DOCTOR’S ORDER WITH RATIONALE

DATE ORDER RATIONALE

8-9-10 Diet: NPO temporary  Maintaining NPO status aids
Monday except medication in resting the GI tract from
11:50pm paralysis caused by
anesthesia.

Laboratory: Complete blood count is the

CBC, UA, Creatinine, NA, determination of the quantity of
K, BT, BS, HSAG, ECG, each type of each blood cell in
Chest X-ray, Uric Acid. a given specimen blood. Urine
analysis is helpful in the
detection of renal or metabolic
disorders and in detecting
disorders in other parts of the
body such as metabolic or
endocrinic abnormalities in
which the kidneys function
normally. Measuring serum
creatinine is used to indicate
renal function. Other laboratory
results are also significant in
determining the possible cause
of disease.

Medications:
Hydralazine 5mg IV bolus  Lowers blood pressure and
now then repeat BP after allows blood to flow more easily
30 minutes and refer to through the veins and arteries.
NOD then q6h PRN for
DBP ≥ 110 mm Hg

MgSO₄ a LD: 4mg IVTT MgSO₄ administered

very slowly then maintain intravenously is indicated to
5gms deep IM alternate control life-threatening
buttocks q6 x 4 doses convulsions in the treatment of
severe toxemias (pre-
eclampsia) in pregnancy.
Alternate administration in
buttocks will promote proper
absorption of medication.

Monitor Vital Sign SBP, Monitoring at a regular

FHT q15minutes interval, the changes in
condition and note progress
can be evaluated through vital
signs and BP

O₂ inhalation at 5L/min Short-term supplementary

via nasal cannula oxygen may increase oxidative
stress and inflammation within
the airways.
8-10-10 DAT This particular diet is only
Tuesday given when client is either fully
(8am) awake or can now tolerate any

Vital Signs q15mins then
for q4h if stable
Infuse oxytocin 10’0’ IVF
regulated @30 gtts/min
Medication:
Cefalexin 500mg TID PO
Mefenamic acid 500 mg
TID PO
Perineal Care
Breast Feeding per
demand
Please refer if profuse
bleeding
Input and Output q 8
8-10-10 Transfer to OB1
Tuesday
(1:15pm)
IVF D5NSS; run 500 cc
as fast drip then regulated
@ 30 gtts/min
Continue medications
Monitor BP q4h
food she desires that is
nutritious, if this will not lead to
any complications and if the
client needs further monitoring
for lab test.
Monitoring at a regular
interval, the changes in
condition and note progress
can be evaluated through vital
signs and BP
To stimulate breasts to
produce breastmilk and
promote pair bonding between
the baby and the mother.
To stop or slow the growth of
bacterial cells that can cause
genitourinary tract infections.
To reduce postpartum pain
and pain in episiotomy wound
To provide comfort, prevent
skin irritation and break down,
decrease the potential for body
odor and control spread of
infection.
To gain more antibodies and
nutrition for the baby and to
have better bonding for mother
and infant.
To take prompt actions in
preventing excessive blood
loss.
Continued monitoring is
necessary, to provide means
for evaluating improvement or
deterioration in the clients
status
OB1 is a pathological ward
and is transferred for
observation
To restore lost fluid from
profuse bleeding
To achieve full treatment
Vital signs monitoring has
lessen because of BP within
 normal limts (120/70mmHg)

Encourage breast To gain more antibodies and

feeding nutrition for the baby and to
have better bonding for mother
and infant.

To provide comfort, prevent

Self perineal care skin irritation and break down,
decrease the potential for body
odor and control spread of
infection.

To drain distended urine from

Please attach catheter bladder or provide a line to
collect urine for laboratory
purposes.

Give paracetamol 500 To lessen high body

grms of 4 hrs PRN for fever temperature to normal limits

Give furosemide 40 mg Furosemide is indicated to

IVTT now (STAT) remove excess water and slat
from the body (edema) and
treat hypertension.