THERAPEUTIC SHEET

SURNAME: Whaley M.I.: AGE: 84 HOSPITAL NO.: 007349201

GIVEN NAME: SEX: M WARD/ROOM NO.:

NAME OF DRUG, DOSAGE, ROUTE, DATE AND TIME GIVEN

& FREQUENCY 11-21-2021

8:00 a.m
(NC Leyaley)

2:00 p.m
Ampicillin sulbactam 1.5mg Q6 IV
(NC Leyaley)

8:00 p.m
(KC)

8:00 a.m
Azithromycin 500mg IV OD (NC Leyaley)

8:00 a.m
(NC Leyaley)

2:00 p.m
Guaifenesin 1200 mg PO Q6
(NC Leyaley)

8:00 p.m
(KC)

7:30 a.m
(NC Leyaley)
Metoprolol 25 mg PO BID
6:00 p.m
(NC Leyaley)

7:30 a.m
ASA 81 mg PO OD (NC Leyaley)

Claritin 10 mg PRN