546 CASE SCENARIO. ACUTE RENAL FAILURE.

KINGDOM OF GOD HOSPITAL LOS ANGELES CALIFORNIA 900000.INTERDISCIPLINARY KARDEX.

Age/Sex : 35years old woman.

Account number: Q005634372.

MR #:Q00058867522.

Admission date: 09/12/2020@0730am.

Status : Inpatient admission.

Location :MedTelemetry.

Room :42114.

Attending doctor: Tommy Holbib.

Patient name : Vacate,Belov.

Resuscitation status: Full Code.

Weight : 165lbs.

Height : 5feet 6inches.

Allergy : NKDA.

Primary diagnosis ARF.

Secondary diagnosis: Hypertension, History of kidney transplant.Cough.

Isolation Status : Standard Precautions.

Risk for fall: No.

Suicidal risk: No.

Transportation method: Wheelchair

Do patient have advance Directive: No.

Copy of advance Directive on the chart.

Diet Renal diet.

NPO after midnight for ashcath placement.

Foley catheter.

Saline lock left forearm 20guage intact clean and dry.

Medications:

Zosyn 3.375gm IV Q8hours.

Epogen 10,000unit subQ.Tuesday/ Thursday/Saturday.

Heparin 5000units subQ Q12hours ( Hold for Ashcath placement on Monday)

Prednisone 20mg po daily scheduled. Tacrolimus 5mg po Bid.scheduled.

Robitussin DM 5mg po Q6hours prn coughing. Norco 5/325mg po Q6hours prn moderate pain. Morphine sulfate 2mg IV Q6hour prn severe pain.

Zofran 4mg IV Q8hours prn Nausea/ Vomiting.

Social worker and Case management for placement on where to go for hemodialysis. Discharge plans:

Discharge home with wife when medically stable and after patient has been placed on hemodialysis center.

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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