COURSE IN THE WARD

DATE, DOCTORS ORDER

March 26, 2009
-Monitor and record Vital signs every
shift
-Meds for 3 weeks
1. Haloperidol 10mg, OD
2. CPZ 20mg, HS
3. Biperiden 2mg, OD for EPS

April 8, 2009
-for OT activities
April 16, 2009
-Monitor and record Vital signs every
shift
-Meds for 3 weeks
1. Haloperidol 10mg, OD
2. Dipenhydramine 50mg, HS

May 14, 2009

-Meds for 3 weeks
1. Haloperidol 10mg/tab BID
2. Biperiden 2mg, OD for EPS
-Chart ward behavior/ sleep pattern
-Suicide/Homicide/Escape precautions
June 4, 2009
-Carry out dental orders
-Mefenamic Acid 500mg
June 5, 2009
-Meds for 1 month
1. Haloperidol 10mg/tab BID
2. Biperiden 2mg, OD for EPS

ANALYSIS
-Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-CPZ is also used to treat symptoms of
schizophrenia
-Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-the primary goal of occupational
therapy is to support and enable each
persons health and participation in life
through engagement in occupation.
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Dipenhydramine is an antihistamine
used in psychiatric medicine to treat
phenothiazine drug-induced abnormal
muscle movement. It can induce sleep.
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Since there is an order related for dental
care, we may anticipate that the patient
is having a toothache. Mefenamic acid is
used for mild to moderate pain including
tootache.
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Biperiden is commonly used to improve

July 2, 2009
-Meds for 1 month
1. Haloperidol 10mg/tab BID
2. Biperiden 2mg, OD for EPS
-For Fecalysis
-May utilize as ward helper with strict
supervision

August 10, 2009

-Meds for 3 weeks
1. decrease Haloperidol 5-10mg BID
2. Biperiden HCl 2mg OD, PRN for EPS
3. Fluph Dec 25mg/cc, 1 cc IM with BP
prec tom 8-11-09

August 20, 2009

Meds for 3 weeks
1. Haloperidol 5-10mg BID
2. Biperiden HCl 2mg OD, PRN for EPS
3. Dipenhydramine HCl 50mg/cap, 1cap
PRN x poor sleep

September 4, 2009
-Meds
1. Amoxicillin 500mg TID for 7 days
2. Mefenamic Acid 500mg, TID PRN
-refer to dental service after 1 week
-for home conduction upon approval
-Meds
1. Haloperidol 5-10mg BID
2. Biperiden HCl 2mg OD, PRN for EPS
3. Dipenhydramine HCl 50mg/cap, 1cap
HS PRN x poor sleep

parkinsonian signs and symptoms

related to antipsychotic drug therapy
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Fecalysis is ordered to examine or
analyze the feces of the patient to
determine any infection of the GI tract.
-a doctor may decrease the dose of
haloperidol once the patients condition
is controlled
- Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Fluphenizine Decanoate is used to
manage manifestations of psychotic
disorders in patients who require
prolonged therapy.
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Dipenhydramine induces sleep
-Amoxicillin is one of the most commonly
used drug for bacterial infections.
-Since there is an order related for dental
care, we may anticipate that the patient
is having a toothache. Mefenamic acid is
used for mild to moderate pain including
tootache.
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking

4. Fluph Dec 25mg/cc, 1 cc IM with BP

prec prior to discharge
-TCB October 7, 2009

September 9, 2009
-Meds
1. Haloperidol 5-10mg BID
2. Biperiden HCl 2mg OD, PRN for EPS
3. Dipenhydramine HCl 50mg/cap, 1cap
HS
4. Fluph Dec 25mg/cc, 1 cc IM with BP
precaution every month

September 28, 2009

-Meds for 3 months
1. Haloperidol 5-10mg BID
2. Fluph Dec 25mg/cc, 1 cc IM with BP
precaution every month

October 6, 2009
-Meds
1. Amoxicillin 500mg, TID for 7days
2. Mefenamic Acid 500mg 1cap every
6hrs as needed
February 5, 2010
-Meds for 6 months
1. Haloperidol 5mg BID
2. Fluph Dec monthly

