The doctor's orders summarize the care plan for a patient over several days. The orders include admitting the patient to isolation for monitoring and management, obtaining consent for procedures, monitoring vital signs and fluid intake, performing diagnostic tests like ECG, labs, and imaging, administering antitubercular medications, referring accordingly based on progress, continuing oxygen support and deep breathing exercises, and discharging the patient home with medications upon improvement.
The doctor's orders summarize the care plan for a patient over several days. The orders include admitting the patient to isolation for monitoring and management, obtaining consent for procedures, monitoring vital signs and fluid intake, performing diagnostic tests like ECG, labs, and imaging, administering antitubercular medications, referring accordingly based on progress, continuing oxygen support and deep breathing exercises, and discharging the patient home with medications upon improvement.
The doctor's orders summarize the care plan for a patient over several days. The orders include admitting the patient to isolation for monitoring and management, obtaining consent for procedures, monitoring vital signs and fluid intake, performing diagnostic tests like ECG, labs, and imaging, administering antitubercular medications, referring accordingly based on progress, continuing oxygen support and deep breathing exercises, and discharging the patient home with medications upon improvement.
11-12-2020 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 PNSS 1L @ 20 gtts/min >to maintain fluid and electrolyte balance. For ECG >A test that records the electrical activity of the heart. DAT >Diet as tolerated to maintain nutritional status of patient. Labs : blood test , sputum culture test, >It is used as a broad screening test to check for such disorders as anaemia, infection, and much other disease. 11-13-2020 For sputum examination >to identify bacteria or fungi that infect the 1:00 pm lungs or breathing CXR reviewed To check and clarify the result Meds: Rifampin 600 mg PO daily >Antitubercular Agents Isoniazide 300mg PO daily Pyrazinamide 1500 mg PO daily Ethambutol 1200 mg PO daily Continue present management > For continues management 11-14-2020 Refer accordingly 10am For the continuity of care refer any unusualties and progress. IVF to followPNSS 1L X 20 gtts/min >To hydrate the patient prevents hypovolemic shock or hypotension. 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 11-16-20 10:00am May go home > for continues management at home May resume regular diet >to improve healthy condition Continue medication >for compliance of medication