PMP workshop

Name: James Rivera Age/Gender: 50/Male Attending Physician: Dr. Frida Ching Neuroscience,

Date admitted: 11.13.2010 Diagnosis: Brain Tumor Ht.: 165cm Wt.: 70 kg Allergies: (+) seafood Diet: as tolerated, low salt, low fat Ward: Institute of RM. 1056

S/P Craniotomy Post Op Orders 11/15 >NPO temporarily 12nn

Standard Time OD: 8am

Gentamyci n 80 mg IV Q8

2pm 10pm

6am 2pm 10p m KCl 1 tab PO TID x 2 days /////// ///////

>D5NSS 1L x 12 hours BID: 8am-8pm >D5NSS 1L x 12 hours TID: 8am-2pm-8pm 1. Start Wydox 1g IV Q6 8am-12nn-4pm-8pm QID: 2. Start Gentamycin Q6: 6am-12nn-6pm-12mn 3. Omeprazole 40 mg IV OD while on NPO PRN/STAT: then Omeprazole 40 mg PO OD once diet is Medication 11/1 resumed 5 4. Dilantin 100 mg IV Q6 Valium 5mg IV ///// Q4 5. Aeknil 900 mg IV Q6 for frank seizure 6. Valium 5 mg IV Q4 Biogesic 500 mg ////// PO Q4 for T> 37.8 >IVF to ff: PNSS 1L x 16 Tramal 50mg PO ////// >Resume diet: Diabetic, low mild to fat diet Q8 for salt, low moderate pain >Shift Aeknil to Biogesic temperature > 37.8C Clonidine 75mcg SL Q8 for SBP >Start Tramal 50 mg >120mmHg PO Q8 > Shift Dilantin IV to > Give Clonidine 75 mcg SL Q8 for SBP 120mmHg From Kardex Standing Medications Medication 11/15 > Start Lactulose 30 ml PO QHS. Hold for BM 11/1 6 > 2x/ day > Resume Amvasc > Resume Glumet Omeprazol e 40 mg IV OD While on NPO 8am 8am ///// Lactulose 30 ml PO QHS Hold for BM> 2x /day Amvasc 5mg PO BID /////// Aeknil 900mg IV 11/1 6 Q6 ///// Omeprazol e 40 mg PO ////// OD Tramal 50 mg PO Q8 ////// ///// 1pm 7pm ////// Dilantin 100 mg IV Q6 1pm 7pm

1am 7am ///// 1am 7am ////// Important Revisions: > In standing medications (page 24), you can put oral, IV, IM, SC, inhalation transdermal etc. in case the patient has Insulin, you can put a separate heading in the lower part of the standing medication > In IV medications (page 25), consider the heading as IV incorporation. In this category you can put the side drips like Nicardipine drip, dopamine drip and the like. Then separate headings for IV fluids and TPN. > In the stat medication (page 26), you can put the now or single dose. Then put a separate heading for prn/as needed medications and treatment. Reminders: > The patient database should be written in black ink, except for the following: - working diagnosis (in pencil) Final Diagnosis (in black) - diet (in pencil)

8am 3pm 10p m

11/16 8am

Dilantin 100mg PO TID

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2pm 8pm

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11/17 8am (-) BM

FD: 11/13 8am

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11/18 10am 11/19 8am Na: 130 K: 3.4

>Revise Tramadol Wydox 1g Q8 prn for mild to moderate pain IV Q6

12nn 6pm 12mn

6am 12nn 6pm 12m n

Glumet 500mg PO TID

FD: 11/13 8am

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> IVF to consume then Heplock >D/C Wydox shift to Q6 x 7 days > D/C Gentamycin > Start NaCl 1 g PO TID x 8 doses > Start Kalium Durule

Cloxacillin 500 mg PO Q6 x 7days

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NaCl 1 g PO TID x 8 doses

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- Allergies (in red ink) if the patient doesnt have allergies, you can put NO KNOWN ALLERGY (in black ink) > Dont forget to write the Ht. and Wt. at the left corner in black ink. > Standing Medications must be in black ink except for the first and last dose (in red) > In case the medication has a stock dose that do not correspond to the desired dose. Then, you can put the stock

dose in red ink at the top, left side of the generic (brand name) column. Example: Date Name of Medication 11.22. 10 100mg/2ml Tramadol (TDL) > In projecting the last dose, use pencil in writing the projected time and date Continuation on Monday