Special- EUA/Fistulotomy under GA- 2-3 days - 70-75000
Pre-op
NPO from 7 am after light breakfast on same day.
IVF DNS/RL 100 ml/hr.
PAC review and follow orders.
Prepare perineum and private parts.
Well Informed Consent.
Inj Zanocin OZ 100 ml iv 1/2 an hour before shifting.
T. Dulcolax 2 hs
Op
H2O2. Curved Probe. LA with Adrenaline injection. Incise over probe. Cut with diathermy around tract. Turn probe either side with and cut. Scrape with scoop after excising. fold a gauze piece to form diamond. Wrap it with jelonet. Pack the wound. Gauze pad and T bandage.
Post-op (3-5-3)
NPO for 5 hrs f/b oral sips of water -> 30-50 ml /hr if tolerated.
IVF dns/rl 100 ml/hr.
Monitor vitals.
Inj Zanocin-OZ 100ml/hr.
Inj Pantodac 40 mg od iv
Inj. Perinorm 10 mg tid iv
Inj. Tramazac 50 mg im/ T. Ultracet sos.
Syp. Cremaffin plus 30 ml hs.
Mobilize after 6 hrs.
Watch for bleeding/ urinary retention.
Inform sos.
POD1
Sitz bath tid.
Pre-op
NPO from 7 am after light breakfast on same day.
IVF DNS/RL 100 ml/hr.
PAC review and follow orders.
Prepare perineum and private parts.
Well Informed Consent.
Inj Zanocin OZ 100 ml iv 1/2 an hour before shifting.
T. Dulcolax 2 hs
Op
H2O2. Curved Probe. LA with Adrenaline injection. Incise over probe. Cut with diathermy around tract. Turn probe either side with and cut. Scrape with scoop after excising. fold a gauze piece to form diamond. Wrap it with jelonet. Pack the wound. Gauze pad and T bandage.
Post-op (3-5-3)
NPO for 5 hrs f/b oral sips of water -> 30-50 ml /hr if tolerated.
IVF dns/rl 100 ml/hr.
Monitor vitals.
Inj Zanocin-OZ 100ml/hr.
Inj Pantodac 40 mg od iv
Inj. Perinorm 10 mg tid iv
Inj. Tramazac 50 mg im/ T. Ultracet sos.
Syp. Cremaffin plus 30 ml hs.
Mobilize after 6 hrs.
Watch for bleeding/ urinary retention.
Inform sos.
POD1
Sitz bath tid.
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