KINGDOM OF GOD HOSPITAL, LOS ANGELES,CA 900000.
INTERDISCIPLINARY KARDEX. Age/Sex:40years.
Account number: Q666000444354.
Location Opthomology department 6th floor. Room 630016.
Patient Name: Freshisher,Fish.
Attending doctor: Landis Godi.
Secondary diagnosis: Hypertension, diabetes type 2.
Isolation status: Standard precautions.
Is patient at risk for falls No.
Is patient at risk for suicide No.
Do you have advanced Directive No.Copy of advanced Directive on the chart.
Diet Carb control diet.
Lactic acid =3.5.
H/H 20.1 28.8%.
Lactate Ringer(LR) 500ml IV bolus ×1 given
NS at 75ml/hour right ac via pump.
Zosyn 3.375gm IV Q8hrs.
Tylenol 650mg po Q6hours prn temperature. Accucheck Qac/Qhs.
Kidney ultrasound done.
Infection disease consult.
Case manager consulted, social worker consult.
Nutrition consult for newly diagnosed with diabetes.