ADMIT - ASTHMA COPD

Posted

21/JUNE/2020 AT 1:35PM

Admit to: INPATIENT MEDICINE WARD TO THE SERVICES OF DR. NILVERT PEREZ.

Diagnosis: Exacerbation of asthma

Condition: OF CARE; PROGNOSIS GUARDED

Vital signs: q6h. Call physician if P >140; R >30, <10; T >38.5°C; pulse oximeter <90%

Activity: BEDSIDE COMMODE. FALL SAFETY PRECAUTIONS. RAILS UP!

Nursing: Pulse oximeter, bedside peak flow rate before and after bron­chodilator treatments.

Diet: MASH AND GROUND, no caffeine.

IV Fluids: D5 ½ NS at 125 cc/h.

Special Medications:

-Oxygen 3 L/min by NC. Keep O2 sat >90%.

-Albuterol (Ventolin) 0.5 mg and ipratropium (Atrovent) 0.5 mg in 2.5 mL NS Q4H.

-Methylprednisolone (Solu-Medrol) 60mg IV q6h x 2, THEN Q24H.

Symptomatic Medications:

-Docusate sodium (Colace) 100 mg PO qhs.

-PEPCID IV 20MG Q12H

LABS/IMAGING: CHEST X-RAY, ECG, pulmonary function tests before and after bronchodilators; echocardiogram. ABG, CBC with DIFF, CMP.

ANY INQUIRIES CONTACT DRA. NILVERT PEREZ STAT!

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