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At 5:05 PM, Nephrologist Dr. Guce answered back and aware of the referral.
Suggested to decreased TV to 100
At 5:25 PM, Dr. Alcantara updated the orders via phone.
At 9 PM, Dr. Alcantara ordered to increase TV to 400 and to repeat ABG after
2 hours.
At 9:20 PM, potassium was observed and started the patient with K-Lyte 2
tabs tid
At 9:30 PM, Dr. Guce from nephrology viewed and examined patient. Findings
showed that patient had chronic kidney failure and done the following
instructions: advised to continue ketosteril, transfusion of 2 u PRBC properly
typed and crossmatched once available, hemodialysis with attached consent,
IJ insertion with consent, gave NaHCO3 with 250 D5W x 12 x2 cycles,
increased TV to 500 as recommended by Dr. Alcantara