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--- resident:katie_egan [2023/10/31 13:55] – created haley.d
+++ resident:katie_egan [2025/12/09 13:14] (current) – taylor
@@ Line 1: / Line 1: @@
-Katie Egan
+=====Dr. Egan =====
+PLEASE DO NOT ORDER BREAST US FOR RECONSTRUCTIVE PATIENTS WITH C/F INFECTION. PERFORM PHYSICAL EXAMINATION, INSTEAD.
+DIEP Postop Protocol \\
+Pain: Toradol okay in PACU; Lyrica, Oxy, Dilaudid, Tylenol, Celebrex starting POD#1\\
+CV: Continuous tele, pulse ox\\
+Pulm: IS, wean O2\\
+Renal: DC foley immediately postop \\
+GI: Regular diet\\
+Heme: No ASA, pLov on POD1 (and preop)\\
+ID: Ancef x 24 hours \\
+MSK: No bedrest, no flexed when walking, no walker. Only activity restriction is no lifting >5-10lbs. \\
+Flap checks: Q1h until POD#1, then transition to q2h in afternoon \\
+Dressings:
+	- Prevena on abdomen, discharge with it in place. If you have to remove it, put paper tape over incision.
+	- Nitro paste + tegaderm on umbilicus: if have to remove, replace with just Vaseline
+	- Breast incisions: Xeroform; discontinue before discharge
+	- Pink bra placed immediately postop
+	- No abdominal binder
+	- +/- NAC nitro paste and xeroform if concerning on spy; if concerning, q8h for 24 hours
+Discharge home on POD2