| ALL of these are required: |
-
Admission Discharge Transfer |
|
| ALL of these are required: |
-
| Admit to
hospital date: today |
|
-
| Admitting
diagnosis: Pneumonia |
|
-
| Add to problem
list: Pneumonia |
|
-
-
-
-
-
|
Code Status |
|
-
|
Condition |
|
-
|
Allergy Assessment |
|
-
|
Additional Admit,
Discharge, Transfer Orders |
|
|
-
|
Consults |
|
-
|
Vital Signs Assessment |
|
-
|
Diet |
|
-
|
Activity |
|
-
|
Laboratory |
|
-
|
Ancillary |
|
-
|
Treatments |
|
-
|
Education |
|
-
|
IV Fluids |
|
-
|
Medication |
|
| Choose among these: |
-
-
| Choose ONE of these: |
-
| Both of these are required: |
-
| Ampicillin
and sulbactam (Unasyn)
3 g IV Piggyback q6 hr
|
|
-
| Azithromycin
500 mg IV Piggyback q
day (Infuse over 1 hr)
|
Pt
is on Warfarin, monitor
levels if using Azithromycin
|
|
-
|
-
-
-
-
-
|
|
|