KINGDOM OF GOD HOSPITAL LOS ANGELES, CALIFORNIA 900000.
INTERDISCIPLINARY KARDEX.
Age/Sex 77years old woman.
Account number : Q006543233.
MR# :Q00069693416.
Admitted 04/30/2021 @0400.
Status: Inpatient.
Location : MedTelemetry.
Room : 42114.
Attending doctor: Tommy Rootbeer.
Patient name :Londona Bridge.
Resuscitation Status: Full code.
Primary diagnosis :Right knee infection. S/P Right total knee Arthoplasty.
Secondary diagnosis:Hypertension, Hld, old abdominal scar.diabetes, CHF. Hx of degenerative joint disease.
Weight : 245lbs.
Height: 5ft 7inches.
Isolation Status: Contact Isolation right knee infection.
Is patient at risk for fall: No.
Suicidal risk: No.
Do you have advance Directive: No.Copy of advance Directive on the chart.
Diet Car Controlled Cardiac health diet.Consistency: Mechanical chopped.
CT SCAN right ■ done.
Ultrasound of right knee ■done.
Alert and oriented ×4.
Allergy: PCN.
Laboratory tests:
WBC 11.5.H/ H 8.9 ,25.5%.Na 140,K:4.2.
BSC at her bedside .
Uses front Wheel Walker.
Doctor orders:
Ambulate on the hallway using front wheel walker TID.
0.9NS at 50/ hour infusing well via pump right ac 20guage intact, patent and clean.
Morphine sulfate 2mg IV Q3hours prn pain.
Norco 10/325mg po prn Q4hours pain. Phenergan 12.5mg IV Q8hours prn nausea/Vomiting.
Dilaudid 0.5mg IV Q4hours prn pain.
Vancomycin 1gm IV Q12hours.
Zosyn 3.375gm IV Q8hours.
Lisinoprol 10mg po.
Hctz 12.5mg in am. Qdaily.
Accucheck Qac/Qhs.
Wound dressing with santyl cover with Guage Qday +prn.