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Hunter,

Cheryl Martin asked me to forward this to you.

I hope you and your family have a good Easter weekend.

Chris

Chris Hagerman
Director, Patient Affairs
UT MD Anderson Cancer Center
(713) 745-4731

Begin forwarded message:

From: "Martin,Cheryl L" <clmartin@mdanderson.org<mailto:clmartin@mdanderson.org>>
Date: April 3, 2015 at 11:37:43 AM CDT
To: "Hagerman,Chris" <chagerman@mdanderson.org<mailto:chagerman@mdanderson.org>>
Subject: Fw: GL discharge

Hi
Would you mind, please, forwarding a copy of this to Hunter?
Thank you
Cm

From: Martin,Cheryl L
Sent: Friday, April 03, 2015 09:07 AM
To: Martin,Cheryl L
Subject: GL discharge

Decadron (dexamethasone) Taper Schedule 2 mg tablets April 2015

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday


1

2

3
Take 4 mg
(2 tablets)
4 times a day

4
Take 4 mg
(2 tablets)
4 times a day

5
Take 4 mg
(2 tablets)
4 times a day

6
Take 2 mg
(1 tablet)
4 times a day

7
Take 2 mg
(1 tablet)
4 times a day

8
Take 2 mg
(1 tablet)
4 times a day

9
Take 2 mg
(1 tablet)
3 times a day

10
Take 2 mg
(1 tablet)
3 times a day

11
Take 2 mg
(1 tablet)
3 times a day

12
Take 2 mg
(1 tablet)
twice a day

13
Take 2 mg
(1 tablet)
twice a day

14
Take 2 mg
(1 tablet)
twice a day

15
Take 2 mg
(1 tablet)
daily

16
Take 2 mg
(1 tablet)
daily

17
Take 2 mg
(1 tablet)
daily

18
Take 1 mg
(1/2 tablet)
daily

19
Take 1 mg
(1/2 tablet)
daily

20
Take 1 mg
(1/2 tablet)
daily

21
stop

22

23

24

25

DISCHARGE MEDICATIONS: Called in to Rose 2 pharmacy, near elevator C
Decadron (dexamethasone), 2 mg tablets, taper as above, do not stop abruptly, take with food
Protonix (pantoprazole), 40 mg, Take 1 tablet oral once a day while taking steroids
Keppra (levetiracetam), 1000 milligram tablets, Take 1/2 tablet by mouth twice a day
Bactrim DS 1 tablet twice a day x 3 days
Regular Tylenol (Acetaminophen), Take 325 mg Oral every four hours scheduled
Tylenol #3, (Tylenol / Codeine), 300/30mg Take 1 every 4 hours as needed for moderate pain
Norco (hydrocodone/Tylenol) 5/325 take 1 tablet every 4 hours if needed for severe pain
(Maximum of 4000 mg of Tylenol a day please, so if he needs more stop the regular Tylenol)
Ambien 5 mg at bedtime if needed for sleep
Baclofen, Take 5 mg Oral daily, take only if hiccups are severe
Senna-S (sennosides-docusate sodium), 8.6-50 mg, Take 2 tablet twice a day if constipation
Adderall, Take 5 mg by mouth twice a day as needed
Namenda, 10 milligram, Take 1 tablet by mouth every morning and night
DISCHARGE INSTRUCTIONS:
1. No heavy lifting, bending or straining
2. Do not apply anything to the incisions (no oils, creams, lotions).
3. May gently shampoo hair/incisions, report any drainage what so ever.
4. Regular diet
5. Activity as tolerated, encourage ambulation, fall precautions
6. Follow up with Dr. Lang on 4/15/15 at 10 am, with MRI brain.
7. See handout for signs and symptoms to monitor and report


Cheryl Martin, MS, RN, FNP-C
Nurse Practitioner to Dr. Raymond Sawaya and Dr. Frederick Lang
Department of Neurosurgery
office: 713-563-8707
pager: 713-404-4629


Come join us at “Together in Hope: A Conference for Brain Tumor Patients & Their Families”
A Conference for Brain Tumor Patients and Their Families
<http://www.mdanderson.org/education-and-research/education-and-training/schools-and-programs/cme-conference-management/conferences/together-in-hope-2015.html>April 24-26, 2015
Crowne Plaza Houston Northwest - Houston, Texas
Conf. #X11408