I.

COURSE IN THE WARD

Date Doctor’s Order Rationale
09/21/19 1. IVF to follow PNSS x 8 hours. 1. Good fluid balance
with minimal
2. Continue medications
hypotonicity or
3. Awaits finding laboratory results hypertonicity

4. NaCl tab TID 2. To prevent further

complication
3. To identify the any
infection using the
initiate laboratory data
4. To treat sodium loss
cause and also for
muscle contraction.
09/22/19 1. IM, for blood transfusion of 2,3 DPG
09/23/19 1. Follow up result for chest x-ray, ultra 1. To facilitate hospital
sounds whole abdomen routine
2. Facilitate BT as ordered 2. BT - Blood
Transfusion in case
3. Medications to continue
the patient will need
a. Omeprazole 40 g, IVP OD transfusion of blood or
serum. There is active
b. Folic acid + Iron 1m to increase blood loss on the stool
RBC (melena). BT is for
c. HNBB 1 amp IVP every 8 hours for Blood replacement
abdominal pain 3. To prevent further
4. Follow up request Na, K today complication
4. To maintain fluid
balance
09/24/19 1. Follow up for BT 1. BT - Blood
Transfusion in case
2. Continue prescriptions medications
the patient will need
transfusion of blood or
serum. There is active
blood loss on the stool
(melena). BT is for
Blood replacement
2. To prevent further
complication