KINGDOM OF GOD HOSPITAL LOS ANGELES, CALIFORNIA 900000.
INTERDISCIPLINARY KARDEX.
Age/Sex 35years male.
Account number V006543293.
MR #Q00068867511.
Admission date 01/02/2022.
Status : Observation.
Attending doctor:Tommy Johnjus.
Patient name: Ohio,Columby.
Location: General Surgery floor.
Room : 62114.
Resuscitation status: Full Code.
Weight : 152.
Height :5feet 3inches.
Alert and oriented x4.
Primary diagnosis: Fight bite.Septic joint. Secondary diagnosis: Ecchymosis throughout the right hand,abrasion right hand,pain, swelling, moves all fingers except the right index finger.Splint apply to right index finger and wrapped up.
Allergy : NKDA.
Is patient at risk for fall: No.
Do patient have advance Directive: No.
Copy of advance Directive on the chart.
Diet : Cardiac heart health diet.
Room air.
Transportation method: Wheelchair .
Risk of skin intergrity impaired:No
.Suicidal risk: No.
Patient belongings: With patient.
0.9NS @50ml/ hour,20guage,patent/clean/dry.
Left forearm.
Zosyn 3.375gm IV Q8hours.
Clindamycin 900mg IV Q8hours.
0.9NS flush 10ml Q8hours.
Norco 5/325mg 1 to 2tablets po Q4hours prn pain.
Morphine sulfate 2mg IV Q8hours prn.
Laboratory result:
WBC: 7.5.
H/ H 16.8/ 49.0.
K level :4.0.NA 138.
Vital signs Q4hours.
BP:116/75.
Hr 80.
Respiration:18.
02Saturation: 97% .
Room air.
Nurses You Move Me 