Course in the Ward Date 09 08 2013 Doctor's Orders IV Fluid Medications - Citicoline 1g TIV q 12 - ASA 80g/tab OD - Simvastatin 40mg/

g/ tab OD - Lactulose 30cc OD - Omeprazole 20mg/tab OD Nurse's Notes

- admitted at ER - consent secured - on NPO; to insert NGT - with IVF PNSS 1L x 12 @ 600cc level - for CBC PC UA Na K Creatinine FBS Lipid profile Slept - medications prescribed - V/s checked BP 120/80 CR 83 RR 20 O2 sat. 99% - attended - endorsed

- please admit to PNSS 1L x 12 MMW. Seen and examined by Dr. Joven Mendigo secure consent for management - NPO - Insert NGT, start OF 1800 kcal in 6 servings - V/S q 2, I&O q shift and record start IVF PNSS 1L x 12 - Labs: - CBC PC - UA Na K - Creatinine FBS - Lipid profile - Slept - Medications - Citicoline 1g TIV q 12 - ASA 80g/tab OD - Simvastatin 40mg/ tab OD - Lactulose 30cc OD - Omeprazole 20mg/tab OD - Refer accordingly - for referral to rehab order for PROME - continue meds - attach official cranial CT scan result to chart PNSS 1L x 12

09 09 2013

- Citicoline 1g TIV q 12 - ASA 80g/tab OD - Simvastatin 40mg/ tab OD - Lactulose 30cc OD - Omeprazole 20mg/tab OD

- received patient on bed, conscious and coherent - with IVF #3 PNSS 1L x 12 - with NGT; intact - on OF 1800 kcal; NPO - for referral to rehab ordered for PROME - V/S taken and

recorded - due meds given - I&O monitored and recorded - needs attended - endorsed