COURSE IN THE WARD

DAY 1
Admitted to room of choice under the
service of De Lara
Full DAT
VS q4, monitor i&o and record
For cbc, platelet, na, k, crea, bun ( normal
lahat)
Monitor I & O
Schedule for External binding
valvuloplasty and excision perforation
vein Right lower extremity tomorrow at 9
am tom. 03-18- 2015
Inform anes
Inform for changes in schedule
Refer accordingly
CP Clerance
May undergo specied procedure with
minimal risk of cardo pulmonary
complication

Anes:
Hook IV PNSS IL @ 30 gtss/ min
Give Omeprazole 40 mg/tab midnight

NPO starting Midnight

Start Cefuroxime 750 mg/IV (-)ANST q8
Antiobiotics on call to OR
Refer accordingly

To monitor progress or deterioration.

Baseline lab results and to check
any underlying symptoms
To check possible fluid imbalance
Operation for varicose veins,
widening the vein

Since disease is cardiovascular

related CP clearance is required to
check risk for complication during
and post-op
*patient >35 y/o CP clearance is
required to foresee risk for
complications

For hydration
Proton pump inhibitor, to prevent
gastric irritation since patient will be
on NPO
Prevent aspiration during the
surgery
Prophylaxis, prevent infection

DAY 2
PACU
To PACU
Vs q15
O2 mask at 2 lpm

To closely monitor patient

Facilitate breathing and as a pain

Encouraged deep breathing

Flat on bed one head pillow until 6 pm
then low moderate backrest

management

Clear liquids until 4 pm, then progressive

diet
IVF 30 gtss/min followed by D5NR1L same
rate
Post op meds
Paracetamol 600 mg/ SIVP for 3 doses
Dolcet tab 1 tab 6 for pain
Cefuroxime 750 mg/ IV q8
Post op meds
Paracetamol 600 mg/ SIVP for 3 doses
Dolcet tab 1 tab 6 for pain
Cefuroxime 750 mg/ IV q8

To provide gentle way of introducing

food back to the digestive system
For hydration

2 PM
May transfer to room
Continue post op orders and close
monitoring
Refer accordingly
3: 00 PM
DAT
IVF to consume
Monitor I&O per shift and record
Watched out for bleeding
Refer accordingly
DAY 3
May go home
May ambulate
Watched out for bleeding
Take home meds:
Dolcet tab 1 tab 6 for pain
Cefuroxime 250 mg/tab twice a day for 7
days
Follow up with after 2 weeks at UST
Doctors Clinic

Mild analgesic for moderate to

severe pain
Mild analgesic for moderate to
severe pain
Prophylaxis, prevent infection
Still on close monitoring since
patient just undergone surgery

One of the common complication

after operation

Mild analgesic for moderate to

severe pain
Prophylaxis, prevent infection