Pelvic Inflammatory Disease

2. Diagnosis: Pelvic Inflammatory Disease

3. Condition:

4. Vital signs: q8h. Call physician if BP >160/90, <90/60; P >120, <50; R>25, <10; T >38.5°C

5. Activity:

6. Nursing: Inputs and outputs.

7. Diet: Regular

9. Special Medications:

-Cefoxitin (Mefoxin) 2 gm IV q6h OR cefotetan (Cefotan) 1-2 gm IV q12h; AND doxycycline (Vibramycin) 100 mg IV q12h (IV for 4 days and 48h after afebrile, then complete 10-14 days of doxycycline 100 mg PO bid) OR -Clindamycin 900 mg IV q8h AND Gentamicin 2 mg/kg IV, then 1.5 mg/kg IV q8h or 7 mg/kg in 50 mL of D5W over 60 min IV q24h, then complete 10-14 d of Clindamycin 300 mg PO qid or Doxycycline 100 mg PO bid OR -Ceftriaxone (Rocephin) 250 mg IM x 1 and doxycycline 100 mg PO bid for 14 days OR

-Ofloxacin (Floxin) 400 mg PO bid for 14 days. AND EITHER

-Clindamycin 300 mg PO qid for 14 days OR -Metronidazole (Flagyl) 500 mg PO bid for 14 days.

10. Symptomatic Medications:

-Acetaminophen (Tylenol) 1-2 tabs PO q4-6h prn pain or temperature >38.5°C.

-Meperidine (Demerol) 25-100 mg IM q4-6h prn pain. -Zolpidem (Ambien) 10 mg PO qhs prn insomnia.

11. Labs: CBC, SMA 7&12, ESR. GC culture, chlamydia direct fluorescent antibody stain. UA with micro, C&S, VDRL, HIV, blood cultures x 2. Pelvic ultrasound.

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