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Post-Cesarean Care Plan Summary

Maria Cruz, a 35-year-old female, was admitted on August 31, 2021 following a Cesarean section. She vomited once after eating food and is being treated with medications including Paracetamol, Metronidazole, and Metoclopromide. Lab tests were done and she is scheduled for possible discharge on September 2 if her fecalysis results are normal and her doctor approves. Nursing care includes increasing fluid intake, encouraging rest, and advising her to eat non-greasy foods.

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Justine Joy Solano
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550 views1 page

Post-Cesarean Care Plan Summary

Maria Cruz, a 35-year-old female, was admitted on August 31, 2021 following a Cesarean section. She vomited once after eating food and is being treated with medications including Paracetamol, Metronidazole, and Metoclopromide. Lab tests were done and she is scheduled for possible discharge on September 2 if her fecalysis results are normal and her doctor approves. Nursing care includes increasing fluid intake, encouraging rest, and advising her to eat non-greasy foods.

Uploaded by

Justine Joy Solano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

BED NO. 3 HOSPITAL NO.

125 PATIENT: Maria Cruz AGE: 35 SEX: F


DATE ADMITTED : 8-31-21 DIAGNOSIS: Status post Cesarean section AP: Dr. Timer
DIET: Diet as tolerated / non- greasy/ ALLERGIES: None DISABILITIES: None
no peanuts in the diet
AMBULATORY: Yes Hearing:
V/S: BP- 130/80 T-36.6 P-65 R-18 Vision:
OBSERVATION: Awake / Afebrile/ vomited once after ingestion of food – (50 ml watery )

MEDICATIONS: Paracetamol 500mg q4 PRN/ Metronidazole 500 mg/ 1ml IV q 8 hr/ Metoclopromide 10 mg IV
Stat 

IVF: D5 Na Cl 500 x 31 gtt x 8 hrs @ the L-arm


LAB/DIAGNOSTICS: Fecalysis/ 8-28-21`Done Repeat Fecalysis tomorrow (9-02-21) call DR Houser upon results are
in
O2 INHALATION: 2-3 l/min PRN
ELIMINATION: BM once with soft yellow-colored stool ( size of medium banana)
REST AND ACTIVITY: Ambulatory
NSG MANAGEMENT: Increase fluid intake/ Boil or sterilized drinking water./ encourage bedrest/ advised to ear
non-oily and spicy foods

SPECIAL INSTRUCTIONS: For possible discharge tomorrow (09-02-21) at 12 noon accdg. to Dr Houser

SMU HOSPITAL
KARDEX
WARD: 2 Medical SHIFT: 7-3 DATE: 09-01-21

Endorsed by: Justine Joy Solano

Student Nurse Signature

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