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SUMMARY OF DOCTOR’S ORDER

DATE DOCTORS ORDER RATIONALE


6-17-2020 refer admit to isolation room >For Proper monitoring management and
9:00 am evaluation,
Secure consent >Patient has the right to be consented in all
procedures to be done.
V/S q4 >To have a baseline data
D5 LR IL with 30 gtts/min >to maintain fluid and electrolyte balance.

DAT >Diet as tolerated to maintain nutritional


status of patient.
Labs : WBC, ANC, HgB, platelets, >It is used as a broad screening test to check
bilirubin, creatinine for such disorders as anaemia, infection, and
much other disease.
6-17-2020 Hold-up of treatment for 1 week >set >allow the body to take a break with all the
1:00 pm new schedule for cycle 2 to begin on medications being administered.
24 of June.
Meds: Administer on June 24th the FF
drugs; >maintain the cycle 2 in chemotherapy of
 Epirubicin 160 mg IV push the patient.
 Fluorouracil 800 mg IV push
Cyclophosphamide 800 mg IV in 100
to 250 mL NS over 20 to 60 minutes

Continue present management


> For continues management
6-18-2020 Refer accordingly
10am For the continuity of care refer any
unusualties and progress.
IVF to follow D5 LR IL with 30 > to maintain fluid and electrolyte balance.
gtts/min
Place in moderate to high back rest >To promote lung expansion
Maintain O2 >To support oxygen in the body
For STAT post-op x-ray >Test that involves exposing the chest briefly
to radiation to produce and image of the chest
and the internal organs of the chest.
Deep breathing exercises >To controlled
Monitor I and O every shift >To monitor patients fluid status
Place patient in semi-fowler position >To promote lung expansion
Continue meds > for compliance

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