440 CASE SCENARIO. ACUTE APPENDICITIS, MR BEATME,GOODNESS.

Age/Sex: 39years old man.

MR#Q45000022.

ACCOUNT # Q000000023.

Inpatient Admission .

Date of admission:.03/01/2002.

Location: Medical-Surgical floor. Kingdom of God Hospital Los Angeles, CA 90000.

Primary Diagnosis: Acute Appendicitis.

S/P:Laparoscopic appendectomy( Doctor Nice,Pain.). 4 lap sites with Demaband.

Secondary Diagnosis:Hypertension, ESRD.Hemodialysis, MWF.

02 @ 2liters NC.

Code status: Full code.

Isolation Status: Standard precautions .

Allergy: NKDA.

Diet: Clear liquid diet.

Nephro carb supplement 1 can daily.

Ambulatory.

(+) Bowel movement ×1 today.

Infection disease consult with doctor Nasty,Pauline.

WBC =17(High)

Denies pain 0/10,

Medications:

Norco 5/325mg po Q4hours.

Zosyn 3.375gm IV Q8hrs.

Saline lock 20guage,patent/clean/dry left forearm.

Right upper chest with permacath for Hemodialysis.