Pt Name: Jason Bourne  
French National Health Care Coverage 
MR # 000- 000- 000-1 
Allergies: PCN, Morphine 
DOB 07/04/1975

Medications - Scheduled
Time Time: Now 4 hours past 8 hours past 12 hours past 16 hours past
Heparin 5,000 units sub q, every 12H     5,000 units  

Levothyroxine 50mcg po daily

       
Vancomycin 1 Gram in IV q 12 hours . Infuse over 90 minutes          

Insulin Reg, sliding scale, 0-6 units subq, q 6H
<70 = 0 units, 70-140 = 1 unit, 141-180 = 2 units, 181-220 = 2 units, 221-260 = 3 units, 261-300 = 4 units, 301-340 = 5 units, >340 = 6 units and call MD

        
Fluarix 0.5 ml IM one time dose        
PRNs Below
Time Time: Now 4 hours past 8 hours past 12 hours past 16 hours past
Percocet - 5/325 mg acetaminophen-oxycodone 2 tab, by mouth, q 3H, PRN, moderate pain (4-6), Do not exceed 4 gms of acetaminophen in 24 hours. 2 tab/s given 2 tab/s given

2 tab/s given

 2 tab/s given
Ondansetron 4mg IV q 4 Hr for nausea        

Dilaudid 0.2 mg IV push q 2 hr for severe pain

        
Acetaminophen 500 mg po q 6 hr PRN for Temp greater than 37.5 Given   Given Given
Narcan (naloxone), 0.04 mg IV, prn, sedation, give q 1 minute until a change in alertness is observed.          
Glucose (Dextrose 50% injection 50ml) 25 gm IV, prn, use if blood glucose is less than 70 mg/dl          
Ativan 1mg po q 6 hr prn anxiety        
Medications - IV Soulutions
Time Time: Now 4 hours past 8 hours past 12 hours past 16 hours past
D5 1/2 NS at 125 ml/hr   New Bag Hung   New Bag Hung
           
           
Meds Labs H and P VS