-Biperiden is commonly used to improve

parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Dipenhydramine induces sleep
-Fluphenizine Decanoate is used to
manage manifestations of psychotic
disorders in patients who require
prolonged therapy.
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Dipenhydramine induces sleep
-Fluphenizine Decanoate is used to
manage manifestations of psychotic
disorders in patients who require
prolonged therapy.
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Fluphenizine Decanoate is used to
manage manifestations of psychotic
disorders in patients who require
prolonged therapy.
-Amoxicillin is one of the most commonly
used drug for bacterial infections.
-Mefenamic acid is used for mild to
moderate pain

- Haloperidol is indicated for organic

psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Fluphenizine Decanoate is used to
manage manifestations of psychotic
disorders in patients who require

February 18, 2010

-Please prepare patient for UNICUP from
Feb 19 March 12, 2010
-ORS replacement
-Monitor episode and consistency of
urine
-Stat fecalysis
-VS monitoring

December 9, 2010
-V/S every 4hrs
-DAT: Banana TID
-Oresol for volume replacement of BM
-Monitor consistency, frequency, amount
of feces and urine
-Dx: CBC, Na,K Stat.
-IVF: D5NM 1L x 8hrs

December 10, 2010

-IVF to consume
-Fecalysis
-Multivit HS OD

prolonged therapy.
Based on the orders, we can anticipate
that the patient is having diarrhea or
Loose Bowel Movement.
-ORS is used replace lost fluid and
electrolytes due to frequent bowel
movement
-Urine monitoring is done to evaluate
how much fluid is lost through urination,
including its concentration to determine
possibility of dehydration or urinary tract
infection
-Fecalysis is ordered to examine or
analyze the feces of the patient to
determine any infection of the GI tract.
-VS monitoring is also used to evaluate
hydration status of the patient
- VS monitoring is also used to evaluate
hydration status of the patient
-Including banana in the diet helps in
forming the stool
- ORS is used replace lost fluid and
electrolytes due to frequent bowel
movement
- Urine and feces monitoring is done to
evaluate how much fluid is lost through
urination and defecation, including its
concentration to determine possibility of
dehydration. Consistency of urine may
also determine a urinary tract infection.
-Diagnostic test are ordered to examine
levels of sodium and Potassium as
indicators of dehydration. CBC can also
indicate dehydration.
-IV fluid is ordered to help in the
patients hydration
- IV fluid is ordered to help in the
patients hydration
- Fecalysis is ordered to examine or
analyze the feces of the patient to
determine any infection of the GI tract.
-Multivitamins is a dietary supplement
used to meet the vitamin and mineral

December 13, 2010

-Pav 35
-Meds for 6 weeks
1. Haloperidol 5mg, HS
2. Fluph Dec 1cc IM

August 8, 2011
-Stool Exam
-Trans out for MMI
-Admit
-DAT
-VS every shift
-Dx: Fecalysis, CBC, Na, K
-Plain LR 300cc fast drip then run for
6hours
-Meds:
1. Metronidazole 500mg x 8days
2. Ciprofloxacin 500mg 1 tab x 5days
August 10, 2011
-trans out
October 27, 2011
-encourage hand washing
-Watch out for LBM
December 5, 2011
-for OT activities
December 15, 2011
-Meds for 3 months
1.Chlorpromazine 100mg, HS
2. Biperiden 2mg OD for EPS
3. Fluph Dec 1cc IM with BP precautions

requirements of the body which would

likely result in boosting of the immune
system in order to fight infections.
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Fluphenizine Decanoate is used to
manage manifestations of psychotic
disorders in patients who require
prolonged therapy.
-Stool exam or Fecalysis is ordered to
eexamine the patients feces as well as
identifying pathogens present in it.
-Diagnostic exams are ordered to
determine hydration status of the
patient and presence of infection
-IV fluid in fast drip is ordered to
immediately address lost fluids
-Metronidazole is a known antibiotic
used to treat bacterial infection of the GI
tract
-Ciprofloxacin is an antibiotic for Urinary
tract infections

-Hand washing is known as the most

convenient and effective way of
preventing infection.
-the primary goal of occupational
therapy is to support and enable each
persons health and participation in life
through engagement in occupation.
-CPZ is used to treat symptoms of
schizophrenia
--Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Fluphenizine Decanoate is used to
manage manifestations of psychotic
disorders in patients who require

prolonged therapy.
May 2, 2012
-continue meds for 6 months
October 22, 2012
-Meds:
1. Haloperidol 5mg HS or CPZ 100mg HS
2. Biperiden HCl OD PRN
3. Fluph Dec 1cc monthly with BP
precaution

