KARDEX

DATE/ TIME MEDICATIONS DATE TREATMENT/ MANAGEMENT

8/13/20 @4:01 PM 8/13/20
//Mannitol 200 cc IV bolus q4H @(4 pm , 8 pm,12 am, 4 am) // - Please admit to COVID Unit under the service of Dr.
Citicoline 1 gm IVTT q 8H (4 pm , 12 am , 8 am )// Quijano
//Atorvastatin 80 mg/tab, 1 tab OD per NGT (4:01pm)// - Secure signed consent to care
Pantoprazole 40 mg IVTT now then q 24H (4:01pm)// - TPR q 4 H
//Levetiracetam 500 mg/tab 1 tab BID NGT ( 4:01pm & 5:01pm)// - O₂ at 2-3 LPM via nasal prong
//DKA (Ketobest) ii tabs TID NGT ( 4:01 pm & 5:01 pm and - MHBR
6:01pm)// -Please insert NGT and FBC attach to urobag
8/14/20 - Monitor vital signs hourly to include neuro
Give Paracetamol 500 mg IVTT PRN for fever - I & O q 4H in absolute figures
-Please attach to cardiac monitor
-Will inform Dr. Quijano
-Continue Maintenance Meds
-Please intubate patient and attach to MV c̅ the ff settings ;
AC mode;TV 400;FIO₂ 100 %;BUR 20;PEEP 5
;PL 60 ;PF 45
-Please refer to Dr. Barbosa for RSI
8/14/20 @ 7:00pm
-Please include Neurovital signs
-Refer to Dr. Inting (Nephrologist) and Co- mngt Re:
-CKD (Hypertensive Nephrosclerosis
Vs U. Acid
-Please Facilitate swab Testing
-Repeat ABG now
-Transfer to VSMMC
-Dr. Inting informed of this co-management through phone
call with acknowledgement
-Facilitate Transfer ;
 KARDEX
DATE/ TIME LABORATORIES DATE PARENTERAL MEDS/ IV FLUIDS
8/13/20 @4:01 8/14/20
COVID Antibody RTK IVF to 60cc/hr
VOVID RT-PCR c/o SHH Give HRI 3 units SQ now
CT Scan Brain Plain 8/13/20
ECG 12 Leads Venoclysis: PNSS 1L at 20 gtts/min
CBC: S. crea, Na⁺, K⁺, SGPT, BUA, BUN, HBAIC Give HRI 6 unitsSQ now
FBS, Lipid Panel Give 200 mg NaHCO₃with bows now
Urinalysis Nicardipine drip: 10 mg + 90 cc PNSS at 20 cc/hr titrate c̅ BP, to
Protime, APT maintain BP ≤ 140/90 ≥ 90/60
CXR PA
ABG now
8/14/20 @ 7:30 AM
Repeat ABG now
For 2D ECHO with doppler
 KARDEX
PATIENT’S NAME:__ Allan , Morales Bernados _ DIET:
AGE_77__ SEX_M______ 8/14/20@6:19 AM
ATTENDING PHYSICIAN___ Dr. Quijano _______ Blenderized Feeding 1500 kcal in 1000cc water in 6 divided
CO-MANAGEMENT________________________ feedings
DATE & TIME ADMITTED _8/13/20 / 4:10 PM__ 8/13/20 @4:01
//NPO temporarily//
ROOM #______ RELIGION:__Roman Catholic ______
HOSPITAL #_____DATE OF BIRTH_ June 12 ,,1943__
DIAGNOSIS/ IMPRESSION:
BLOOD TYPE :_________

CHIEF COMPLAINTS: L sided weakness, slurring of speech