Case Study

Mrs Carmencita Bahaghari (01/11/36) is an 85 year old woman who was admitted to
Victoriano Luna Medical Center by ambulance after being found by her youngest
daughter LTC MICHELLE BAHAGHARI MAC O-123456, lying in front of her toilet. Her
daughter estimates that she may have been on the ground overnight. On admission,
Mrs Bahaghari was diagnosed with a right sided stroke, which has left her with
moderate weakness in her left arm and leg.
Mrs Bahaghari’s medical history includes Alzheimer’s disease; type II diabetes;
hypertension; high cholesterol and osteoarthritis. She was admitted to Victoriano Luna
Medical Center on 3 March 2021 following a stroke that resulted in moderate left arm
and leg weakness. This admission was the third hospital admission in the past year.
Other admissions have been for a urinary tract infection, and a fall in the context
hypoglycaemia (low blood sugars), both of which were complicated by episodes of
delirium.
HEADQUARTERS
ARMED FORCES OF THE PHILIPPINES HEALTH SERVICE COMMAND
VICTORIANO LUNA MEDICAL CENTER
Camp Col Victoriano K Luna, V Luna Ave, Quezon City

PHYSICIAN ORDER SHEET

DATE PROGRESS NOTES DOCTOR’S ORDER

10/20/21 V/S ADx : CAD ACS HCVD FC II; DM T2,

Uncontrolled

BP:150/100mmHg

PR: 122bpm ➢ Please admit to Ward 5B

RR: 21 cpm ➢ Diet: LSLC

Temp: 37.1C ➢ Hook to PNSS 1L x 12h

Ht 144.78cm ➢ For CBC c QPC, Na, K, Bun, Crea, FBS,

Wt: 79kg Lipid Profile, HbA1C, CXR, ECG

➢ Refer to Cardio Svc for evaluation

and management

➢ Refer to Endo Svc for evaluation and

 management

➢ Refer to PMRS for evaluation and

management

➢ Hook to O2 via nasal cannula at

2LPM

➢ Refer accordingly.

LTC CARLO MC/ MAJ ALPHA/CPT CRUISE

RANK/ NAME: _________________________________WARD: _______ REG #:______________