KINGDOM OF GOD HOSPITAL LOS ANGELES,CA 90000.
Age/Sex: 79years old male.
Attending doctor: Tumtum,Worry .
Primary diagnosis Pneumonia.
Secondary diagnosis dm,htn,hypothyroidism,bph,tremors.
Code Status: 02 at 2liter NC ,saturation:93%.
Height:5ft ,7inches .
Code Status:Full code.
Is patient at risk for fall:Yes.
Do you have advanced Directive:NO.
Copy of advanced Directive on the chart.
Next of king: Son at the bedside.
Diet: Cardiac Heart Health diet.Ate 75% of dinner .
Alert and oriented x3.
Ambulates slowly but steady gaits.
Saline Lock left forearm.
CT Scan of chest done, results pending.
Antibiotics: Zosyn 3.375gm IV Q8hrs.
Blood sugar Q Ac/ Hs.
Norco 5/325mg po pain.
0.9NS at 50ml/hour.
Discharge home in 2 to 3days.