452 CASE SCENARIO. UTI/ NEUROGENIC BLADDER.

KINGDOM OF GOD HOSPITAL, LOS ANGELES,CALIFORNIA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex : 74years old man.

Admission date:03/23/21.

Status: Inpatient admission.

Unit #Q008635002.

MR# Q008865423122.

Location 4th floor.

Room# 400616.

Code Status : Full code.

Name of patient: Blamegod Davide.

Attending doctor: Tumtum,Worry.

Isolation status: Contact Isolation.

Weight = 140Ibs.

Height = 5ft 5inches.

Primary diagnosis: UTI.

Secondary diagnosis: Neurogenic bladder, Lymphoma, Hypertension ,Indwelling catheter. Patient high risk for falls.Yes.

Fall precaution protocols maintained.( Yellow gown,yellow armband ,Falling yellow sign)

Advanced Directive No.

Copy of advanced Directive on the chart. Transportation by bed.

Allergy: Tylenol, Zosyn, Levaquin.

Belongings Checklist done.

Plans:

Rocephin 1gm IV Q24hours.

Merrem 500mg IV Q8hrs.

Norco 5/325mg po Q4hours prn pain.

Saline lock left forearm patent/clean/dry and intact.

Intake and output Q4hours.

Laboratory Studies:

WBC= 13.

H/H =9.8/30.0%.

NA = 140.

K= 4.0

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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