Unique Plan Description: Oral Surg Facial Fx Osteotomy Post Op
Plan Selection Display: Oral Surg Facial Fx Osteotomy Post Op
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-02-29 10:04:21
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:28:03
Available at all facilities: Yes

Oral Surg Facial Fx Osteotomy Post Op
Vital Signs
	Vital Signs
		T;N
			Comment: Routine
Activity
	Bedrest
		T;N
			Comment: until awake
	Up with Assistance
		T;N
			Comment: then ad lib
	Elevate head of bed
		T;N, Elevate head of bed 30 degrees
Diet
	Clear Liquid Diet
		T;N
			Comment: Advance to blenderized diet when tolerating clear diet
	Blenderized Liquid (Full) Diet
		T;N
			Comment: Advance to this after clear liquids tolerated
IV Solutions
	Lactated Ringers Injection
		1,000 mL, IV, 80 ml/hr
			Comment: As oral intake increases then decrease rate to 20mL/hr
	Dextrose 5% with 0.45% NaCl
		1,000 mL, IV, 80 ml/hr
			Comment: Start after current IV
Medications
	Peridex 0.12% oral rinse
		30 mL, Soln, MOUTHWASH, BID
			Comment: Rinse and spit
	Afrin 0.05% nasal spray
		1 spray, Spray, NARE, EACH, Q12H, PRN, congestion
	pseudoephedrine
		60 mg, Liquid, BY MOUTH, Q6H, PRN, congestion
	Decadron injectable
		4 mg Injection IV PUSH Q6H
	sodium chloride 0.65% nasal spray
		1 spray, Solution, NARE, EACH, Q2H
		1 spray, Solution, NARE, EACH, Q2H, PRN, congestion
	Tylenol with Codeine 300 mg-30 mg/12.5 mL oral liquid
		15 mL, Elixir, BY MOUTH, Q4H, PRN, pain-mild
	Tylenol with Codeine 120 mg-12 mg/5 mL oral liquid
		15 mL, Elixir, By Mouth, Q4H, PRN for pain-mild
	acetaminophen-hydrocodone 108 mg-2.5 mg/5 mL oral liquid
		15 mL, Elixir, BY MOUTH, Q4H, PRN, pain-moderate
	acetaminophen-hydrocodone 325 mg-7.5 mg/15 mL oral solution
		15 mL, Elixir, BY MOUTH, Q4H, PRN, pain-moderate
	Ultram
		50 mg, Tab, By Mouth, Q4H, PRN, pain-mild
		50 mg, Tab, By Mouth, Q6H, PRN, pain-mild
		100 mg, Tab, By Mouth, Q4H, PRN, pain-mild
		100 mg, Tab, By Mouth, Q6H, PRN, pain-mild
Patient Care
	Resuscitation Status
		T;N, Full Code
		T;N, No Code
	Cold Therapy
		T;N, 24, hr
			Comment: Ice to side of face for 24 hours
	Wire cutters at bedside
		T;N
			Comment: Continuously
	Oral Care
		T;N
			Comment: Oral suction at bedside
	Enteral Tube
		T;N, Per Nasogastric Tube (NG), Connect to low intermittent suction
	Foley Catheter
		T;N, Foley, To dependent drainage
	Continuous Pulse Oximetry by Nurse
		T;N
	Discontinue IV
		T;N
			Comment: When oral intake is greater than 500 mL in 8 hours

*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