494 CASE SCENARIO. PERIRECTAL ABCESS.

KINGDOM OF GOD HOSPITAL LOS ANGELES, CALIFORNIA 900000.

INTERDISCIPLINARY KARDEX.

Age/ Sex:48years old man πŸ‘΄

Account : Q00969388.

MR# Q000999326673.

Adminssion 06πŸ“…2021.

Status: Observation.

Location :General Surgery.

Room: 62114.

Attending doctor: Keehope,Johnson MD.

Patient name: Guysin Harry.

Allergy: NKDA.

Resuscitation Status: Full code.

Primary diagnosis:Abcess poterior Buttocks. (Worsening pain in the rectal region)

Secondary diagnosis:Hypertension, hld,diabetes.

Isolation Status: Standard Precautions.

Risk for fall: No.

Suicida l risk: No .

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

Diet :Carb Controlled cardiac diet.

Doctor orders.

NPO after MN.

Zosyn 3.375gm IV Q8hours.

Flagy 100mg IVQ8hours.

Rocephin 1gm IV Q24hours.

Surgery in Am.

Dilaudid 0.5mg IV Q3hours prn pain.

Norco 10/325mg po prn Q4hours.

0.9NS @75ML/HR Left forearm.

Ambulates 3times per shift. Accucheck Qac/Qhs. Room air.

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.

Leave a comment

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: