C-Section Postop iForm

@@patient.name@@ (MRN @@patient.medical_record_number@@) - UNIT @@patient.unit@@
Please scroll down to see the complete orderset

Admission Status

Transfer Patient:Postpartum Unit
Admission Status:Inpatient Bed
Attending:
Level of Care:Postpartum Unit
Code Status:Full Code DNR

Postoperative Orders

POD #0 (Start Now)
Nursing
Vital Signs Per Protocol
Intake and Output per Protocol
Dressing Changes prn
Diet
Clear Liquid
Activity
Out of Bed to Chair
Medications
Oxytocin [Pitocin] 20 units IV in 1L NS @ 125ml/hr
Methylergonovine [Methergine] 0.2 mg IM x1 prn
Pain Management/Sedation Orders per Anesthesia
IV Fluids
D5 1/2 NS @ 125ml/hr x24 hrs only
POD #1 (Start Tomorrow)
Nursing
Remove Urinary Catheter after 12 hrs
Measure first 3 voids after catheter removal
Straight cath if not voided 8 hrs after removal
Abdominal Binder prn
Diet
Full Liquid
Activity
Assist to bathroom for first void, then progressive ambulation in room
Medications
Administer Rhogam 300 mcg IM x1, If Indicated
Pt may participate in self-administered medication program
Docusate Sodium [Colace] 100 mg PO TID
Senna [Senokot] 1 tablet PO BID
Simethicone [Mylicon] Chewable 80 mg PO q4h prn
Ibuprofen 600 mg PO q6h prn (Pain Scale 1-5)
Percocet 5/325 mg 1-2 tabs PO q4h prn (Pain Scale 4-5 & 6-10)
Hemorrhoidal Ointment [Preparation H] BID prn
Witch Hazel Pads q3h prn
POD #2 POD #3 to Discharge
Diet
Regular
Activity
Out of Bed as Tolerated
Labs
CBC with differential in AM
Medications
Bisacodyl Supp [Dulcolax] 10 mg per rectum Daily prn
Fleet Enema per rectum Daily prn
Vaccines
MMR Vaccine [MMR II] 0.5 mg subcut x1 on day of discharge
(if non-immune)
Tdap Vaccine [Adacel] 0.5ml IM x1 on day of discharge
No Tdap because:

Diet Modifiers / Restrictions

Diet modifications & restrictions will apply to all the diets selected in
the postoperative orders section above.
Kosher
Diabetic 1800kcal
Gestational Diabetic
Hyperemesis
Vegetarian
Vegan
Caffeine Free
Caffeine Restricted
Lactose Free
Lactose Restricted
Dairy Free
Gluten Free

Additional Postpartum Medications

Rhogam and Uterotonic Meds
Rhogam 300 mcg IM x1 once NOW
Oxytocin 10 units IM x1 STAT
Methylergonovine [Methergine] 0.2 mg IM x1 STAT
Methylergonovine [Methergine] 0.2 mg PO q6hrs X 24 hrs
Pain Meds
Acetaminophen 650 mg PO q4h prn (Pain Scale 1-5)
Ketorolac [Toradol] 30 mg IV q6h prn x24 hrs (Pain Scale 4-5)
Morphine 2-4 mg IV q3h prn (Pain Scale 4-5 & 6-10)
Sedative / Hypnotics
Zolpidem [Ambien] 5mg PO qhs prn (preferred if breastfeeding)
Temazepam [Restoril] 15mg PO qhs prn
Hemorrhoid Meds
Benzocaine 20% - Menthol 0.5% Topical Aerosol 1 spray prn
Antiemetic Meds
Ondansetron inj [Zofran] 4 mg IV q6h prn
Ondansetron [Zofran] 4 mg PO q6h prn
Metoclopramide inj [Reglan] 10 mg IV q6h prn
Antihistamines Meds
Diphenhydramine [Benadryl] 25 mg PO q6h prn
Diphenhydramine [Benadryl] 50 mg PO q6h prn

VTE Prophylaxis

Pharmacologic Prophylaxis
Enoxaparin [Lovenox] 40mg subcut daily (for GFR≥30ml/min)
Enoxaparin [Lovenox] 30mg subcut daily (for GFR<30ml/min)
Heparin 5000units subcut q12hr
None:
Already on pharmacologic prophylaxis
Mechanical Prophylaxis
Sequential Compression Device (SCD) to bilateral legs
None:
Already on mechanical prophylaxis

Insulin Management [click to show]


IV Fluids [click to show]


Labs / Microbiology [click to show]


Interdisciplinary Consult

PT/OT Eval and Treat
Social Work Consult
Wound Care Consult
Diabetes Education Consult
Nutrition Consult