DATE DOCTOR’S ORDER RATIONALE

April 10,  Please Admit Patient to Ward

2018
9:40 AM
 Secure Consent
 Vital Signs every 4hours
 I and O every shift
 Diet: NPO temporarily
 Laboratories:
 CBC now then every 6 hours
 U/A
 Na + K
 Serum Creatinine
 FBS
 Lipid Panel
 ECG
 CT Scan Plain
 IVF: PNSS 1L @ 20gtts/mins.
 Medications:
1. Citicoline 1gm IV every 6
hours
2. Omeprazole 40mg IV OD
3. Simvastatin 40mg 1 tab OD
every hours of sleep/NGT

 Insert NGT
 Turn to sides every 20 hours
 Thank You
April 10,  O2 inhalation at 2lpm via nasal
2018 cannula
7:00 pm
 IVFTF: PNSS 1L at 20gtts/min
 Hydralazine 5mg IVTT now
 Amlodipine 10 mg 1tab, 1 tablet
per NGT OD (AM)
 Losartan 50mg 1 tab, 1 tablet
per NGT OD (PM)
 Clonidine 75mg 1 tab, 1 tablet
per NGT every hourly until
stable
 Lactulose 30cc per NGT OD
hours of sleep, hold for BM 2x
per day
 Refer for persistent BP ≥ 150/
100 mmhg
 Monitor Vital Signs every
hourly.

April 11,  Continue Patient Medications

2018
  IVFTF with PNSS 2L @ same
rate

 Follow-up CBC lab results

April 11,  Continue Meds

2018
3:15 PM
 Monitor Vital Signs every hourly

 Refer

April 12,  Continue Medication

2018
(AM)
 IVFTF with PNSS 2L @
20gtts/mins

 O2 inhalation at 2lpm via nasal

cannula

 Monitor Vital Signs every hourly

 Turn to sides every 20 hours

 Refer

April 12,  IVFRF: PNSS 2L @20 gtts/mins.

2018 (PM)

 Follow up lab result, CBC result