Unique Plan Description: OB Cerclage Pre Op
Plan Selection Display: OB Cerclage Pre Op
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-19 22:13:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-08-22 13:22:31
Available at all facilities: No

OB Cerclage Pre Op
Admit/Discharge/Transfer
	Admit to Observation Status
		T;N
Diet
	NPO
		T;N
Laboratory
	Pregnancy Test Urine
		T;N, Stat, Stat, Urine Random, spec type = Urine
Medications
	Unasyn IVPB
		3,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: first dose preop
	Unasyn IVPB (FH)
		3,000 mg, INT, IVPB, PREOP, Surgical prophylaxis
			Comment: first dose preop
	Ancef (JE)
		2,000 mg, Injection, IV Push, PREOP, Surgical prophylaxis
	Ancef (MH/WH)
		2,000 mg, Syringe, IV Push, PREOP, Surgical prophylaxis
	Ancef (FH)
		2,000 mg, Injection-Premix, IVPB, Once, Surgical prophylaxis
			Comment: 80-120kg.  Give 1 hr preop.  OK to give if pt allergic to penicillin unless history of anaphylactic reaction.  Redose every 3 hours during surgery.
		1,000 mg, INT, IVPB, Once, Surgical prophylaxis
			Comment: < 80kg.  Give 1 hr preop.  OK to give if pt allergic to penicillin unless history of anaphylactic reaction.  Redose every 3 hours during surgery.
		3,000 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: > 120kg.  give 1 hr Preop.  OK to give if pt allergic to penicillin unless history of anaphylactic reaction.  Redose every 3 hours during surgery.
	Flagyl IVPB
		500 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
			Comment: Give first dose preop
		If Patient is Penicillin allergic, choose both Clindamycin and both Gentamicin orders below(NOTE)*
	Cleocin IVPB
		900 mg, Injection-Premix, IVPB, PREOP, Surgical prophylaxis
	gentamicin IVPB
		5 mg/kg, Injection, IVPB, PREOP, Surgical prophylaxis
			Comment: Dose based on Adjusted Body Weight; Give with Clindamycin Preop if patient has 		Cephalosporin allergy or anaphylactic penicillin allergy
	gentamicin IVPB (FH)
		5 mg/kg, INT, IVPB, PREOP, Surgical prophylaxis
			Comment: Dose based on Adjusted Body Weight; Give with Clindamycin Preop if patient has 		Cephalosporin allergy or anaphylactic penicillin allergy
	Pepcid
		20 mg, Injection, IV PUSH, PREOP
	Bicitra oral soln
		30 mL, Solution, By Mouth, PREOP
	Indocin
		50 mg, Capsule, BY MOUTH, PREOP
			Comment: For under 32 weeks gestation
		25 mg, Capsule, BY MOUTH, PREOP
			Comment: For under 32 weeks gestation
Patient Care
	Obtain Consent/Permit for:
		T;N, Cervical Cerclage

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase