Dat e Physicians Order Rationale

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Dat Physicians Order Rationale

March  Pls. Admit under the service of Dr. Dagala   To obtain baseline data
08, 2021 of VS and monitor
 VSq4, I&O qS
condition of patient
@ 6am
 NVS q4 intake and output until
stable.
 NPO for now then LSLF, no caffeine diet
 This is to monitor
 IVF: PNSS 1L @100 cc/hr x2 neurologic status also
 LABS for Severity
measurements and
 CBC assess the impact of
 UA(MSCC) therapeutic
interventions.
 CXR-PA 
 Nothing per orem serve
 ECG  as prep for further tests.
LSLF and avoid caffeine
 CBG now then TID
to control blood
 FBS, LP pressure.

 PT/aPTT now   Prescription medicine


used for fluid and
 INR now
electrolyte
 CT Scan now replenishment for
Intravenous
 MEDS administration.
 Losartan potassium 100mg/tab PO OD in AM  Complete Blood Count.
 Amlodipine 5mg/tab 1tab PO OD in PM Done to set a baseline to
compare with blood
 Atorvastatin (Lipitor) 80mg/tab 1tab PO OD tests done during and
 Clopidogrel (Plavix) 75mg/tab 1tab PO OD After treatment to check
The effects of therapies
 Aspirin 80mg/tab 1tab PO now of therapies that can
lower blood cell counts.
 Citicholine (Cholinerv) 125mg/ml (500mg/4ml)
IV q4  Urinalysis(Midstream
Clean Catch). Used for a
 Omeprazole (Risek) 80mg/tab 1tab PO OD in am
routine urinalysis,urine
 Relay result once in culture, or other urine
test that require
uncontaminated urine or
accurate result.

 A chest X-ray is an
imaging test that uses X-
rays to look at the
structures and organs in
your chest. It can help
your healthcare provider
see how well your lungs
and heart

 To assess your heart


rhythm, diagnose poor
blood flow to the heart
muscle (ischemia),
diagnose a heart attack,
and diagnose
abnormalities of your
heart, such as heart
chamber enlargement
and abnormal electrical
conduction.

 Capillary blood glucose.


To Measures blood
sugar levels,or a
glycosylated
hemoglobin.

 Fbs is used to,determine


what the Ongoing Blood
Glucose Levels happen
to be when food is not
being digested and
distributed to the rest of
the body. lipid panel test
is a blood test that is
done to assess a person’s
cardiac risk factor. It is
done by drawing venous
blood after a period of 9-
12 hours of fasting.

 A partial thromboplastin
time (PTT) test is a blood
test that helps doctors
assess your body's ability
to form blood clots.

 The international
normalized ratio or INR is
a calculation based on
results of a PT that is
used to monitor
individuals who are
being treated with the
blood-thinning
medication
(anticoagulant)

 CT scans can produce


detailed images of many
structures inside the
March  Continue Meds  This is to help control blood pressure.
body, including the
09, 2021
 Lab results noted  neurological assessment is to blood
internal organs,
@ 9am vessels and bones.
detect neurological disease They
or injury in
 May continue w/ LSLF no caffeine can be used to: diagnose
your patient, monitor its progression
diet conditions – including
to determine the type of care you'll
injuries to internal
 Refer to Dr. SO (Neuro) for provide, and gauge the patient's
response to your organs, problems
interventions with
(Noah,
evaluation
2004). blood flow, stroke,
 TF: PNSS 1L @ 100cc/hr x2 and cancer.
 Prescription medicine used for fluid
 Continue meds and electrolyte replenishment for
Intravenous administration.

March 10,  Rounds w/ Dr. SO  


2021
 Thankyou for this referral  
@ 10am
 Shift cholinerv IV to Citicholine  This is to monitor neurologic status
500mg/tab OD PO TID also Severity measurements and
assess the impact of therapeutic
 Continue NVS q4
interventions.
 Continue meds
 
 Refer accordingly

March 10,  Proceed w/ Dr. SO’s order  This is to monitor neurologic status
2021
 Shift cholinerv IV to Citicholine  To give immediate interventions and
@ 500mg/tab OD PO TID avoid further prognosis.
12:00nn
 Continue NVS q4

 Continue meds

 Pls. Refer BP if it is 140/90 above

 Refer accordingly
March 11, 2021@  Schedule for echocardiogram  It is used to diagnose problems that
9:30 am tomorrow @ march 12, 2021 affect the heart. During the test, a
@ 9am doctor will evaluate how well a
person's heart pumps blood. Doctors
 
can also use echocardiography to look
for signs of heart disease, such as
weak heart muscle, blood clots inside
the heart, or poorly functioning heart
valves.

March 11, 2021  Continue meds  

@ 4pm  Refer pt. For rehabilitation  The goal of stroke rehabilitation is to


help you relearn skills you lost when
 
a stroke affected part of your
  brain. Stroke rehabilitation can help
you regain independence and improve
  your quality of life.
 Pls. Refer if BP is 140/90 and  
above
 To give immediate interventions and
  avoid further prognosis.
 TF: PNSS 1L @100cc/hr x2  Prescription medicine used for fluid
and electrolyte replenishment for
Intravenous administration.

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