Medications Suzanne Gordon DOB 09/27/1988

MAR

DATE:	1 day post C/S
		Time	Given/ Initials
SCHEDULED MEDICATIONS
Acetaminophen 500-1000mg PO q6h X 24HR		(0600) BG 1200 1800 2400
Heparin 5000 units SC q12h until discharge		0900 2100
Insulin Aspart (NovoRapid) SC. Correction Dose: Before Breakfast and Diner Postpartum day 1 _{Hypoglysemia protocal 4-6= none 6.1-7= 2 units 7.1-8= 3 units 8.1-9= 4 units} _{9.1-10= 5 units greater than 10= call physician & consider IV insulin see type 1 diabetes orders} _{Notify prescriber if CBG is less than 4 mmol /L or greater than 6 mmol IL on 2 consecutive readings. If patient is started on subcutaneous sliding scale insulin, measure CBG hourly. If CBG has fallen by 2 mmol/L or greater with a sliding scale dose of aspart (Novorapid®), wait an additional hour, recheck CBG, then assess need for subsequent dose (as indicated in the chart below)}		0800 1700
Prenatal Vitamin 1 tab PO daily		0900





PRN MEDICATIONS
Dimenhydrinate 25-50mg PO or IV or IM q4h PRN
Diphenhydramine 25-50 mg PO or IV q6h PRN
Hydromorphone 1-2mg SC q4h PRN
Naproxen 500mg PO q12h PRN
Ondansetron 4mg PO or IV q8h PRN
Salbutamol MDI 2 puffs Inhanled PRN
IV FLUID (Type/Rate)
		Start	End
NS @ 100ml/hr until drinking well		Day of C/S

DATE:	Day of C/S
		Time	Given/ Initials
SCHEDULED MEDICATIONS
Acetaminophen 500-1000mg PO q6h X 24HR		0600 (1200) DG (1800) PN (2400) PN
Heparin 5000 units SC q12h until discharge		(0900) DG (2100) PN
Insulin Aspart (NovoRapid) SC. Correction Dose: Before Breakfast and Diner Postpartum day 1 _{Hypoglysemia protocal 4-6= none 6.1-7= 2 units 7.1-8= 3 units 8.1-9= 4 units} _{9.1-10= 5 units greater than 10= call physician & consider IV insulin see type 1 diabetes orders} _{Notify prescriber if CBG is less than 4 mmol /L or greater than 6 mmol IL on 2 consecutive readings. If patient is started on subcutaneous sliding scale insulin, measure CBG hourly. If CBG has fallen by 2 mmol/L or greater with a sliding scale dose of aspart (Novorapid®), wait an additional hour, recheck CBG, then assess need for subsequent dose (as indicated in the chart below)}		(1230) 0 units DG (1700) 5 units DG (2130) 4 units PN
Prenatal Vitamin 1 tab PO daily		(0900) DG





PRN MEDICATIONS
Dimenhydrinate 25-50mg PO or IV or IM q4h PRN
Diphenhydramine 25-50 mg PO or IV q6h PRN
Hydromorphone 1-2mg SC q4h PRN		0900 1MG SC DG
Naproxen 500mg PO q12h PRN
Ondansetron 4mg PO or IV q8h PRN
Salbutamol MDI 2 puffs Inhanled PRN
IV FLUID (Type/Rate)
		Start	End
NS @ 100ml/hr until drinking well		Day of C/S