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Anesthesia Preoperative/Postoperative Name: …

Date: MRN: Anesthesia Preoperative/Postoperative name : Orders (Page 1 of 2) Date of Birth: preoperative ORDERS. E. Please check all that apply to your patient: DIAGNOSTIC TESTING. CHEST XRAY. ECG. OTHER _____. LABS: Potassium (K+). Hemoglobin (Hgb). UCG PL. Blood glucose per laboratory draw only Blood glucose per protocol Other Labs _____. IV ACCESS , SOLUTIONS AND RATES: M. Start Intravenous line with 18 gauge catheter. If unable to obtain, contact Anesthesia . Inject mL lidocaine 1% Subcutaneous at IV insertion site as needed per patient request for one dose Lactated Ringer's 1000 mL at 75 mL/hour 500 mL at mL/hour 1000 mL at keep vein open Normal Saline 250 mL at _____mL/hour MEDICATIONS.

Anesthesia Preoperative/Postoperative Orders (Page Form #: HFH-04-1314MR-0811 Date: MRN: Name: Date of Birth: PREOPERATIVE ORDERS . Please check all that apply to your patient:

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