Radarsky, Ricky Medication Record

Pt. name: Ricky Radarsky                            Admitting Physician:   Bruce Jones
Age:49                                               DOB: 09/21/61                               Bed: 243
Admitting diagnosis: CAP
Pt. ID # 542768                                                Med Rec #: 78543
Wt. lbs: 171    kg: 77.7                    Ht.: 6 ft                                   Race: C
Major Support: Family                                                                     Religion: Christian
Immunizations: NA
Allergies: nkda

Physician Orders
History and Physical
Graphics/I&O
Laboratory
Diagnostics
Procedures/Surgeries
Nursing Assessment
Nursing Notes
Nursing Map of Care
Complete Patient Assessment
Return to Patient Index
Return to Unit Index

Current MAR

Medication History:

Order #	Med/dose	Route/schedule	Reason	Date started
#1	Xopenex 1.25mg	HHN q4 hrs PRN	difficulty breathing, wheezing, or desaturation	10/01/2010
#2	Azithromycin	500 mg IVq24 hrs		10/01/2010
#3	ceftriaxone	1 gm IV q24 hrs		10/01/2010
#4	Zofran	4mg IV q6 hrs PRN	nausea or vomiting	10/01/2010
#5	Normal Saline	1 ml q12 hrs and PRN	SL - flush	10/01/2010
#6	Protonix	40 mg PO daily		10/01/2010
#7	Tylenol	gr. X q4 hr prn	temp. greater than 101	10/01/2010
#8	Lovenox	30mg SQ q24 hrs	DVT Prophylaxis Protocal	10/01/2010
#9	Tusnel	2 teaspoons q6 hrs PRN	cough
#10	Influenza vaccine	upon discharge	per Influenza Vaccination Screening & Administration Protocol	10/01/2010
#11	Pneumonia vaccine	upon discharge	per Pneumococcal Vaccination Screening & Administration Protocol	10/01/2010