514 CASE SCENARIO. ABDOMINAL PAIN, DIARRHEA.

KINGDOM OF GOD HOSPITAL LOS ANGELES CALIFORNIA 900000.

INTERDISCIPLINARY KARDEX.

Age/Sex 53years old man.

Account number Q005634372.

MR #Q00058867522.

Admission date 03/21/2021.

Status:Inpatient admit.

Location MedTelemetry.

Room 42114.

Attending doctor Tommy Holbib.

Patient name: Manjija Eden.

Resuscitation Status: Full code.

Primary diagnosis: Abdominal pain, Diarrhea. Secondary diagnosis: Hypertension, GERD,CHF( Ejection fraction 50% left ventricle),DVT.

Language preferred: English.

Weight:189lbs.

Height: 5ft 7inches.

Allergy: PCN.

Isolation Status:Standard Precautions.

Is patient at risk for fall: No.

Do patient have advance Directive: No.

Copy of advance Directive on the chart.

Diet: Cadiac Heart health diet.

Room air. 02 saturation 97%.

Transportation method: Wheelchair ♿

Doctor orders: Am laboratory tests: HgA1c,Lipid,Troponin, CBC with differential.

CT scanning of Abdomen and Pelvic in am.

Peripheral line.( Saline lock left forearm 20guage clean and dry)

CT Angio for Occlusion of vertebral artery.

Plavix 75mg po Qday.

Discharge plans: Discharge home with wife when medically stable.

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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