VI. Clients Daily Progress in the hospital 1.

Clients Daily Progress Chart (from admission to discharge)

Days

Admission 02-14-11

02-15-11

02-16-11

02-17-11

02-18-11

1. Ineffective Airway Clearance r/t excessive mucus secretions AEB presence of rales

3.Hyperthermia

Vital Signs:

7:30 (7-3)

7:30 (7-3)

7:30 (7-3)

7:30 (7-3)

7:30 (7-3)

Temperature

36C

37.1C

36.8C

125bpm Pulse Rate Respiration Rate 38bpm

bpm

bpm

150bpm

147bpm

37bpm

49bpm

36bpm

30bpm

Diagnostic and Laboratory Procedures:

1.Chest X-ray Medical Management

Chest X-ray

1.Cefuroxime 320mg IV q8 ( - ) ANST (IVF) 2.Gentamicin 50mg IV OD ( - ) ANST 3.Salbutamol Neb INebule q 4o (nebulizer) Drugs 1. Cefurozime 300mg IV q 8 t.i.d.

Cefuroxime 320mg IV q8 ( - ) ANST (IVF) Gentamicin 50mg IV OD ( - ) ANST Salbutamol Neb INebule q 4o (nebulizer)

Cefuroxime 320mg IV q8 ( - ) ANST (IVF) Gentamicin 50mg IV OD ( - ) ANST Salbutamol Neb INebule q 4o (nebulizer)

Cefuroxime 320mg IV q8 ( - ) ANST (IVF) Gentamicin 50mg IV OD ( - ) ANST Salbutamol Neb INebule q 4o (nebulizer)

Cefuroxime 320mg IV q8 ( - ) ANST (IVF) Gentamicin 50mg IV OD ( - ) ANST Salbutamol Neb INebule q 4o (nebulizer)

Cefuroxime 320mg IV q8 ( - ) ANST (IVF) Gentamicin 50mg IV OD ( - ) ANST Salbutamol Neb INebule q 4o (nebulizer)

Cefurozime 300mg IV q 8 t.i.d.

Cefurozime 300mg IV q 8 t.i.d.

Cefurozime 300mg IV q 8 t.i.d.

Cefurozime 300mg IV q 8 t.i.d.

Cefurozime 300mg IV q 8 t.i.d.

2. Salbutamol + NSS q 6 b.i.d. Diet

Salbutamol + NSS q 6 b.i.d.

Salbutamol + NSS q 6 b.i.d.

Salbutamol + NSS q 6 b.i.d.

Salbutamol + NSS q 6 b.i.d.

Salbutamol + NSS q 6 b.i.d.

Bottle feeding:

Bottle feeding:

Bottle feeding:

Bottle feeding:

Bottle feeding:

Bottle feeding:

Activity or Exercise No doctors order No doctors order No doctors order No doctors order No doctors order No doctors order