Saturday, July 5, 2014

Post op fluids after chole

 After 6 hrs, oral sips of water f/b 30-50 ml of clear fluids ( water, juice, coconut) as tolerated by patient not vomiting.
pca, nupatch 200 mg od, ultracet tds, tramazac sos, nupatch to voveran sr 100 mg od from day 1
Pan. perinorm
magnex forte 1.5 gm bd
if cholangitis add amikacin 500 mg od
steam inhalation
mobilise pt at 6 hrs
watch for bleeding, soakage

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