Insert IV catheter (#16 or #18 gauge)
Insert foley catheter (#14 french, to closed drainage) in operating room (OR) or in patient room if time permits
Give both ranitidine and metoclopramide together in 50 mL 0.9% sodium chloride (NS) minibag
Ranitidine 50 mg IV STAT infused over 15 min
PLUS
Metoclopramide 10 mg IV STAT infused over 15 min
PLUS
Sodium citrate 30 mL PO for STAT case, once on admission to OR
For other urgent or emergent cases, obtain order from anesthesiologist
OR
Women with documented allergy to cefazolin or type IV hypersensitivity reaction e.g. Stevens-Johnson syndrome, to beta lactams
Sodium Chloride 0.9% (NS) infuse at 125 mL/h
NPO
Complete blood cell count with automated white blood cell differential
Group and Screen STAT (if needed)