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.

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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