Northside MMAP for Joint Replacements
PO pre-op
Pregabalin 75 mg
Robaxin 1000 mg
Rapaflo 8 mg (males)
Acetaminophen 1000 mg iv
Decadron 0.15 mg/kg
Ketamine 0.25 mg/kg iv total
Ketorolac 15 mg iv
Spinal Mepivacaine
(isobaric) 28-60 mg
*ACB- LB 10 ml +
Bupi ¼% 5 ml
*iPACK- Bupi ¼% w/epi, 20 ml
PAI –Bupi 3/8% w/epi, 30 ml
+/- 15 mg ketorolac, +/- 80 mg Methyl-Pred
Clear Liquids till 2 hr
Immediately Pre-spinal
Urinate, 500 LR, Zofran 4 mg
Cefazolin 2 gms IV, TXA x 1
2/2023
Benadryl 5 mg iv (females)
Urecholine 10 mg po PACU prn mr q 30
Sedation for SAB
Versed ~ 2mg iv
Ketamine ~10 mg iv
Post-op: Motrin 600/Tylenol 1000, po tid, Pregabalin 75 hs, Decadron 6 x 3, Oxyc 5 rescue
*TKA
Pre-op Area