Halyard ON-Q Mode D'emploi page 9

Special Instructions
Medication in Pump
Local Anesthetic
Drug Name
Drug Concentration
Numbness
Be aware that you may experience loss of feeling at and around the area of your procedure. If
numbness occurs, take proper measures to avoid injury. Be careful when placing hot or cold
items on a numb area.
Other Medications
Catheter
❑ Surgery Site ❑ Nerve Block ❑ Epidural
Approximate Date Infusion Complete
Call your doctor for all medical questions or call 911 for an emergency
Doctor
Phone
Next Appt
7