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Discussion

HELP! Please i need help with these orders

Hello everyone I'm in my last week of nursing school and my teacher gave us a take home test that's worth 30% of our grade and we have to pass it to graduate so here it is:

Mr.miller is received on your floor from the recovery room. Refer to the physicians order sheet for the following questions. Show your work where applicable.

Physicians orders:

06/15/11 time: 1600

Diagnosis: s/p total hip replacement

Weight: 197lb height: 6'2"

1. Diet npo till fully awake, then clear liquids

2. Activity: bedrest, log roll side-back-side q2h

3. Vital signs q4h

4. Overhead frame trapeze

5. Abductor pillow while in bed

6. Incentive spirometer q1h while awak

7. I&o q8h

8. Hemovacs to own reservoirs, record output q1h x 6, then q6h

9. I+o catheterization q.shift prn inability to void

10. Heparin 5000 units sub-q bid

11. Torecan 10mg Im q.4h prn pain

12. Mylanta 30 ml po prn indigestion

13. Restoril 15mg po at bedtime prn insomnia

14. Tylenol codeine po 2 tabs q.4h prn pain

15. Morphine pca 10mg Iv q10min to maximum 250mg/q4h

16. Dulcolax supp. 1 per rectum q.shift prn constipation

17. Labs: CBC q.day x 3

18. Call orders: hemovac output >500ml/shift

Urinary output

Temp > 38.5 c

Hgb

Sbp>160

Dbp>90

19. Ivf: d5 NS 50ml/h

Cefuroxime 1g IVPB q.8h

That's all I have on the sheet I was given and I'm supposed to transfer this to a mar

Featured Replies

That makes me feel a bit more competent !

  • Expert

The OP was asking for help......I am waiting for them to return, answer my questions....... so I can help them. We all don't have the same expereinces in school as others....some people just need a little more assistance and guidence.

We are here to be supportive. This is the forum where nursing students come for assistance. I always tell my children that is they have nothing nice to say to say nothing at all.

Allnurses first priority is to the members that have come here because of the flame-free atmosphere we provide. There is a zero-tolerance policy here against personal attacks. We will not tolerate anyone insulting other's opinion nor name calling.

Some of the posts have been edited.....lets stick to the subject of assisting the OP and in being polite.

  • Expert
I've seen it written that way (per rectum) on my MAR at work. Although it does read like one for each rectum hahha.

p.r. small case is the acronym for the medical term per rectum

PR upper case in present day is Prolonged Released for an extended release caps.

With the initiative of no abbreviations .....the lost art of historic medical abbreviations from their Latin origins are being lost.....sad really.

p.r. small case is the acronym for the medical term per rectum

PR upper case in present day is Prolonged Released for an extended release caps.

With the initiative of no abbreviations .....the lost art of historic medical abbreviations from their Latin origins are being lost.....sad really.

Yes, our MAR has pr not PR or per rectum. I read it as per rectum.

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