468 CASE SCENARIO. ACUTE KIDNEY INJURY/DEHYDRATION.

KINGDOM OF GOD HOSPITAL LOS ANGELES, CA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex 65years old man.

Account number Q00099694.

MR#Q77000065487.

Admission Date:01/26/210340am .

Admission status: Inpatient.

Location MedTelemetry.

Room 43006.

Attending doctor: Tumtum,Worry .

Patient name:Luckyman,Features. Resuscitation Status: Full Code.

Allergy: NKDA.

Weight:170Ibs.

Height:5ft 9inches.

Primary diagnosis: AKI,DEHYDRATION. Secondary diagnosis dm,htn,hypothyroidism, amputation of right foot.

Isolation Status: Standard Precautions.

Is patient a high risk for falls: No.

Transportation: Wheelchair.

Skin integrity impaired: No.

Diet: Carb controlled diet.

Laboratory tests:

WBC:7.3.

H/H:9.8/30% .

K: 4.4.

NA:140.

Medications:Norco 5/325mg po Q4hours prn pain.

Zofran 4mg IV Q4hours prn nausea/Vomiting. Zosyn 3.375gm IV Q8hrs.

Morphine sulfate 2mg IV Q3hours prn pain.

0.9NS @ 125ml/hour IV right ac 20guage,patent/clean/dry.

Vital signs Q4hours.

Strict intake and output measurements.

CBC with differential, Chem 7 in am.