Progress Notes

         none Full Liquid Diet D/C Home When cleared by consultants Regular Diet Avoid Strenuous Activity Transfer to PCU with Telemetry TPN for nutritional supports Continue weaning per Pulmonary MRSA Per ID Ileus should resolve with activity and ngt. Discussed with family Remove NGT Advance to Regular diet. Wean off ventilator Additional day of IV antibiotics CT Scan of abd, pelvis with percutaneous drains Await C&S Continue IV antibiotics Keep Extremity Elevated Drain removed Elective Tracheostomy Continue IV fluids Clear Liquid diet Full liquid diet

         none Full Liquid Diet D/C Home When cleared by consultants Regular Diet Avoid Strenuous Activity Transfer to PCU with Telemetry TPN for nutritional supports Continue weaning per Pulmonary MRSA Per ID Ileus should resolve with activity and ngt. Discussed with family Remove NGT Advance to Regular diet. Wean off ventilator Additional day of IV antibiotics CT Scan of abd, pelvis with percutaneous drains Await C&S Continue IV antibiotics Keep Extremity Elevated Drain removed Elective Tracheostomy Continue IV fluids Clear Liquid diet Full liquid diet

I&O'S: IV 0 50 150 200 250 300 350 400 500 600 700 800 900 1000 1200 1400 1600 1800 2000 2250 2500 2750 3000 3250 3500 3750 4000 4500 5000 6000 7000 8000 9000 10000 ORAL 0 50 150 200 250 300 350 400 500 600 700 800 900 1000 1200 1400 1600 1800 2000 2250 2500 2750 3000 3250 3500 3750 4000 4500 5000 6000 7000 8000 9000 10000 TOTAL    0 50 150 200 250 300 350 400 500 600 700 800 900 1000 1200 1400 1600 1800 2000 2250 2500 2750 3000 3250 3500 3750 4000 4500 5000 6000 7000 8000 9000 10000  

                   Abd wall cellulitis Abscess, Cellulitis , Right Thigh Abscess, Thigh, Left Abscess, Thigh, Right. Amputation, Halux, Left, Asthma Cancer Breast Right Cancer, Breast, Left. Cholecystitis, Cholelithiasis Cholestatic Jaundice improving Chronic Cholecystitis Chronic Renal Failure Colon Cancer Coronary Artery disease Diarrhea with dehydration Foreign Body Leg Left Fungemia Ganglion, Wrist, Right Gangrenous Cholecystitis Gastrointestinal Bleeding Active Hepatitis Hypovolemia with positional hypotension, severe Inguinal Hernia, Left Internal hernia with Volvulous Jaundice Morbid Obesity Osteomyelitis, Halux, Left Perforated Viscous Persistent Diarrhea and Nausea Persistent GE Reflux Pneumothorax Prolapsed hemorrhoids Rectal cance Rectal Cancer Recurrent Diverticulitis Recurrent Incarcerated Incisional Hernia Renal failure Respiratory failure Right Femoral Hernia S/P Incision and Drainage of Perirectal abscess S/P Lap Cholecystectomy S/P Lap Doudenal Fistula repair S/P Lap Roux-En-Y Gastric bypass S/P Laparoscopic AP resection with colostomy S/P Laparoscopic Incarcerated Incisional Hernia S/P Low Anterior Resection with diverting Ileostom Sepsis Small Bowel Obstruction Splenic laceration Syncope Appendicitis Appendicitis, Ruptured Pain, Abdomenal, Left Lower Quadrant Endometriosis Pilonidal Cyst Lipoma, subfascial Biliary Dyskinesia Stab Wound heft Chest Mammogram, Abnormal Fistula, Anal Liver Laceration Infected Abdomenal Wall Hematoma