475 CASE SCENARIO. COMMUNUNITY PNEUMONIA (PNA)

KINGDOM OF GOD HOSPITAL LOS ANGELES,CA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex 65years years old man.

Admitted 01/18/21.

Status: Inpatient admission.

Location: Surgery department.

Room 62118.

Account # Q00993228 .

MR# :Q000696944.

Attending doctor: Don’thate,Big.

Patient name: Rainny,Jessy.

Resuscitation Status: Full Code.

Allergy: Tylenol,Zithromax (Rashes).Weight:130lbs.

Height :5feet 5inches.

Primary diagnosis: PNEUMONIA/ Community Acquired Pneumonia.

Secondary diagnosis: Hypertension/HLD/DM/ Asthma.

Diet: Carb controlled cardiac diet.

20 guage Left ac Saline lock. C/D / I.

Zosyn 3.375gm IV Q8hrs x 3days.

Accucheck: Qac/Qhs.

Plan:

Discharge home with po antibiotics. Continue blood sugar check before each meal and before bedtime.