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.
A 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 reconcilation 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 derrangements 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
Tranpslant 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