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  • Endorsement Sheet ICU

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    LANCE CHRISTIAN CUENCA
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    Elvira Dugasan, 47, was admitted for acute coronary syndrome and STEMI. She is on a diabetic diet with IV fluids and norepinephrine drip. Jocelyn Mapin, 26, was admitted for postpartum hemorrhage after delivery. She received a hysterectomy and is being treated for anemia and shock with IV fluids, blood transfusions, dobutamine drip and oxygen. Her diet advances as her condition improves.

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    Elvira Dugasan, 47, was admitted for acute coronary syndrome and STEMI. She is on a diabetic diet with IV fluids and norepinephrine drip. Jocelyn Mapin, 26, was admitted for postpartum hemorrhage after delivery. She received a hysterectomy and is being treated for anemia and shock with IV fluids, blood transfusions, dobutamine drip and oxygen. Her diet advances as her condition improves.

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    11 views3 pages

    Endorsement Sheet ICU

    Uploaded by

    LANCE CHRISTIAN CUENCA
    Elvira Dugasan, 47, was admitted for acute coronary syndrome and STEMI. She is on a diabetic diet with IV fluids and norepinephrine drip. Jocelyn Mapin, 26, was admitted for postpartum hemorrhage after delivery. She received a hysterectomy and is being treated for anemia and shock with IV fluids, blood transfusions, dobutamine drip and oxygen. Her diet advances as her condition improves.

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    of 3

    Bed# 1

    Name: IMILANI, ELVIRA DUGASAN Age: 47 YEARS OLD Sex: FEMALE

    Attending physician: DR. ANDRES (Cardio)/ GS / IM on duty

    Admitting Diagnosis: ACUTE CORONARY SYNDORME, STEMI


    Date of admission: FEBRUARY 8,2024

    Diet: DM DIET: LIMIT OFI <1L/DAY

    IVF AND SIDE DRIP: LABORATORY/ IMAGING SPCIAL ENDORSEMENT

    PSS 1L @KVO Still for: - O2 @2-4LPM via nasal cannula


    (Right hand) HEPLOCK  RBS monitoring TID pre- to maintain O2 Sat >95% PRN
    meals - CBR without BRP
    Side drips:  ECG-12L DAILY - Moderate high back rest
     Repeat Urinalysis - Referred to GS for opinion or
    NOREPINEPHRINE DRIP  (02/11/2024) evaluation of CXR considering
    Norepinephrine 8mg+ 92cc PNSS (In Follow up results: pneumopericardium, seen by
    a soluset) @__3__cc/hr DR. Ali with orders: follow up
     Rapeat CXR-AP official Chest X-Ray result from
    -OFF (02/08/2024) Radiology Dept.
     SUA (02/09/2024) - Avoid straining or Valsalva
    maneuver
    - In lieu of Senokot, may use
    Lactose 30 ml OD
    - Possible trans out

    Bed #2
    Name: MAPIN, JOCELYN Age: 26 YEARS OLD Sex: FEMALE
    ADONG
    Attending physician: OB-GYNE (Main Service)/ IM on duty

    Admitting Diagnosis: G3P3 (2103) HYPOVOLEMIC SHOCK SECONDARY TO ACUTE BLOOD


    LOSS; POSTPARTUM HEMORRHAGE SECONDARY TO PLACENTA ACCRETA; ANEMIA,
    SEVERE; NON-INSTITUTIONALIDED DELIVERY;S/P NSVD (2/11/2024) TRANSIT
    DELIVERY; S/P EXPLORATORY LAPAROTOMY-TOTAL;HYSTERECTOMY (02/11/2024)
    (TAH)- Dra. Porras & Dra. Donna joy P. Yap

    Date of admission: (02/09/2024)

    Diet: MAY HAVE GENERAL LIQUIDS & CRACKERS; SOFT DIET ONCE WITH FLATUS;
    HIGH PROTEIN DIET WITH 2 EGGS PER MEAL ONCE WITH BM

    IVF AND SIDE DRIP: LABORATORY/ IMAGING SPCIAL ENDORSEMENT

     (Left hand) – BT Line Still for:  HBsAg REACTIVE


    PNSS @ L KVO  RBS monitoring  O2 @ 4-6LPM Via
     (Right hand) PNSS @ Q6H WHILE ON face mask
    1L KVO NPO  To secure (T/S) 1
     Repeat CBC with units of PRBC –
    Side drips: PC (6hrs. post 4th Requested
    unit)  Post 1, 2, 3 units
     DOBUtamine Drip:  Repeat PRBC
     Dobutamine 1amp CREATININE  With IFC Inserted at
     (250mg-5ml FOLLOW UP- RESULT: OR (02/11/2024)
    ampule) + D5Water  Repeat CXR-AP  Increase OFI
    90cc @ 30cc/hr (02/11/2024)-  Administered Blood
     Titrate by 5cc/hr to Post intubation infusion 1000mL to
    maintain SBP 90- 10gtts
    130mmhg  Encourage early
     Max rate: 60cc/hr ambulation
     Apply abdominal
    binder
     Possible trans-out
    once anemia is
    corrected
     Check Intake &
    Output every 4 hrs.
    Refer to IM if <200mL
    Urine output

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