Standard Medications for Cardiac Surgical Post-Operative Patients
Regular:
Drugs with *commence from first post-op morning.
| Cephazolin | 1 gram | 8 hourly - until chest drains removed (CABG patients)
- until lines, draine & IDC removed (Valve patients)
| IVI |
| Paracetamol | 1 gram | 4 hourly | PO or IVI |
| Clopidogrel * | 75 mg | OD | |
| Pantoprazole * | 40 mg | OD | PO |
| Asprin * | 100 mg | OD - Start day 1 post op, when bleeding into drains is less than 100ml/hr (averaged over 2 hrs)
| PO |
| Diclofenac SR * | 75 mg | BD | PO |
| Enoxaparin * | 40 mg | OD - (commence on day 1 @ 1700)
| SC |
PRN / consider:
| KCL | 10-20 mmol | PRN | IVI |
| Ondansetron | 4-8 mg | 8 hourly PRN | IVI |
| MgSO4 | 10-20 mmol | PRN - Given therapeutically for dysrhythmias
| IVI |
| Oxycontin | 10 mg | BD - For three doses post-op then stop
| PO |
| Metoclopramide | 10 mg | PRN | IVI |
| Frusemide | 20-40 mg | - Discuss with ICU Consultant prior to prescribing
| IVI / PO |
| Warfrin | 1-3 mg only | - NO loading given for post-op cardiac patients
| PO |
Note: Patients who are NOT "onn pathway" may require changes to the standard medications at the disrection of the ICU Consultant.