| 5. Condition: |
[ ] Stable [ ] Fair [ ] Serious [ ] Critical |
| 6. VS: |
Q 4 hr. |
| 7. Activity: |
Bed rest with bathroom privileges with assistance. |
| 8. Nursing: |
Spot pulse ox on room air upon arrival; ABG if pulse ox < 90% or severe respiratory distress.Call MD if: BP < 90/60 or > 170/110; P < 50 or > 120, T >102.5°F, RR <12 or > 28; respiratory distress; decreased LOC. |
| 9. Diet: |
Regular as tolerated. |
| 10. IV: |
D5 1/2 normal saline with 20 mEq KCl @ _________ cc/hr. |
| 11. Meds: |
O2 @ [ ] 2 [ ] 4 [ ] 6 Liters/min via [ ] NC or [ ] FM.Rocephin 1 gm IVPB Qd plus Zithromax 250 mg 2 tabs PO day; 1 tab PO Qd on day 2-5.For PCN-allergic patient or presumed PCN-resistant S. pneumonia: Levaquin 500mg Qd IVPB or PO.Tylenol X gr PO Q 4-6 hr prn pain/fever.MOM 30cc PO Q 12 hr prn constipation.Ambien 10mg PO @ hs prn insomnia. |
| 12. Other Meds: |
|
| 13. Labs: |
CBC, chem 7, blood culture x 2.Sputum for: gram stain, C&S, consider AFB. |
| 14. Other: |
Notify MD immediately upon arrival to floor.Consider DVT prophylaxis with Lovenox 40 mg SQ Qd or Heparin 5000 U SQ bid. |
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