PHYSICIAN’S ORDER/PROGRESS NOTES

SURNAME:____LINGUS_______ M.I.:___R_____ AGE:__32______HOSPITAL NO.:_246810______

GIVEN NAME:________CONNIE_________________ SEX:___F_____ WARD/ROOM NO.:__208____
TIME POSTED AND
Progress
Date Doctor’s Order C A R E D SIGNATURE
Notes
03-21- Severe and  Please admit patient to ROC under /
2021 chronic my service. /
5:00 /
PM
abdominal  Secure consent for admission.
pain on left  For colonoscopy tomorrow at 8 /
lower am.
/
quadrant,  Secure consent for the procedure.
/ /
hematochezi  Please inform Dr. Reyes
/
a, drastic (Anesthesiologist) /
weight loss,  Please notify OR NOD. /
and  DX: /
constipation.  CBC /
 NA, K /
 BUN, Crea /
 BUA, LP (Sig)
 AST/ALT R. Arruejo
 TX: Stud. No.
 IVF PNSS 1L X KVO / 3000052120513
7:00
pm  Continue OPD meds
/
 Refer
WAUTZ & / /
Dr. Luzadas
COLONOSCO
ER Physician /
PY (Sig)
Lic.# 111430
ct3c-N2 R. Arruejo
/
tumor with 2 Stud. No.
 Please start Castor Oil 30cc PO /
mm distance / 3000052120513
NOW
to MRF
 Perform fleet enema
 NPO post midnight /
 IVF TF: PNSS 1L x KVO /
 Refer /
Dr. Luzadas
/
Gastroenterologist
Lic.# 111430

 Please transfer patient to PACU. (Sig)

 Properly label the specimen for R. Arruejo
histopathology. Stud. No.
3000052120513
 Monitor VS q15 x 2 hours
C- Carried A- Administered R- Requested E- Endorsed D- Discontinued
 Monitor I&O q1h
 DAT once fully awake
 May transfer back to room when
fully conscious and conversant.
 Refer
Dr. Luzadas
Gastroenterologist
Lic.# 111430