476 CASE SCENARIO RIGHT HAND CELLULITIS.

KINGDOM OF GOD HOSPITAL, LOS ANGELES,CA 900000. INTERDISCIPLINARY KARDEX.

Age/Sex 59years Male.

Account number :Q00369692.

MR# Q0006999324.

Admission date:06/03/21 @1300.

Status: Inpatient admission.

Location MedTelemetry.

Room 42115.

Attending doctor: Tumtum,Worry.

Patient name: Hotelier, Jonnyboy.

Allergy : NKDA.

Height: 5feet 8inches.

Weight : 140lbs.

Resuscitation Status: Full Code.

Primary diagnosis: Right hand Cellulitis. (Right hand swollen and red) Secondary diagnosis : Hypertension.

Isolation Precautions:Standard Precautions.

Is patient at risk for falls : No.

Do you have an advance Directive: No.

Copy of advance Directive on the chart.

Room Air saturation of 98%.

Risk for Suicide: No.

Skin integrity impaired: Yes.

Diet: Regular diet.

Medication reconciliation done.

Medications:

Zosyn 3.375gm IV Q8hrs.

Norco 10/325mg po Q4hours prn pain. Morphine 2mg IV Q3hours prn pain.