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Doctors Order Love

The doctor ordered the patient to be admitted to the hospital to properly assess and observe the patient's health needs. Intravenous fluids and medications including cefuroxime, paracetamol, and a blood transfusion were ordered. Laboratory tests such as CBC, blood cultures, and chest x-ray were also requested to monitor the patient's condition and response to treatment for pneumonia. The patient was discharged after showing improvement with instructions to continue oral antibiotics and follow-up at the hematology clinic.

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Aubrey Unique Evangelista
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383 views4 pages

Doctors Order Love

The doctor ordered the patient to be admitted to the hospital to properly assess and observe the patient's health needs. Intravenous fluids and medications including cefuroxime, paracetamol, and a blood transfusion were ordered. Laboratory tests such as CBC, blood cultures, and chest x-ray were also requested to monitor the patient's condition and response to treatment for pneumonia. The patient was discharged after showing improvement with instructions to continue oral antibiotics and follow-up at the hematology clinic.

Uploaded by

Aubrey Unique Evangelista
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
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CHAPTER

DOCTOR’S ORDER

Date/Time Doctor’s Order Rationale Remarks


Ordered
January 2, 2020 Please admit patient to Hospital admission is important to Patient was
11:15 PM CBDU (dirty case) provide the health needs of the admitted in
under Hema section patient and for the patient to be CBDU Hema 2
assessed and be observed.
IVF: D5 0.3 NaCl 1L
@ 60cc/hour
Labs: CBC PC is used to be done as a
 CBC PC routine health exam and general
 Blood GS/CS screening by a doctor. It was
 Chest Xray ordered to check for blood
components specifically RBC due
to patient’s condition that every
time he experiences fever and
cough, his hemoglobin count
would decrease. Monitoring
patient’s CBC would help the
doctor determine his current status.
Blood GS/CS
Meds: Cefuroxime is an antibiotic that is
 Cefuroxime used to treat and prevent a number
750 mg IVTT q of bacterial infections including
8 hours pneumonia. The doctor ordered for
 Paracetamol this medication since Patient RL
250mg/5ml 5ml was suffering from PCAP-C
q4 hours PRN Paracetamol is an analgesic and
for fever antipyretic medication. It is
suitable for treatments of all kinds
of pain and reduction of fever.
Patient had an intermittent fever
that continued until he was
admitted

To secure 2 units
PRBC and transfuse
128 ml blood A+.
Transfuse after proper
cross matching and
screening
VS q4

I and O qshift

Refer accordingly

DAT c SAP

January 3, 2020 IVF @ 52cc/hour


12:10 PM
DONE
VS q4

I and O qshift

DAT c SAP

Meds:
 Cefuroxime
 Paracetamol

Furosemide 25 mg
IVTT post BT

Repeat CBC 6 hours


post BT

January 4 2020 IVF to heplock


5:20 AM

VS q4
I and O

DAT

Meds:
 Cefuroxime
 Paracetamol
Labs:
 Repeat CBC 6
hours post BT
January 6 2020 MGH
9:00 AM Home Meds:
 Cefuroxime
250/5ml 5 ml
PO BID x 7
days
 FF up check up
at Hema clinic
(Jan 13 2020)
Refer

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