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Emergency Medication Administration Record

This document is a medication administration record for Karl Angelo Montano, a patient at San Pedro College in Davao City. It details the medications, dosages, routes, and administration times that Montano received from December 6th to the 13th, including paracetamol, diazepam, magnesium sulfate, phenobarbital, and single doses of diazepam suppository and phenobarbital IV. Nurses initialed after administering each medication as prescribed.
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0% found this document useful (0 votes)
161 views2 pages

Emergency Medication Administration Record

This document is a medication administration record for Karl Angelo Montano, a patient at San Pedro College in Davao City. It details the medications, dosages, routes, and administration times that Montano received from December 6th to the 13th, including paracetamol, diazepam, magnesium sulfate, phenobarbital, and single doses of diazepam suppository and phenobarbital IV. Nurses initialed after administering each medication as prescribed.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Medication Schedule
  • PRN and Stat Orders

SAN PEDRO COLLEGE

Davao City

Name: Karl Angelo Montano Wd: St. Dominic Rm &


Bed No: 401-1

DATE MEDICATION DATE 12/6 12/7 12/8 12/ 12/10 12/1 12/12 12/13
ORDER TIME 9 1
12/6/2021 Paracetamol 6am
300 mg q4 IV
10am
2pm
6pm
12/6/2021 Paracetamol 10p
500 mg 1 tab m
q4x24 p.o
2am
6am
10am
12/6/2021 Diazepam 6am
2mg q4 IVTT
10am
2pm
6pm
10p
m
2am
Magnesium 6am
sulfate 5g IM
10am
2pm
6pm
10p
m
2am
12/6/2021 Phenobarbital 12am
30mg IV q12
x2 doses
12p
m
12/6/2021 Phenobarbital 6am
Gr ½ 1 tab
O.D P.O

P.R.N

P.R.N DATE
Paracetamol 500 mg 1 tab 12/6/21

Diazepam 2mg IVTT 12/6/21


Magnesium sulfate 5g IM 12/6/21

SINGLE STAT ORDER INITIAL NURSE’S SIGNATURE


Diazepam 2mg suppository
Karl Angelo Montano,STN

Phenobarbital 45mg IV for 30 mins K.A.M Karl Angelo Montano,STN

SAN PEDRO COLLEGE
Davao City
Name: Karl Angelo Montano
Wd: St. Dominic
Rm & 
Bed No: 401-1
DATE
ORDER
MEDICATION
DATE
TIME
12
Gr ½ 1 tab 
O.D P.O
P.R.N
P.R.N                                                                       DATE
Paracetamol 500 mg

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