postoperative order

- CABG

- valve repair

- valve replacement

- infective endocarditis with valve surgery

- aortic dissection with ascending aortic arch replacement

- EVAR

- thoracotomy

- VATS with lobectomy

- drip amiodarone

CABG

POD one day continue
0

- 5%DW iv rate 60 ml/hr

- control HT

- morphine

- PRC, FFP iv drip as volume

- routine la, CXR at ICU

- NPO

- cefazolin 1 g iv q 6 hr x 4 doses

- losec 40 mg iv q 12 hr x 2 doses

1

- cardipine

 

- regular diet

- complete lab + CXR q อ.ศ

- aspirin (81) 2x1 o pcเช้า

- lasix (40) 1x1 o pc

- losec (20) 1x1 o ac

- senokot 2 tab o hs

- flumucil (100) 1x3 o pc

- ativan (1) 1x1 o hs

2

- off foley

- off drain

 
3 - off A-line  

control HT

- NTG 0-5 ug/kg/min

- cardipine 0-10 mg/hr

valve repair

POD one day continue
0

- 5%DW iv rate 60 ml/hr

- control HT

- morphine

- keep SBP 100-120 mmHg

- complete lab + CXR at ICU

- NPO

- cefazolin 1 g iv q 6 hr x 4 doses

- losec 40 mg iv OD x 2 doses

1

- (iv fluid)

- cardipine

 

- soft diet

- complete lab + CXR q อ.ศ

- warfarin (2) 1x1 o hs

- lasix (40) 1x1 o pc

- losec (20) 1x1 o ac

- oral medication

2

- iv fluid

- off drain

 

valve replacement

POD one day continue
0

- 5%DW iv rate 60 ml/hr

- control HT

- inotrope

- morphine

- keep SBP 100-130 mmHg

- complete lab + CXR at ICU and tomorrow

- NPO

- complete lab + CXR อ, พฤ

med

- cefazolin 1 g iv q 6 hr x 4 doses

- losec 40 mg iv OD x 2 doses

1

- (iv fluid)

- cardipine

 

- soft diet

- complete lab + CXR q อ.ศ

- warfarin (2) 1x1 o hs

- lasix (40) 1x1 o pc

- losec (20) 1x1 o ac

- senokot 2 tab o hs

- oral medication

2

- off foley

- off drain

 

infective endocarditis with valve surgery

POD one day continue
0

- 5%DW iv rate 60 ml/hr

- control HT

- inotrope

- morphine

- keep SBP 100-120 mmHg

- complete lab + CXR at ICU

- NPO

- cefazolin 1 g iv q 6 hr x 4 doses

- losec 40 mg iv OD x 2 doses

1

- (iv fluid)

- inotrope

 

- soft diet

- complete lab + CXR q อ.ศ

- warfarin (2) 1x1 o hs

- lasix (40) 1x1 o pc

- losec (20) 1x1 o ac

- oral medication

inotrope

- adrenaline 4 amp + 5%DW 96 ml iv rate 0.05-0.2 ug/kg/min

- levophed 0.02-0.1 ug/kg/min

- dobutamine 0-5 ug/kg/min

aortic dissection with ascending aortic replacement

POD one day continue
0

- 5%DW iv rate 60 ml/hr

- control HT

- inotrope

- morphine

- keep SBP 100-130 mmHg

- complete lab + CXR at ICU

- NPO

- cefazolin 1 g iv q 6 hr x 4 doses

- losec 40 mg iv q 12 hr x 2 doses

1

- (iv fluid)

 

 

- soft diet

- complete lab + CXR q อ.ศ

- paracetamol

- flumucil (100) 1x3 o pc

- oral HT drug

EVAR

POD one day continue
0

- 5%DN/2 1000 ml iv rate 60 ml/hr

- morphine

- tomorrow CBC, BUN, Cr, E'lyte เช้า

- tomorrow CXR เช้า

- NPO

- complete lab + CXR q จ, พฤ

- cefazolin 1 g iv q 6 hr x 4 doses

- losec 40 mg iv q 12 hr x 2 doses

- (NAC long 600 mg iv q 12 hr x 4doses)

1

 

 

- regular diet

- simvastatin

2

- off A- line

 

thoracotomy

POD one day continue
0

- 5%DN/2 1000 ml iv rate 60 ml/hr

- morphine

- CXR stat

- tomorrow CBC, BUN, Cr, E'lyte เช้า

- tomorrow CXR เช้า

- NPO

- cefazolin 1 g iv q 6 hr x 4 doses

- losec 40 mg iv q 12 hr x 2 doses

1

 

 

- oral medication

2

- off A- line

 

VATS with lobectomy

POD one day continue
0

- 5%DN/2 1000 ml iv rate 60 ml/hr

- morphine

- CXR stat

- tomorrow CXR เช้า

- regular deit

- cefazolin 1 g iv q 6 hr x 4 doses

- losec 40 mg iv q 12 hr x 2 doses

- oral medication

1

- triflow

- ambulation

- off ICD

 

drip amiodarone

- cordarone

++ 300 mg iv drip in 4 hr if HR > 130 /min

++ 300 mg iv drip in 6 hr if HR 110-130 /min

++ 300 mg iv drip in 8 hr if HR 90-110 /min

++ 300 mg iv drip in 12 hr if HR 70-90 /min

hold cordarone if HR < 70 /min