CEFI - CON Physician's Notes and Orders

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Calayan Educational Foundation, Inc.

COLLEGE OF NURSING

PHYSICIAN’S NOTES AND ORDERS

Date / Time Progress Notes PHYSICIAN’S ORDERS AND SIGNATURE


2/8/18
9:00 AM BP = 120/70 - Admit to Medicine Ward
PR = 88 - Secure consent for admission and management
RR = 20 - Uremic diet ê SAP (no fruits nor fruit juices, no milk nor
dairy products)
T = 36.6 - IVF: PNSS 1L x 12 hrs.
- Dxs: CBC, ABO typing, Crea, Na, K, Ca, Phosphorous,
ABG, Urinalysis,
12 lead ECG, Chest Xray (PA/L)
Tx: - NaHCO3 650 mg/tab; 1 tab p.o. BID
- CaCO3 tab 500 mg; 1 tab p.o. BID
- Febuxostat 40 mg/tab; 1 tab p.o. OD
- Ketoanalogue 600 mg/tab; 1 tab p.o. TID
- FeSO4 + FA 325 mg/tab; 1 tab p.o. BID
- Furosemide 20 mg IV q 8 ê BP precaution
- Cefuroxime 750mg IV q 12hrs ANST ( )
- Secure and transfuse 1 “u” pRBC, properly typed and
cross matched
- For rpt. CBC post BT
- VS q 4h
- I & O q shift
- Inform MROD
- Refer
Kenneth P. Veluya, MD
Lic No: 0282343

CEFI-CON
Calayan Educational Foundation, Inc.
COLLEGE OF NURSING

PHYSICIAN’S NOTES AND ORDERS

HOSPITAL NO: _________________________________ AGE:_______ SEX: _______ ROOM NO. ________


NAME: ____________________________________
PHYSICIAN: ____________________________________

CEFI-CON

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