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

 

Current MAR

Medication History:

Order #
Med/dose
Route/schedule
Reason
Date started
#1
HHN q4 hrs PRN
difficulty breathing, wheezing, or desaturation
10/01/2010
#2
500 mg IVq24 hrs
10/01/2010
#3
1 gm IV q24 hrs
10/01/2010
#4
4mg IV q6 hrs PRN
nausea or vomiting
10/01/2010
#5
1 ml q12 hrs and PRN
SL - flush
10/01/2010
#6
40 mg PO daily
10/01/2010
#7
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
2 teaspoons q6 hrs PRN
cough
#10
upon discharge
per Influenza Vaccination Screening & Administration Protocol
10/01/2010
#11
upon discharge
per Pneumococcal Vaccination Screening & Administration Protocol
10/01/2010

 

AC EMR