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NAME: ________________________________AGE: _______ SEX:_____

Room__________ Bed ____________Hospital Number_____________


Date/Time Progress Notes DOCTOR`S ORDER
Admitting Order
 Please admit patient to room of choice
 Secure consent to care
 CBC c platelet count,u/a, BT, HbsAg
 TPR q 4 hourly and record please include BP
 FHT q 30 minutes and record
 Monitor progress of labor
 Refer when active record

_____________________

 Baby delivered via NSVD in cephalic


presentation to alive neonate AS ____ BW
_____ Male/Female
 Placenta out complete

Post Partum Order


 Oxytocin 10 ù` 1M now
 Start IVF c D5LR TL + 10 `u` oxytocin @ 30
gtts/minute
 Mefenamic acid 500mg cap TID PO
 Cefalexin 500mg cap TID PO
 Multivitamins + Iron cap T cap OP PO
 Exclusive breast feeding
 VS q 1 fill stable then q 4
 Watch out for prefused vaginal bleeding,
dizziness, body weakness
 Refer for any unusualities

____________________

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