Pt. name:  Mada Meade                          Admitting Physician:   Dr. Cane        
Age:64                                            DOB:1/27/1949                            
Admitting diagnosis: CHF, COPD
Pt. ID # 542768                                                Med Rec #:  78543
Wt. lbs: 140    kg: 68.2                 Ht.: 5 ft  2 in                                 Race:American- Hispanic
Major Support:  Husband                                                                     Religion:Catholic

Immunizations: not current
Allergies: NKDA

 

Current MAR

Order #
Med/dose
Route/schedule
Reason
Date started
#1
20mg po daily
diuretic
  
#2
10 mg po PRN
weigh gain greater than 4 lbs
#3
3mg po daily
angiotensin converting enzyme inhibitor.
#4
81mg po daily
nonsteroidal anti-inflammatory drug
#5
10mg po daily
Exercise-Induced Bronchoconstriction
#6
20 mg PO daily
proton pump inhibitor
#7
1 disk bid
corticosteroid & Long-acting beta2-adrenergic agonists
#8 Lovenox 40mg SQ daily DVT Prophylaxis Protocal  
#9
650mg po q 4hr PRN
for pain or fever
#10
per Influenza Vaccination Screening & Administration Protocol
refused
#11
per Pneumococcal Vaccination Screening & Administration Protocol
refused

#12

 Atrovent 0.5 q4 PRN

Nebulizer treatment

anticholinergic agentindicated for the maintenance treatment of bronchospasm

 

 
         

 

AC EMR