463 CASE SCENARIO. S/P LAP GASTRECTOMY (HX STOMACH TUMOR)

KINGDOM OF GOD HOSPITAL LOS ANGELES,CALIFORNIA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex: 68years.

Account Number Q0096654455.

MR# :Q45665434098.

Attending doctor: Niceman,Tom.

Patient name: Mywood,Jennyblue.

Location : General Surgery.

Room #: 43222.

Primary diagnosis: Stomach tumor. S/P : LAP GASTRECTOMY.

Isolation status: Standard Precautions.

Is patient at high risk for falls: Yes.

Allergy: Eggs, Shell fish.

Diet : Clear liquid diet.

D5.45NS @ 50ml/hour left ac,Banana bag at 125ml/hour.

Abdominal dressing intact.

Voiding well after foley catheter is discontinued.

Ambulates to the bathroom.

Ambulated to the hallway ×2.

Norco 10/325mg po Q4hours (crushed mix with apple sauce)

Phenergan 12.5mg IV Q4hours prn nausea/Vomiting.

Case manager consulted. Discharge in am after doctors round.

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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