Pt Name:Katniss Everdeen
French National Health Care Coverage 
MR # 000-000-000-9
Allergies: Sulfa
DOB 07/04/1988
Code Status: Full Code

Medications - Scheduled

Time Time: Now Next Day PM Next Day AM 2 hr later Admission

Humalog Insulin (moderate dose) sliding scale, ac and hs
<70 hypoglycemic protocol
70-140 0 units sub q
141-180 2 units sub q
181-220 4 units sub q\
221-260 6 units sub q
261-300 8 units sub q
301-340 10 units sub q
>341 12 units sub q and call MD

  Done HS Done AC Per glucose level Per glucose level

Sertraline 100 mg. po bid

  Done 5 Done 9    

Celexa 20 mg. po bid

  Done 5 Done 9    

Pancrelipase 6 tablets po ac and hs

  Done HS

Done AC
8, 11, 5,

11, 5,  

Ferrous Sulfate 325 mg. po qid

  Done 9 Done 9-1 5    
Glipizide 10 mg. po bid   Done 5 Done 9 Done 9,5  
PRNs Below
Time Time: Now Next day pm Next day am 2 hr later Admission
Hydrocodone- 5/325 mg acetaminophen-hydrocodone 1 tab, by mouth, q 4H, PRN, moderate pain (4-6), Do not exceed 4 gms of acetaminophen in 24 hours  Done Done Done   Done

Hycodan Elixir 5 ml  -10 ml po. q 4 hrs. prn

Done Done Done Done  
Medications - IV Soulutions
Time Time: Now Next day pm Next day am 2 hr later Admission
Piperacillin/tazobactam 1.5 GMS IV bid  

Done 9-9

Done 9-9   Done 9-9
Methylprednisolone Sodium 80 mg. IV q 4 hrs   Done Done   Done
NSS with 20 KCL at 125cc/hr          
VS H and P Meds Labs Plans For Discharge