484 CASE SCENARIO. METASTATIC LUNG CANCER.

KINGDOM OF GOD HOSPITAL,LOS ANGELES,CALIFORNIA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex 79years, female.

Q00988544.

MR #Q00046565598.

Admitted Date: 03/12/21 @ 0830am.

Location: Med/Oncology 5Northwest.

Room : 43212.

Resustitation Status: DNR.

Attending doctor: Don’thate,Big.

Patient name: Qwene,Mickey.

Allergy:PCN.

Height: 5feet 7inches.

Weight: 156lbs.

Primary Diagnosis: Lung Cancer metastasis to the liver.

Alert and oriented ×2. Bilateral lower extremities 4+ edema.Peg tube clamped.

Secondary Diagnosis: Hypertension, HLD/DM.

Isolation Status: Standard Precautions.

Suicidal risk: No.

Is patient at risk for falls: No.

Do you have advance Directive:No.

Copy of advance Directive on the chart.

Plans:

Medications: Norco 5/325mg po Q4hours prn pain.

Morphine Sulfate 2mg IV Q3hours scheduled. Dilaudid 1mg IV Q8hrs prn pain.L subclavian mediport intact and accessible.

Diet : NPO strict.

Zofran 4mg IV Q4hours prn nausea/Vomiting.

Zosyn 3.375gm IV Q8hrs.

0.9NS@ 75ml/hour right forearm 20guage,patent/clean/dry.

02 @2liters NC.SATURATION 93%.

Purwick in place.

Hospice placement.

Laboratory tests:

WBC:12.9.

H/H9.3/ 28.8%.

K:4.5.

NA:143.