E Hernorrhaphy
Right-secure consent

 Refer any problem  For continuation of management

2-07-10@8:30am

 Post op orders:
•ranitidine 50mg IV  ANTI-ULCER DRUG
•METOCLOPROMIDE 100MG IV  ANTI-EMETIC DRUG

6:45PM

 TO PACU  For monitoring after surgery

 v/s 15minx1®then 30minx1®then
hourly
 NPO
 I & O Q Shift
 IVF D5LR@3030ggts/min
 Meds:
•Metronidazole 500mg IVTT Q8®
•Tramadol 50mg IVTT Q8®
•ketorolac 15mg IVTT Q6®

 02 inhalation 3li/hr till stable  To provide oxygen or prevent hypoxia

 refer  For proper medical management