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Re: LDR call at 1AM From: Barbara Nicol (blnicol@ix.netcom.com) Fri Jul 7 19:12:34 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Barbara Nicol: "Re: LDR call at 1AM" Previous message: Meenan, Anna: "Re: LDR call at 1AM" Maybe in reply to: Efrain Ramirez: "LDR call at 1AM" Next in thread: Barbara Nicol: "Re: LDR call at 1AM" First, rule out ROM with SSE/ferning. Assuming ruled in, then... Check if sensitivites were run on the GBS. If so, treat with erythro or clinda, as indicated by sensitivity. If not, assess whether the PCN allergy is high risk for anaphylaxis or low. If low risk, Keflex If high risk Vanco. We run sensitivities on patients with PCN allergy only, but sometimes this step gets omitted. - Barb Nicol -----Original Message----- >From: "Meenan, Anna" <annam@uic.edu> >Sent: Jul 7, 2006 8:04 PM >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: LDR call at 1AM > >ßstrep sensitive to clindamycin? Good reactive >strip? Start Clindamycin, apply the cervical >ripening agent of your choice, everybody sleep a >few more hours, start pitocin around 6AM. >But there must be more to it than that, because >that's too straightforward. What's "the rest of >the story"? Did she prolapse a cord while >sleeping or something? > >Anna Meenan, MD > >>26 y/o GI ñ 39 weeks ñ according to nurse (good one) arrived at hospital >>at 12 AM calls you at 1 AM , Hx of SPROM at 8PM (clear) ñ Cx long close >>station -2, scattered uterine contractions, GBS positive, no other >>prenatal complicationsÖ allergic to penicillinÖwhatís your next step? >> >>Ef >> >>-- >>ì The greatest obstacle to knowledge is not ignorance, >>it is the illusion of knowledge.î Daniel J. Boorstin - Historian Next message: Barbara Nicol: "Re: LDR call at 1AM" Previous message: Meenan, Anna: "Re: LDR call at 1AM" Maybe in reply to: Efrain Ramirez: "LDR call at 1AM" Next in thread: Barbara Nicol: "Re: LDR call at 1AM"

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