Opiate-Induced Bowel Dysfunction Prophylaxis Protocol (OBDPP)

• Docusate Na 100 mg PO BID
• Bisacodyl 5 mg PO or 10 mg PR QHS PRN no BM for 24°
• MOM 30 mL PO QHS PRN no BM for 48°

Pain Management

• Ketorolac 30 mg IVP q6° PRN pain
• Hydrocodone 5-10 mg / APAP 500 mg PO q4° PRN
• Ibuprofen 400-600 mg PO q6° schd ´48° then PRN
• APAP 650 mg PO q4° PRN fever/pain

DVT Prophylaxis

• Enoxaparin 30-40 mg SUBQ q12°-24°
• Heparin 5000 units SUBQ q8°

Antiemetic

• Ondansetron 4 mg IV x1 MRP x1 PRN N/V
• Prochlorperazine 10 mg IV q6° PRN N/V
• Promethazine 12.5-25 mg PR q6° PRN N/V