Medication cards

Patient’s Name: _____Julie________

Adult Medication Sheet Date of Birth:_____ __________

Date Medication Dose/Route Frequency

06/28/2021 Antibiotic IV prn
Tylenol 500mg/P.O q4°
Cefuroxime 750mg/IV q8°
Demerol 20 mg/IV prn

Date 06/28/2021

Name: Julie

Room no. 2 bed no.

Order: Tylenol 500 mg. 1 tablet Q 4hrs RTC on 1st 24 hrs. . then PRN. (pain &
fever)

Dosage :500 mg
frequency: q4h

Route: p.o

Dr. Sig:

Date 06/28/2021

Name: Julie

Room no.2 bed no.

Order: Cefuroxime 750 mg IV q8hrs. x 2 days then shift to oral once IvF is
discontinued
Dosage750 mg
frequency: q4h

Route: IV

Dr. Sig:

Date 06/28/2021

Name: Julie

Room no.2 bed no.

Order: Demerol 20 mg. IV PRN for moderate to severe pain.

Dosage:20 mg
frequency: prn

Route: IV

Dr. Sig:

IVF SHEET

Name: ___Julie___ Ward: ___Surgical__ Room No. __2__

INTRAVENOUS FLUID SHEET

Bottle Type of solution, Drug Volume in cc Date & Time Rate of flow Date & time
No. incorporated and Started/initial Ended/initial
others
1 Lactated Ringer's 1000cc June 28, 2021 30 gtts/min June 28, 2021
2 Lactated Ringer's 1000cc June 28, 2021 20 gtts/min June 28, 2021

Kardex

Name: Julie age:21 y.o sex:Female cicvil status : single

Address:

Room no:

Chief complaints:
pain starting around the belly button followed by vomiting.

Admitting diagnosis:
acute appendicitis

Date of admission: 06/ 28/ 21

Date Treatment Medication/ iv fluid and side

drips

06/28/21 Appendectomy D5LR’s 1L @ 30 gtts/min.

another 1L@ 20 gtts. /min to
O2 inhalation via nasal cannula follow.

Tylenol 500 mg. 1 tablet Q 4hrs

RTC on 1st 24 hrs. then PRN.
(pain & fever)

Cefuroxime 750 mg IV q8hrs. x 2

days then shift to oral once IvF
is discontinued.

Demerol 20 mg. IV PRN for

moderate to severe pain.