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SAN PEDRO COLLEGE

Davao City

Name: Karl Angelo Montano Wd: St. Dominic Rm &


Bed No: 401-1

DATE MEDICATION DATE 12/6 12/7 12/8 12/ 12/10 12/1 12/12 12/13
ORDER TIME 9 1
12/6/2021 Paracetamol 6am
300 mg q4 IV
10am
2pm
6pm
12/6/2021 Paracetamol 10p
500 mg 1 tab m
q4x24 p.o
2am
6am
10am
12/6/2021 Diazepam 6am
2mg q4 IVTT
10am
2pm
6pm
10p
m
2am
Magnesium 6am
sulfate 5g IM
10am
2pm
6pm
10p
m
2am
12/6/2021 Phenobarbital 12am
30mg IV q12
x2 doses
12p
m
12/6/2021 Phenobarbital 6am
Gr ½ 1 tab
O.D P.O

P.R.N

P.R.N DATE
Paracetamol 500 mg 1 tab 12/6/21

Diazepam 2mg IVTT 12/6/21


Magnesium sulfate 5g IM 12/6/21

SINGLE STAT ORDER INITIAL NURSE’S SIGNATURE


Diazepam 2mg suppository
Karl Angelo Montano,STN

Phenobarbital 45mg IV for 30 mins K.A.M Karl Angelo Montano,STN

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