405868244 YC
70449076
5586564
11/16/2005 12:00:00 AM
POSTPARTUM
DIS
Admission Date :
11/16/2005
Report Status :
Discharge Date :
11/19/2005
****** FINAL DISCHARGE ORDERS ******
WARESIN , SAGAY 702-84-43-7 L06
Room :
DBM62-8758
Service :
OBS
DISCHARGE PATIENT ON :
11/18/05 AT 02:00 PM
CONTINGENT UPON
cnm evaluation
WILL D / C ORDER BE USED AS THE D / C SUMMARY :
YES
Attending :
OBSTETRICS SERVICE , YC , M.D.
DISPOSITION :
Home
DISCHARGE MEDICATIONS :
DOCUSATE SODIUM 100 MG PO BID PRN Constipation IBUPROFEN 400-600 MG PO Q6H PRN Pain
Food / Drug Interaction Instruction
Take with food PRENATAL MULTIVITAMINS ( STUARTNATAL ) 1 TAB PO QD MAALOX-TABLETS QUICK DISSOLVE / CHEWABLE 1-2 TAB PO Q6H PRN Upset Stomach
DIET :
No Restrictions
ACTIVITY :
Resume regular exercise
FOLLOW UP APPOINTMENT ( S ) :
BROOKSIDE 2 wks ,
ALLERGY :
NKA ADMIT DIAGNOSIS :
pregnancy , term
PRINCIPAL DISCHARGE DIAGNOSIS ;
Responsible After Study for Causing Admission )
POSTPARTUM OTHER DIAGNOSIS ;
Conditions , Infections , Complications , affecting Treatment / Stay postpartum
OPERATIONS AND PROCEDURES :
Vaginal delivery :
Spontaneous
Laceration :
Perineal , 1st degree
Placenta :
Delivery :
Spontaneous
Condition :
Normal
Certified Nurse Midwife :
NEAD , MANERTNY , CNM
OTHER TREATMENTS / PROCEDURES ( NOT IN O.R. )
repair of first degree perineal laceration
BRIEF RESUME OF HOSPITAL COURSE :
G2 T1 P0 A0 L1 Estimated
EDC :
12/02/05
Maternal transfer :
No
Initial newborn exam :
No observed abnormalities
Baby 1
MRN :
26793023
Delivery date :
11/16/05 02:21 PM
Apgars 9,9
Weight :
7lb 4.8 oz 3311 grams
Sex :
Female
ADDITIONAL COMMENTS :
DISCHARGE CONDITION :
Stable
TO DO / PLAN :
No dictated summary
ENTERED BY :
JESCCOT , LA P. , C.N.M ( YW8 )
11/17/05 08:24 AM
****** END OF DISCHARGE ORDERS ******