471 CASE SCENARIO. ETOH WITHDRAWAL /ABDOMINAL PAIN.

KINGDOM OF GOD HOSPITAL LOS ANGELES,CALIFORNIA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex 65years.Male.

Account number :Q00369693.

MR#: Q000991123.

Admission Status :Inpatient admission. Admitted: 06/03/21.

Location:Medical/Surgical .

Room :36112.

Resuscitation status: Full code.

Primary Diagnosis: Etoh withdrawal; Abdominal pain.

Laboratory tests:

WBC: 4.9.

H/H14.3/43.8%.

K=3.6.

NA=135.

CIWA Protocol level :5.

Ativan 2mg IV Q8hrs.

NS @ 75ml/hr.

Voiding well using the urinal.

Bowel movement × 2.

Diet : Regular diet.

Tolerating diet well.

Plans:

Discharge in am.

Follow up with his Primary care physician in two weeks.

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.

Leave a comment

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: