sp C/S diet

[whiterobin]

Right after a duramorph C/S many of our L/D RNs feed the pt. Apple Juice and soda or graham crackers often with Percocts-I was taught that ice chips for the first 12 hours (IN some hospitals-24 hours) would avoid N/V as well as being told since abdominal surgery causes the bowels to slow or stop r/t manipulation, the stomach may not empty for 12-24 hours. Also we don't usually go beyond clear liquids until flatus, but some doctors order Regular diet immediately. What do other hospitals do?

[mark_LD_RN]

yeah motherbaby it most be a different batch of duramorph,:) I swear it was so bad here for a while they stopped using it all together.

we give nubain and benadryl for itching

[sbic56, BSN, RN]

We very rarely see problems with patients that have resumed a regular diet often just a few hours after returning to the floor post C/S. (And, of course, early ambulation is key to avoiding gas problems.)

On the duramorph debate: I love it's effectiveness, but agree the itching can be very bothersome. I have seen some good relief obatined by putting narcan in the IV fluid w/o losing the effectiveness of the morphine. Benadryl is only moderately effective in my experience. We do have one anethesiologist who won't use it because of the itching S/E.