547 CASE SCENARIO. PANCREATIC LIVER MASS.

KINGDOM OF GOD HOSPITAL LOS ANGELES CALIFORNIA 900000.INTERDISCIPLINARY KARDEX. Age/Sex 65years old female.

Account number Q005634372.

MR #Q00058867545.

Admission date 01/02/2021@03:30am.

Location: MedTelemetry.

Room 42111.

Attending doctor Hussain Handyson.

Patient name: Londin,Chine.

Resuscitation Status: Standard Precautions. Primary diagnosis Liver mass.(Patient complains of Abdominal tenderness, Jaundice,Nauseated)

Secondary diagnosis: Seizure disorder, Drug abuse, Thyroid disorder, Nicotine addiction ,HOH.

Doctor orders :

0.9NS at 100ml/ hour left forearm 18guage clean dry/Intact.

NPO x medications for ERCP in am.(Endoscopic retrograde Cholangiopancreagraphy)

Nicotine patch 21mg Daily.

Multivitamin 1tablet po 09am scheduled.

Tylenol 650mg po Q4hours prn temperature. Restoril (Temazepan)30mg po 2100 scheduled for sleep.

Folic acid 1tablet po 09am scheduled.

Thiamine 100mg po Daily scheduled.

Morphine Sulfate 2mg IV Q6hour prn severe pain.

Norco 10/325mg 1tablet po Q4hours prn moderate.

Levetiracetam 500mg po Bid scheduled.(Anticonvulsant)

Protonix 40mg IVP 0630am AMAC/ Scheduled. ( Dilute in 10ml of sodium chloride and give over 2minutes)Follow the doctor orders and your facility policy and procedures.It can also be given in 50ml 0.9NS Ivpybag.

Discharge plans: Transfer to Jericho Hospital for futher evaluation and possible surgical intervention in two days.