Unique Plan Description: ENT Myringotomy Adenoidectomy Post op
Plan Selection Display: ENT Myringotomy Adenoidectomy Post op
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 21:24:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 10:29:57
Available at all facilities: No

ENT Myringotomy Adenoidectomy Post op
Admit/Discharge/Transfer
	Admit to Observation Status
		T;N
	Discharge Conditional
		Conditions to be met: Oral intake of 300ml in 4 hours, no desaturations <90% during sleep, vital signs within normal range for age, T;N
	Discharge
		T;N, to: Home
			Comment: at 12nn
Vital Signs
	Vital Signs
		T;N
			Comment: Routine Post-op
Activity
	Activity-As Tolerated
		T;N
	Discharge Activity
		Quiet at home today. No restrictions tomorrow
Diet
	Advance Diet as Tolerated
		T;N
	Discharge Diet
		Start with clear liquids and advance to home diet as tolerated
IV Solutions
	Dextrose 5% with 0.45% NaCl w/KCl 20 mEq
		1,000 mL, IV
	Dextrose 5% with 0.45% NaCl
		1,000 mL, IV
	Lactated Ringers Injection
		1,000 mL, IV
Medications
	acetaminophen-hydrocodone 108 mg-2.5 mg/5 mL oral liquid
		0.2 mL/kg, Elixir, By Mouth, Q4H, PRN pain-moderate
		0.4 mL/kg, Elixir, By Mouth, Q4H, PRN pain-moderate
	acetaminophen-hydrocodone 325 mg-7.5 mg/15 mL oral solution
		0.2 mL/kg, Elixir, By Mouth, Q4H, PRN for pain-moderate
		0.4 mL/kg, Elixir, By Mouth, Q4H, PRN for pain-moderate
	Tylenol
		650 mg, Tab, By Mouth, Q4H, PRN pain-mild
	acetaminophen 325 mg/10.15 mL elixir
		15 mg/kg, Elixir, By Mouth, Once, STAT
	acetaminophen 160 mg/5 mL oral liquid
		15 mg/kg, Elixir, By Mouth, Once, STAT
	acetaminophen
		15 mg/kg, Suppository, RECTALLY, Q4H, PRN pain-mild
	ibuprofen oral suspension
		10 mg/kg, Suspension, By Mouth, Q6H, PRN pain-mild
	ondansetron
		0.15 mg/kg, Injection, IV Push, Q8H, PRN nausea and/or vomiting
	amoxicillin 400 mg/5 mL oral liquid
		By Mouth, BID, X 10 Day(s), # 100 mL, 0 Refill(s)
	amoxicillin 500 mg oral capsule
		1 CAP, By Mouth, BID, X 10 Day(s), # 20 CAP, 0 Refill(s)
	ciprofloxacin-dexamethasone 0.3%-0.1% otic suspension
		4 gtt, Ear, Both, TID, X 4 Day(s), # 5 mL, 0 Refill(s)
Patient Care
	Resuscitation Status
		T;N, Full Code
		T;N, No Code
	Discharge Symptoms to Report
		Instructions: Fever over --- degrees, and earache not relieved by the usual pain medications or any drainage other than previously described.
	Discharge Instructions Other
		Instructions: May resume normal bathing routine. Keep water out of ears

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase