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Guidelines
Elective

Elective

Patient Care

Insert IV catheter (#16 or #18 gauge)

Insert foley catheter (#14 french, to closed drainage)

Medications

Ranitidine 150 mg PO 60 mins preoperatively once with sip of water (if not given IV)

OR

Ranitidine 50 mg IV once 30-60 min preoperatively diluted in 50ml 0.9% sodium chloride (NS) minibag infused over 15 min

If less than 30 min preoperative, or if woman is nauseated

Antibiotic

ceFAZolin: 30 min prior to skin incision
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  • Body mass index is less than 40 kg/m²: 2 g IV prior to skin incision
  • Body mass index is greater than or equal to 40 kg/m²: 3 g IV prior to skin incision

OR

Clindamycin 900 mg IV once 30 min prior to skin incision
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Women with documented allergy to cefazolin or type IV hypersensitivity reaction e.g. Stevens-Johnson syndrome, to beta lactams

IV Infusions

Sodium Chloride 0.9% (NS) infuse at 125 mL/h

Nutrition

NPO

Laboratory

Complete blood cell count with automated white blood cell differential

Group and Screen (if needed)