KINGDOM OF GOD HOSPITAL ,LOS ANGELES,CA 900000. INTERDISCIPLINARY KADEX.
Age/ Sex 30years Male.
Status :Inpatient admission .
Account #Q000000069.
MR# Q00453601178.
Date of admission: 03/24/21 12noon.
Location 4Center.
Room 456003.
Primary diagnosis: Dehydration, Pyelonephritis, Renal failure, Anemia. 03/29/21 S/P Revision of prolapsed colostomy, and partial colon resection by doctor Cute James.
Secondary diagnosis: Paraplegic ; Gunshot 6years ago,PTSD.
Weight 140lbs.
Height =5ft 8inches.
Isolation status: Standard precautions.
Is patient at risk for falls:No.
Is patient at risk for Suicide No.
Allergy NKDA.
Diet: Regular diet. Ensure with meals tid.
Foley Catheter.
Pressure ulcer left groin.
Stage 111 to the coccyx. Clean wound with normal saline, apply Therapeutic honey pack with 2×2 and cover with Mypilex QOD and prn.
Laboratory tests:
WBC = 9.4.
H/H =8.6/28.5.
NA =135.
K=4.2.
Magnesium=2.1.
Plans:
Zyvox po Q12hours x2days starting 03/30/21.
Discharge patient home in two days.
Nurses You Move Me 