November 6, 2012
-Meds for 1 week
1. Cloxacillin 500mg TID
2. Vitamin C 500mg OD
-Advise to moisten lips

November 28, 2012

-Cloxacillin 500mg TID for 1 week
-continue Vitamin C or Multivitamins OD

December 17, 2012

-Start with Cloxacillin 500mg TID for 1
week
March 19, 2013
-Dental care for possible extraction
-Amoxicillin 500mg 1 cap TID for 7 days
-Mefenamic Acid 500mg 1 cap for 6 days

-Haloperidol is indicated for organic

psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking. CPZ is also used
to treat symptoms of schizophrenia
-Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Fluphenizine Decanoate is used to
manage manifestations of psychotic
disorders in patients who require
prolonged therapy.
-Cloxacillin is an antibiotic used to treat
infections caused by the bacteria
staphylococcus aureus.
-Vitamin C is used to boost the immune
the system, which helps the body fight
infections.
-Moistening the lips primarily prevents
cracking of the lips
-Cloxacillin is an antibiotic used to treat
infections caused by the bacteria
staphylococcus aureus.
-Vitamin is used to boost the immune
the system, which helps the body fight
infections.
-Cloxacillin is an antibiotic used to treat
infections caused by the bacteria
staphylococcus aureus.
-Amoxicillin is one of the most commonly
used drug for bacterial infections.
-Since there is an order related for dental
care, we may anticipate that the patient
is having a toothache. Mefenamic acid is
used for mild to moderate pain including
toothache.

April 24, 2013

-Mefenamic Acid 500mg 1 cap every
6hrs
August 2, 2013
-Paracetamol 500mg, 1 tab stat dose
-Co-amox 625mg stat dose
-for fecal analysis
-Oresol for LBM
-Paracetamol 500mg 1 tab now then
every 4 hours, PRN x Temp > 37.8 or
headache
-Please continue Co-Amox 625mg BID x
1week
-Start Metronidazole 500mg 1 tab now
then q6 x 1 week
August 5, 2013
-CXR PA
September 10, 2013
-Fecal Analysis
-ORS
-Strict handwashing

March 25, 2014

-May join OT activities (Dama/Chess)
-Meds x 6 months
1. Haloperidol 500mg HS or CPZ 100mg
HS
2. Biperiden OD
3. fluph Dec 25mg/1cc IM monthly

-Mefenamic acid is used for mild to

moderate pain

-Paracetamol is used to treat fever or

headache
-Co amoxiclav
-fecal analysis is ordered to examine the
patients feces as well as identifying
pathogens present in it.
-Oresol is for fluid replacement to correct
or prevent dehydration
-Metronidazole is a known antibiotic
used to treat bacterial infection of the GI
tract

-Chest xray for the patients is routinely

done
-fecal analysis is ordered to examine the
patients feces as well as identifying
pathogens present in it.
-Oresol is for fluid replacement to correct
or prevent dehydration
-Hand washing is known as the most
convenient and effective way of
preventing infection.
-the primary goal of occupational
therapy is to support and enable each
persons health and participation in life
through engagement in occupation.
- Haloperidol is indicated for organic
psychoses, acute psychotic symptoms,
severe anxiety and seizures. It is given
to relieve hallucinations, delusions and
disorganized thinking
-Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Fluphenizine Decanoate is used to
manage manifestations of psychotic
disorders in patients who require

April 20, 2014

-restrain patient 4-6hrs with aspiration
precaution
-Chest/back tapping PRN
-VS q30 until stable
-Attend to hygiene and hydration needs
-Release once behaved/ extend if still
disturbed

May 5, 2014
-Meds for 6 months
1. CPZ 100mg HS
2. Biperiden 2mg OD for EPS
3. Dipenhydramine 50mg OD HS

prolonged therapy.
-Patients showing aggressive behavior
are restrained.
-Chest/back tapping is done to loosen
secretions
-Aggressive patients have a high vital
signs that should be monitored closely
-Hygiene and hydration needs of the
patients should be provided since he
cannot do it for himself because he is on
restraints
-Patients can be released if the
aggressive behavior has subsided, if not
he should stay with his restraints for the
safety of himself and others.
-CPZ is also used to treat symptoms of
schizophrenia
-Biperiden is commonly used to improve
parkinsonian signs and symptoms
related to antipsychotic drug therapy
-Dipenhydramine is an antihistamine
used in psychiatric medicine to treat
phenothiazine drug-induced abnormal
muscle movement. It can induce sleep.