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Soft diet
Furosemide 40mg IV stat then 20mg IV BID
Clexane 0.4cc pre-syringe BID
Lanoxin 0.25mg IV push stat
Lidocaine 50mg IV push stat
For close watch
Continue meds
May sit on bed
Soft diet
Repeat Na+ K+ det.
DAY 5
Patient’s Name: MR. X Age: 61
Address: LARAP, JOSE PANGANIBAN, CAMARINES NORTE
DATE / TIME FOCUS DATA, ACTION, RESPONSE
JUNE 28, 2020 CHEST PAIN Ĉ Normal-breathing; noted
6:00 A.M. Ĉ Cooperative @ all times
Decreased cardiac output Ĉ Vital signs recorded as ff.:
related to the disease BP: 120/80 mmHg
process of coronary artery RR: 20 bpm
disease (CAD) CR: 100 bpm
TEMP: 37°C
02 SAT: 90%
Continue meds
May dangling feet
Atorvastatin 40mg OD H.S.