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.

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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