PLACE LABEL HERE
TURP
(Transurethral Resection of the Prostate)
POST-OP ORDERS
The following orders will be implemented. Orders with a “” are choices and are NOT implemented unless checked.
Initial all handwritten order modifications and the bottom of each page when indicated (multipage).
1. Do you expect that the patient’s condition will require a hospital stay that will cross two midnights (includes
the time spent in outpatient- ED, surgery, OBS) and the patient has medical necessity for an inpatient
admission?
 Yes, admit as inpatient, proceed to # 2 No, place in observation No, outpatient, DC home
2. If admitted as inpatient, Inpatient Physician Certification:
Diagnosis: ________________________________________________________________________
Level of Care:  Critical  Intermediate  Acute Care Location/Specialty Unit Preference_______
3.
 Telemetry: If patient Medical/Surgical, must complete form # 36084
4.
5.
 Isolation:  Contact  Droplet
Vital signs per unit routine
 Airborne
6.
Diagnostics:  H&H at 2100 tonight
 H&H in am
7.
Foley to bedside bag
8.
Continuous bladder irrigation with NS, titrate to keep pink to clear. Do not interrupt irrigation while
For: _________________
 Chem 7 in am
transporting patient.
9.
Irrigate Foley with normal saline to prevent clot retention prn
10. Incentive spirometry q 2 hrs while awake
11. Diet:  Regular
 Cardiac
 Diabetic______ calories
 Renal
12. Oral Nutrition Supplement Standing Order (form # 31417), initiate if patient meets criteria
13. Bedrest x 4 hrs then OOB to chair  Other: _______________________________________________
SCHEDULED MEDIATIONS:
14. IVF:  NS
 LR
 D5NS
 D5 ½ NS with 20 KCl
at __________ ml/hr
Discontinue IVF when tolerating PO fluids
15. Antibiotic: Post-op antibiotic will be automatically stopped within 24 hrs unless indication is
documented
 Cipro (ciprofloxacin) 500 mg po bid x 2 doses
or
 continue > 24 hrs for _______________________ (Reason REQUIRED)
or  Bactrim (sulfamethoxazole 800 mg/Trimethoprim 160mg) DS, 2 tabs po bid x 2 doses
or  continue > 24 hrs for _______________________ (Reason REQUIRED)
Order writer’s initials _______
Copy to pharmacy
*3-18191*
2
FORM 3-18191 REV. 07/2015
Page 1 of
PLACE LABEL HERE
TURP
(Transurethral Resection of the Prostate)
POST-OP ORDERS
Order writer’s initials _______
Copy to pharmacy
*3-18191*
2
FORM 3-18191 REV. 07/2015
Page 1 of
PLACE LABEL HERE
TURP
(Transurethral Resection of the Prostate)
POST-OP ORDERS
The following orders will be implemented. Orders with a “” are choices and are NOT implemented unless checked.
Initial all handwritten order modifications and the bottom of each page when indicated (multipage).
PRN MEDICATIONS: See policy 520-06 for range orders and pain intensity guidelines.
Prior to administering pain medications, assess for difficulties with continuous bladder irrigation.
16. Spasms:
 B&O (Belladonna & Opium) suppository 1 per rectum q 6 hrs prn
17.  Electrolyte Replacement Protocol (form # 21340)
18. Mild Pain, Temp >100.5F, HA:  Tylenol (acetaminophen) 650 mg po or PR q 4 hrs prn
19. Moderate Pain:
 Norco (HYDROcodone/acetaminophen) 5/325 mg or 10/325mg 1 tab po q 4 hrs prn. DC if Percocet ordered.
or  If patient cannot take tablet, Hycet elixir (HYDROcodone/acetaminophen 7.5/325 mg/15 ml) 15 ml po q 4 hrs
prn instead of Norco. DC if Percocet ordered.
or  Percocet (oxyCODONE/acetaminophen) 5/325 mg or 10/325 mg 1 tab po q 4 hrs prn. DC if Norco ordered.
and/or  Toradol (ketorolac) 30 mg IV (or IM if no IV access) q 6 hrs prn (15 mg if CrCl 31-50, > 65 y/o old or < 50
kg) or 10 mg po q 6 hrs prn (max combined duration of IV and po ketorolac is 5 days). DC if CrCl < 30.
20. Severe Pain (Begin when Epidural or PCA has been discontinued)
 Morphine 1-2 mg IV q 3 hrs prn, DC if CrCl < 30. Hold for excessive sedation. DC if Dilaudid ordered.
or  Dilaudid (HYDROmorphone) 0.25-0.5 mg IV q 3 hrs prn. If CrCl < 30, dose at 0.25 mg. Hold for
excessive sedation. DC if Morphine ordered.
21. Nausea/Vomiting:  Zofran (ondansetron) 4 mg IV or po q 6 hrs prn
 If N/V persists, add Reglan (metoclopramide) 10 mg IV q 6 hrs prn (5 mg if > 65 y/o)
22. Sleep:
 Ambien (zolpidem) 5 mg (female or males ≥ 65 y/o) or 5-10 mg (male < 65 y/o) po at HS prn
23. Indigestion:
 Maalox XS (aluminum/magnesium/simethicone) 30 ml po four times daily prn
24. Stool Softener:
 Colace (docusate) 100 mg po bid prn; if patient has not had a bowel movement
 Milk of Magnesia (MOM) 30 ml po daily prn
25. Constipation:
If no BM after 48 hrs,  Dulcolax (biscodyl) 10 mg per rectum daily prn
and/or
 Senokot-S (docusate/senna) 2 tablets po at bedtime nightly
26. Cough:
 Robitussin (guaifenesin) 15 ml po q 4 hrs prn
27. Sore Throat:
 Chloraseptic (phenol/sodium phenolate) throat spray q 2 hrs prn
ADDITIONAL ORDERS:
________________________________________________________________________________________
________________________________________________________________________________________
______________
Date
________________
Time
_________________________________
Physician Signature
___________
PID Number
Copy to pharmacy
FORM 3-18191 REV. 07/2015
Page 2 of 2