KINGDOM OF GOD HOSPITAL LOS ANGELES CALIFORNIA 900000.INTERDISCIPLINARY KARDEX. Age/Sex 35years years old female.
Account number Q005634372.MR # Q00069593424.
Admitted date 8/17/2021@ 05am.
Status: Inpatient admission.
Attending doctor Tommy Holbib.
General surgery consult.
Neurosurgeon consult done.
Plastic surgeon consult.
Patient name Jollof Richland.
Location MedTelemetry.
Room 42110.
Resuscitation Status: Full Code.
Weight 285Ibs.
Height 5feet 5inches.
Alert and oriented x4
Primary diagnosis: Left Gluteal Abcess/ Necrotizing Fasciitis. Debridement of left gluteal done 08/18/2021 with dressing in place.
Secondary diagnosis: Hypertension/ Diabetes.
Isolation Status: Standard Precautions.
Risk for fall: No.
Suicidal risk: No.
Do patient have advance Directive: No.
Copy of advance Directive on the chart.
Diet Carb Controlled cardiac diet.
02 @ 3liter NC.
Transportation method: Bed.
Allergy: NKDA.
Woundvac in place.
LR at 50ml/hour IV right forearm 20guage clean/dry/ Patent.
Medications:
Zosyn 3.375gm IV Q8hours.
Zofran 4mg IV Q4hours prn nausea / Vomiting.
Dilaudid 0.5mg IV Q3hours prn pain.
Norco 10/325mg 1tablet po Q4hours prn pain. Morphine sulfate 4mg IV Q4hours prn severe pain.
Norvasc Q4hours, 10mg po daily.
Hctz 12.5mg po daily.
Feso4 325mg po Qday.
Accucheck Qac/Qhs.
Laboratory tests in am.
CBC with differential, Bmp.
Plans:
Discharge to SNF with Zosyn 3.375gm and all current doctor orders. SNF charge nurse to call the doctor upon patient arrival to SNF.
Nurses You Move Me 
Thanks
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