Fw: NURS-6550N-1, Adv Pray Care in Acute Set I.2019 Spring Qtr 02/25-05/19-PT27:
iHuman Management Plan
1.Primary Diagnosis:
Primary Diagnosis: Community-acquired Pneumonia secondary to influenza (2) Secondary to
Hypoxia (3) secondary to: Tachycardia
2.. Status/Condition: (Critical, Guarded, Stable, etc.)
Admit to medical surgical telemetry floor, condition is Stable Dr notified upon arrival to floor
with patients room number,. O2 @ 2L via NC continuous for shortness of breath, with
Continuous telemonitor for cardiac and Pulse Oximetry, Vital Signs per floor policy every 4
hours.
3. Code Status: Full code
4. Allergies: No known drug and food allergies
5. Admit to Unit: Medical surgical/cardiac floor
6. Activity Level: Activity: as tolerated
7. Diet: Regular
8. IVF (if ordered, include type and rate): Normal saline @75ml/hr
Critical Drips (If ordered, include type and rate. Do not defer to ICU Protocol):None
9. Respiratory: 0xygen (if ordered, include type and rate), pulmonary toilet needs, ventilator
settings: Oxygen 2 liters via N/C for shortness of breath
10. Medications: (include ALL; tx of primary condition, underlying conditions, pain,
comfort needs etc. dose and route)
Ceftriaxone 1 g IV once daily for 10 days
iHuman Management Plan
1.Primary Diagnosis:
Primary Diagnosis: Community-acquired Pneumonia secondary to influenza (2) Secondary to
Hypoxia (3) secondary to: Tachycardia
2.. Status/Condition: (Critical, Guarded, Stable, etc.)
Admit to medical surgical telemetry floor, condition is Stable Dr notified upon arrival to floor
with patients room number,. O2 @ 2L via NC continuous for shortness of breath, with
Continuous telemonitor for cardiac and Pulse Oximetry, Vital Signs per floor policy every 4
hours.
3. Code Status: Full code
4. Allergies: No known drug and food allergies
5. Admit to Unit: Medical surgical/cardiac floor
6. Activity Level: Activity: as tolerated
7. Diet: Regular
8. IVF (if ordered, include type and rate): Normal saline @75ml/hr
Critical Drips (If ordered, include type and rate. Do not defer to ICU Protocol):None
9. Respiratory: 0xygen (if ordered, include type and rate), pulmonary toilet needs, ventilator
settings: Oxygen 2 liters via N/C for shortness of breath
10. Medications: (include ALL; tx of primary condition, underlying conditions, pain,
comfort needs etc. dose and route)
Ceftriaxone 1 g IV once daily for 10 days
