Pt. name: Carson, Sarah Admitting Physician: Dr. Cane
Age:65 DOB:1/20/1948 Bed: 244
Admitting diagnosis:Non-small cell carcinoma, right lung, recurrent
Pt. ID # 542768 Med Rec #: 78543
Wt. lbs: 114.8 kg: 52.2 Ht.: 64 cm Race: Hispanic
Major Support: Husband, Daughter
Religion:Catholic
Immunizations: current
Allergies: NKDA
Nursing Map of Care |
Complete Patient Assessment |
Current MAR
Medication History:
Order # |
Med/dose |
Route/schedule |
Reason |
Date started |
|---|---|---|---|---|
#1 |
2 mg SL q4h |
pain and/or dyspnea |
08/15/2013 | |
#2 |
1 mg SL Q1h prn |
breakthrough pain and/or dyspnea |
08/15/2013 |
|
#3 |
200 mg po qHS |
Prevention of constipation |
8/15/2013 |
|
#4 |
2 drops SL Q4hrs prn |
increased secretions/pharyngeal rales |
8/15/2013 | |
#5 |
2 puffs QID prn | shortness of breath |
8/15/2013 |
|
#6 |
0.5 mg TID prn |
anxiety/shortness of breath |
||
#7 |
10 mg suppository prn |
constipation | ||
| #8 | ||||
#9 |
||||
#10 |
||||
#11 |
||||
#12 |
|
| ||
