Resident Notes

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TICU admission assessment and plan Author: Garrett Skinner Service: TICU

TICU transplant DDKT admission Author: Garrett Skinner Service: TICU

# Resident To-do:

[ ] Make sure that all post op admits have the post op labs drawn and CXR as ordered in the Kidney post op order set
[ ] Ensure that the post op renal US is preformed and update the surgeon on the results.
[ ] Review the summary of the patients past medical history can be found in the Transplant medicine preoperative clearance note.
[ ] Ensure that all comorbid conditions are listed under the appropriate system
[ ] Complete a medicine reconciliation with the help of transplant surgery.
[ ] Monitor UOP and update trauma surgery if there is a sudden decrease in UOP.
[ ] Monitor SBP closely and update trauma surgery and/or medicine if you are considering starting a drip.
[ ] Monitor BMP closely, some patients may need treatment for electrolyte derangements or dialysis. Make sure to discuss with transplant medicine.

This is a *** year old *** with a past medical history of *** who presents to the TICU s/p DDKT on ***.

# Neuro
Sedation: None
Pain: Tylenol 650 PRN, Oxycodone 5/10 PRN, Dilaudid PRN

# Cardiovascular
MAP: ***
HR: ***
HDS
Hydralazine 20 mg IV q4h PRN SBP >170. Nofity resident if more than 3 doses given.
Labaetolol 10 mg q15m PRN SBP >180. Nofity resident if more than 3 doses given.

# GI
Diet: ***
Zofran PRN
Bowel regimen: Cater oil 60 mL PO x1, bisacodyl EC 10 mg PO BID, Bisacodyl Supp 10 mg PR daily PRN, Senna/Doc BID.

# Renal
S/p DDKT on ***
Foley catheter
BMP on arrival: ***
Post op renal US: ***
D51/2NS @ 50
Replace UOP with 1:1 fluids
Transplant medicine following
CMP q6h x4

#Hematology
Preop Hgb: ***
Intraop blood loss: *** 
Hgb on arrival: ***
Platelets: ***
PT/INR: *** 
aPTT: *** 
CBC q4h x6

# Infectious
WBC: ***
Transplant medicine following 
Ppx abx: Valcyte, Bactrim
Immunosuppressents: Thymoglobulin in AM, Solumredrol in AM, Cellcept BID, Prednisone 5 mg daily on POD2, Tacrolimus BID

# Endocrine
BG on arrival: ***
Insulin: ***
POC BG schedule: ***

# MSK
No skin breakdown
Bendryle PRN for itching

# Prophylaxis
SCDs
SQH
Pepcid

# Access
Arterial line: ***
PIVs

# Disposition
TICU

TICU progress note assessment and plan Author: Garrett Skinner Service: TICU

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