-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Subject: Section on demand From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Wed Apr 26 15:04:10 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. Ainsworth: "Re: Subject: Section on demand" Previous message: Lynn Montgomery, MD: "Celebrity Birth" In reply to: Stmidwife@aol.com: "Re: Subject: Section on demand" Next in thread: Dr Eberhard Lisse: "Re: Subject: Section on demand" Reply: Dr Eberhard Lisse: "Re: Subject: Section on demand" You are out of date. Here is a sample of my c-section orders. In fact, the new hospital I joined now has incorporated them into their standard post op orders. I find these orders give patients the autonomy to make decisions that most patients loose when admitted to the hospital. Also, they make far less work for the nursing staff. Most of my 7AM sections eat dinner the night of surgery. Most of my repeat c-sections leave the hospital 36 hours post-op because the want to leave. -- 1. DIAGNOSIS: STATUS-POST C-SECTION 2. VITAL SIGNS PER ROUTINE PACU AND POST-PARTUM UNIT 3. ACTIVITY: o BED REST o OUT OF BED TO CHAIR BY 10 HOURS POST-OP o THEN AMBULATE AS TOLERATED o CALL MD IF UNABLE TO GET OOB 4. IF BREAST FEEDING, MASSE CREAM AND BREAST PUMP PRN 5. DIET: * NPO * WHEN OUT OF BED TO CHAIR: ADVANCE TO ICE CHIPS * WHEN AMBULATING TO NURSES STATION: ADVANCE TO COFFEE, TEA OR COKE * ADVANCE AS TOLERATED IF TOLERATES COFFEE, TEA OR COKE 6. IV: D5LR @ cc/ hr WITH 20 U PITOCIN IN FIRST BAG, D/C WHEN TOLERATING PO AND AMBULATING 7. FOLEY TO GRAVITY. STRICT I/O WHILE FOLEY IN PLACE. CALL MD IF URINE OUTPUT IS LESS THAN 60 cc/2 hours. REMOVE FOLEY WHEN PATIENT AMBULATING 8. LABS: Hgb/Hct @ 6 AM PP DAY #1 9. MEDICATIONS: 1. TORADOL IV Q 6 HOURS, D/C WHEN TOLERATING PO 2. DEMEROL mg IV Q 4 HOURS PRN, D/C WHEN TOLERATING PO 3. MORPHINE SULFATE mg IV Q 4 HOURS PRN, D/C WHEN TOLERATING PO 4. PHENERGAN mg IV Q 4 HOURS PRN D/C WHEN TOLERATING PO 5. MOTRIN mg PO Q 6 HOUR FOR 24 HOURS, WHEN TOLERATING PO 6. TYLENOL #3 PO Q 4 HOURS PRN WHEN TOLERATING PO 7. LORTAB mg PO Q 4 HOURS PRN WHEN TOLERATING PO, IF ALLERGIC TO CODEINE 8. TYLENOL mg PO Q 4 HOURS PRN WHEN TOLERATING PO 9. DARVOCET N100 PO Q 4 HOURS PRN WHEN TOLERATING PO 10. MYLICON MG PO Q AC/HS PRN WHEN TOLERATING PO 11. MYLANTA CC PO Q AC/HS PRN WHEN TOLERATING PO 12. 13. 10. RHOGAM 300 ug IM IF MOTHER IS Rh NEGATIVE AND BABY IS Rh POSITIVE 11. OKAY TO SHOWER ONCE DRESSING IS REMOVED Richard Chudacoff, MD, FACOG _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Stmidwife@aol.com Sent: Tuesday, April 25, 2006 3:43 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Subject: Section on demand Wow she sounds like she would have been a perfect homebirth candidate. I don't even encourage my clients to be up and around that fast much less in a movie theater with their baby. Sue In a message dated 4/25/06 9:25:09 A.M. Pacific Daylight Time, ob-gyn-l@obgyn.net writes: Agreed. My non-researched experience is that healthy patients with a good attitude and an elective cesarean almost always do extremely well post-op (short and long-term). For example, I found my wife wandering around the hospital cafeteria in street clothes on post-op day 1.5 after her first cesarean, and we went to a movie on post-op day 2.5 after her Next message: Dr. Ainsworth: "Re: Subject: Section on demand" Previous message: Lynn Montgomery, MD: "Celebrity Birth" In reply to: Stmidwife@aol.com: "Re: Subject: Section on demand" Next in thread: Dr Eberhard Lisse: "Re: Subject: Section on demand" Reply: Dr Eberhard Lisse: "Re: Subject: Section on demand"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Feb 2 05:09:29 2010

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.