Pt Name:Horacio Kane
French National Health Care Coverage 
MR # 000- 000- 000-4 
Allergies: Bees  Latex
DOB 03/12/1965

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. Call MD when arixtra avilable from supply

     Given  
Lasix 20 mg IV push q day        

Metoprolol 50 mg po BID, Hold for SBP < 100 mg, HR < 60 bpm

     Given  

Ancef 1 GM IV q 8H

   Given    
Protonix  40 mg IV push q 24H        

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

     2 Units given  
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 tabs given 2 tab/s given

2 tabs given

 2 tab/s given
Ondansetron 4mg IVpush q 4 Hr for pain   Given    

Dilaudid 0.2 mg IV push q 2 hr for severe pain

 Given Given    
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 push prn, use if blood glucose is less than 70 mg/dl          
Ativan 1mg po 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 VS H and P Labs