KARDEX

DATE/ TIME MEDICATIONS DATE TREATMENT/ MANAGEMENT

7/29/20 @ 3:30 PM 7/29/20 at 3:30 pm

//Piperacillin (Tazobactam (Vigocid) 4.5 gm Iv drip q 6 H ANST - Please admit to COVID unit under the
(3:30pm-9:30pm)// service of Dr. Fernandez 9D on deck) and
//Azithromycin (Zenith) 500 mg /tab, 1 tab OD to complete 3 days more Dr. Esperanza (Pulmo on Deck)
(3:30pm)//
- Secure signed consent to care
//Dexamethas 6 mg IVTT OD, 1st dose now` (3:30)//
//Famotidine 20 mg/tab, 2 tabs O, may use// - TPQ q 4
Ranitidine 150 mg/tab 1 tab BID is Famotidine is not available - CBR w/o TP, provide commode
(3:30 pm & 7:30 pm) // - Hook to O2 at 4 LMP via NC
//Citicholine 1 g/tab, 1 tab OD (3:30pm)// - V/S q 2 hours include O2 Sat
//Colchicine 0.5 mg/tab, 1 tab BID (3:30 pm & 7:30 pm) // - I/O q 4 hours in absolute figures, don’t
//Lopinavir/Ritonavir 200 mg/50 mg tab, 2 tabs BID (3:30 pm & estimate
7:30 pm) // - MHBR
//Vit. C + Zinc tab, 1 tab OD (3:30pm)// - Dr. Fernandez and Dr. Esperanza informed
//Vit. B Complex tab, 1 tab OD (3:30pm)//
of this admission via physical with
Paracetamol 500 mg/tab, I tabq4 P
acknowledgement
RN for fever T: 38 °C
//Sitagliptin 50 mg/tab a tab OD (4pm)// - Refer accordingly
//Levofloxacin (Loxeva) 750 mg/tab, 1 tab OD as ordered above, 1st - Increase O2 Inhalation to 6 LPM via face
dose now (5pm)// mask (late entry)
7/30/20 10:30 AM - 7/30/20 at 10:30 am
Atorvastatin 40mg/tab 1 tab OD PO (10:30 AM ) - Rounds with Dr. Fernandez
Citicholine to 1 gm/tab BID PO (10:30 & 7:30 Pm ) - Case and plans discussed
Linagliptin 5mg/tab 1 tab OD PO (6:21 PM) - Rounds with Dr. Esperanza
Norgesic Forte Tab PRN for headache - 7/30/20 at 10:00 pm
Metoclopramide 10 mg IVTT now (6:21)
- Decrease O2 inhalation to 3-4 LMP via
Domeperidone 10 mg tab 1 tabTID x 6 doses (8 am & 1:pm & 6pm
Nasal Cannula
Start insulin glargine 15 u SQ at HS
20-30 min prior pre-medicate with diphenhydramine 50 mg IVTT and - May sit up on bed and ambulation around
Paracetamol 300 mg IVTT then give Tocilizumab 400mg as IV the room with assistance
infusion over 2H - Please give HRI 5 units SC now
- 7/31/20
- For Tocilizumab infusion
- Secure consent
- Monitor closely while on infusion for
allergic reaction, hypotension, tachycardia
- 8/01/20
- HRI 6 u now
- For transfer to other institution, APS
update
- Provide copy of labs prior to transfer
 KARDEX

DATE/ TIME LABORATORIES DATE PARENTERAL MEDS/ IV FLUIDS

7/29/20 at 3:30 pm 7/29/20
- Protime Venocysis: PNSS 1L @ 40 cc/hr
- Bleeding Time, Clotting time Start Enoxaparin0.6 cc SC q 2H
- Blood Typing
- BUN, QCRP, LDUR
- Lipid Panel
- D-Dimer, Ferritin
- Blood C/S x2 sites
- PCR c/o RESU
- Rapid Antibody Test for COVID-19
- CT scan
- CXR- PA portable
- ABG
- FF-up UTZ KUB taken as OPD
 KARDEX
PATIENT’S NAME:__ Lando , Ramos Antigua DIET:
AGE_70______ SEX__M_____ 7/29/20
ATTENDING PHYSICIAN__ Dr. Fernandez ____ Low Salt, Low Fat, full Diabetic diet with SAP
CO-MANAGEMENT___ Dr. Esperanza ______
DATE & TIME ADMITTED _7/29/20 / 3:30 Pm ___ DIAGNOSIS/ IMPRESSION:
ROOM #______ RELIGION:_Roman Catholic______
HOSPITAL #_____DATE OF BIRTH_ August 17, 1949_
BLOOD TYPE :_________

CHIEF COMPLAINTS: Change in sensorium and LBM