482 CASE SCENARIO. LEFT HIP DISLOCATION.

KINGDOM OF GOD HOSPITAL ,LOS ANGELES,CA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex 70years Female.

Account #Q002275657.

MR# :Q0004994938.

Admitted date: 04/21/21@ 05am.

Status: Inpatient admission.

Location: Trauma Unit.

Room :32110.

Attending doctor : Tumtum,Worry.

Patient name: Monkse Scott.

Resuscitation status: Full Code.

Allergy: NKDA.

Weight:128lbs.

Height: 4feet 11inches.

Primary diagnosis: Left hip dislocation. Secondary diagnosis dm,htn,hypothyroidism, Chronic Anemia,CHF,forgetfulness.

Isolation Status: Standard Precautions.

Is patient at risk for falls: Yes.

Implement falls prevention protocols.

(Yellow armband, yellow gown,Falling yellow sign at patient door.)

Diet Carb controlled cardiac health diet.

NPO sign on the door.

Do you have Advance Directive:No .Copy of advance Directive on the chart.

Plans:

NPO after Midnight. Left hip fixation in am by doctor Happime,Goodness.

Consent signed.

Cardiologist consult.

Cardiology clearance done.Ejection fraction 40%.

Abduction pillow in between leg.

D5.9NS @ 75ml/hour right ac 20guage,patent/clean/dry.

Dilaudid 0.5mg IV Q3hours prn pain. Morphine sulfate 2mg IV Q8hrs prn pain. Zofran 4mg IV prn nausea/Vomiting. Laboratory tests:

WBC:5.9.

H/H9.0/29.8%.

K=4.6.

NA=132(low)