Académique Documents
Professionnel Documents
Culture Documents
COLLEGE OF NURSING
Gov. Pack Road, Baguio City
OR WRITE UP
INSTRUMENTS:
Name of patient: JB
Age:31 Sex: Female Civil Status: Married Religion: Roman Catholic
Address: Mangatarem, Pangasinan
Operation Proposed: NSD
Working Diagnosis: PU 40 wks AOG, G5P4 (5,0,0,4)
Type of Anesthesia: SAB Position: knee chest
History of Present Illness:
Pathology:
There was a sexual intercourse done by the married couple. Soon after, there was the
union of egg cell & sperm cell. Then, fertilization takes place in the woman’s uterus, and
then a fetus developed for 9 months. After 40 wks of pregnancy, the mother gave birth to
a live baby boy
12:20 am: Brought to O.R. a 31 year old female, per stretcher, with D5LRS at
500 cc level, scheduled for NSD by Dr. Espinosa, placed at O.R. table in supine position,
repositioned to knee-chest position, SAB inducted by Dr. Ordona, and skin preparation
done. Draped properly, IFC inserted aseptically, connected to urine bag. Initial count of
sponges, needles, and instruments done.
THUMB FORCEPS
NEEDLE HOLDER
SURGICAL NEEDLES
METZENBAUM SCISSORS
BLADE HOLDER
SURGICAL BLADES
KELLY CURVED
KELLY STRAIGHT
BOBCOCK
RICHARDSON RETRACTOR
ABDOMINAL RETRACTOR
TOWEL CLAMP
ALLIS
CAUTERY MACHINE