Patient update Day 4

Case 1 Case 2 Case 3 Case 4

Still on airborne precautions Doctor order: Doctor order:

With may go home orders TB dots referral done
D/C Benadryl For sputum afb For referral to physical therapist For repeat serum sodium and
Change IVF to heparin lock For repeat cbc in am Please refer to cardiologist for potassium
Go home meds: management of cardiomegaly Repeat cbc
Calamine lotion applied to affected IVF: 5 D5LR 1L x 80cc/hr VS every 4H MIO q hourly
areas With a remaining solution of 780cc VS 4h
Vitamin a 200,000 IU tab PO OD
for one more day DAT, NPO when dyspneic Lipid profile result: IVF: #5 PLR 1L x 120cc/hr
DAT VSQ2H, MIO qshift Triglycerides: 200mg/dl
For repeat CBC after 3 days LDL: 40mg/dl During nurse rounds:
Follow up check up after 5 days Increase oxygen to 4-6Lpm via HDL: 30 mg/dl Patient verbalizes “wala na ko
from discharge date nasal cannula hilanat and wala naman ko ga
IVF # 4 PLR 1L at 80cc per hour suka”
with a remaining solution of 150cc
During nurse rounds: IVF to consume and to change in 8am 12pm
heplock
Patient verbalizes “wala nako naga BP: 100/60 110/60
suka dugo pero nabudlayan ko During nurse rounds: PR: 70 69
mag ginhawa kis-a” Patient verbalizes “kanami na gid RR: 18 20
akon matyag hambal ni doc basi Temp: 36.5 36.7
VS: papulion nia na ko buas” wala O2sat: 100% 97%
8am 10am naman ga banog ang akon nga
kamot”
BP: 90/60 100/60
PR: 60 65 VS:
RR: 15 16 8am 10am
Temp: 36 36
O2sat: 95% 95% BP: 110/60 100/60
12nn 2pm PR: 68 70
RR: 15 16
BP: 100/60 110/60 Temp: 36 36
PR: 75 65 O2sat: 95% 95%
RR: 18 20
Temp: 36 36
O2sat: 96% 97%

Repeat CBC results:

Hgb: 86mg/dl
Hct : 30%
Platelet: 400

Weight: 60kgs

Referred to Dr Lobaton, with new

orders made

To secure 3 units PRBC of patient’s

blood type.
For sputum AFB tomorrow am
To collect 3 specimens for 3
consecutive days

2PM: Patient verbalizes “nurse nag

mayo mayo na akon pang ginhawa
ko kag buas ma collect gd ko sang
sputum sample ko”