Re: Admitting labs, wasTocolytics

From: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)
Mon Jun 13 10:34:02 2005


It has always been an anesthesia requirement. I've even looked in the anesthesia literature and found that there own literature doesn't support having an 'up to date' CBC prior to spinal/epidural in low risk women. I honestly can see getting it in someone with suspected preeclampsia, but other than that I'm not sure why one would be necessary.

I'm just glad I've been able to finally get the nurses to stop knee jerk ordering CBC on PPD#1 because it is routine.

Glen

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr Eberhard W Lisse Sent: Monday, June 13, 2005 2:30 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Admitting labs, wasTocolytics

What on earth does one do an FBC on admission for? Or on discharge? For a delivery?

Treat the lab and not the patient.

el

In message <D880DF6A01A18143AE8DFEF7C22F219230EA65@lkeexh01.uk.usafe.ds.af.mil> , "Elrod Darryl G MAJ 48 MDOS/SGOBO" writes:

> I go with the flow and order a new CBC on admission. What I refuse to
do > is order a 'routine' postpartum CBC on vaginal deliveries. What a
waste > of time and money. They are ALL anemic and if they have any
significant > bleeding that requires treatment, you'll recognize it and then order a
> CBC.





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