Physicians Orders
   Direct Admit        To be Admitted           Outpatient Observation            Outpatient Surgery

Drug Allergies:                                                                                                              Diet:

   Generic Dispensed. Unless Checked:__
Diagnosis:   

    

Age: Weight (Kg):

 

 Sex: Height:
Unacceptable Abbreviations:  * Zero after decimal   *No Zero before decimal point  *Drug Name Abbreviations

*QD    * QOD     * TIW    *tiw      *AU,  AS or AD     *Uor u or IU       *CC or cc      *X3d
Date/Time

ORDERS
  Admit To the service of:Location:
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Condition:        
  Diagnosis:   
 
  Vital Signs:
  Diet:
  Activity:       I&O:
 

IV: @ml/hr add

  Wound Care:
  Catheters:
   
  Incentive Spirometry q 2hrs
  O2 : maintain 02 sats greater than 90%                
    cath if needed    insert foley if > than 500 ml residual or if still unable to void.
  SCD hose while in bed,  Lovenox 40 mg subcut. daily.
 

Labs: H&H  Blood Sugar
    __CBC, __BMP, __CMP, __UA, __PT&PTT,
  Xrays:
  Indigestion:  Maalox 30 ml q 2hrs prn
   Sleep:   Ambien 5 mg po q hs prn,  Ativan 1 mg IV q hs prn.     
    Headache:  Acetaminophen HCL liquid 650 mg po q 4-6hrs prn      
  Itching:  Benadryl 25-50 mg IM q 4-6 hrs prn
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Physicians Orders