Unique Plan Description: ENT TA UPP Post op
Plan Selection Display: ENT TA UPP Post op
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 21:25:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-07-13 02:10:41
Available at all facilities: No

ENT TA UPP Post op
Admit/Discharge/Transfer
	Admit to Observation Status
		T;N
	Discharge
		T;N, to: Home
			Comment: at 12nn
	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
Vital Signs
	Vital Signs
		T;N
			Comment: Routine Post-op
Activity
	Activity-As Tolerated
		T;N, Quiet Play. Avoid heavy lifting or strenuous activity or blowing nose for 2 weeks.
	Cold Therapy
		T;N, Once
			Comment: post op
	Discharge Activity
		No vigorous activity for 14 days
Diet
	NPO
		T;N
	Easy to chew 7 Diet
		T;N
	Advance Diet as Tolerated
		T;N
	Discharge Diet
		General 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
	Discontinue IV Fluids
		
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
	morphine  IV
		0.1 mg/kg, Syringe, IV Push, Q4H, PRN pain-severe
			Comment: Max dose:  Infants=2mg, 1-6 yr=4mg, 7-12=8mg, >12=10mg
	acetaminophen
		10 mg/kg, Elixir, By Mouth, Q4H, PRN pain-mild
			Comment: max of 5 doses/24 hours
	Tylenol
		325 mg, Tab, By Mouth, Q4H, PRN pain-mild
	acetaminophen
		10 mg/kg, Suppository, RECTALLY, Q4H, PRN pain-mild
			Comment: max of 5 doses/24 hours
	ibuprofen oral suspension
		20 mg/kg, Suspension, By Mouth, Q6H, PRN pain-mild
	ibuprofen
		200 mg, Tab, By Mouth, Q6H, PRN pain-mild
	amoxicillin
		40 mg/kg, Suspension, By Mouth, BID
	ondansetron
		0.15 mg/kg, Solution, By Mouth, Q8H, PRN for nausea and/or vomiting
	Phenergan rectal suppository
		0.5 mg/kg, Suppository, RECTALLY, Q6H, PRN nausea and/or vomiting
			Comment: Third line; max of 25mg
Patient Care
	Resuscitation Status
		T;N, Full Code
		T;N, No Code
	Discharge Symptoms to Report
		Instructions: Fever over 100.5 degrees and earache not relieved by usual pain medications, or drainage other than previously prescribed.
	Discharge Instructions Other
		Instructions: No school, pre school or daycare for 10 days
	Notify MD
		T;N, and return to ED immediately for fresh bleeding
Therapies
Consults/Follow-up
	Consult Hospitalist
		Reason for Referral: Surgical Observation Care

Oxygen Protocol
Therapies
Respiratory Therapy
	Oxygen Therapy
		T;N
	Pulse Oximetry Spot Check RT
		T;N, BID
	Continuous Pulse Oximetry Monitoring Check
		T;N, BID

*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