491 CASE SCENARIO. 20WEEKS IUP/ CERVICAL INCONTINENCE.

KINGDOM OF GOD HOSPITAL LOS ANGELES,CA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex: 28years old female.

Alert and oriented x4.

Allergy:NKDA .

Account number #Q0061432055.

MR# Q0004992935.

Admission date: 06/09/2021@09am.

Status: Inpatient.

Location: 5NorthEast.

Room 52114.

Resuscitation Status :Full Code.

Isolation Status: Standard Precautions.

Primary diagnosis:Cervical Incontinence (20weeks IUP) S/P Cerclage placement 06/10/ 21.

Suicidal risk: No.

Do patient have advance Directive:No.

Copy of advance Directive on the chart.

Diet: Clear liquid diet. Advance to full liquid diet for dinner.

Discontinue Foley catheter tomorrow @ 05am.

VS Q4hours.

CBC with differential and Chem 7 05am.

Medications:

Tylenol 650mg po Q8hours prn temperature. Tylenol #3 1tablet po Q4hours prn pain.

Tylenol #3 2tablets po Q6hours prn pain. Zofran 4mg IV Q4hours prn nausea/Vomiting. Ambulate in the hallway Qshift.

Discharge home tomorrow.