XI.

DOCTOR’S ORDER

Date Ordered Doctor’s Order Rationale Remarks

11/30/23 Admit pt under ER DEPT For a high standard Done
8:25 AM of care for severe or
sudden emergency
treatment.
TPR with BP q4 To monitor vital signs Done
so that any
unusualities will be
referred as follows
Done
● IM epinephrine @ Epinephrine: To treat
0.5 mg/min very serious allergic
reactions to insect
stings/bites, foods,
drugs, or other
substances. And
quickly improve
breathing, stimulate
the heart, raise a
dropping blood
pressure, reverse
hives, and reduce
swelling of the face,
lips, and throat.

IVF:
● D5W 2 L at 16cc/hr IV: D5W – A solution
● IV infusion: that helps to replace
Epinephrine @ 1 lost fluids and
mg/hr provide
carbohydrates to the
body.
Start O2 at 8 L/min via To provide a method Done
facemask to transfer breathing
oxygen gas from a
storage tank to the
lungs.
Laboratory: CBC with PC Done
CBC PC determines the
quantity of each
quantity of blood cell
in a given specimen
of blood,often
including the amount
of hemoglobin,
hematocrit, and the
proportion of various
white blood cells. To
know any deviations
or abnormalities in
the blood
Rapid Antigen Test To detect certain viral Done
antigen, in which
recent cases of
SARS-CoV-2
Blood Test: A test that examines Done
● Sodium (Na) the cells, chemicals,
● Potassium (K) proteins or other
● Calcium (Ca) substances in the
● Magnesium (Mg) blood.
● Albumin
● Creatine
● BUN,
● SGPT,
● HGT
Urinalysis To screen patient's Done
urine for renal/urinary
detect substance
Allergen Specific IgE Test To diagnose and Done
better manage food
allergies.
Medication: Done
● Benadryl 25 mg To treat sneezing,
over 15 min every runny nose, watery
4 hours IV eyes, hives, skin
rash, itching, and
other cold or allergy
symptoms.
 ● Methylprednisolone A corticosteroid Done
10 mg every 6 medication to
hours IV decrease the immune
system's response to
various diseases to
reduce symptoms
such as swelling,
pain, and allergic-
type reactions.
● Famotidine 20 To treat stomach Done
mg/day every 12 ulcers (gastric and
hours PO duodenal), erosive
esophagitis
(heartburn or acid
indigestion), and
gastroesophageal
reflux disease
(GERD).
I/O every shift To indicate the fluid Done
balance for the
patient
12/01/23 Continue IVF at same rate IV: D5W – A solution Done
7:50 AM that helps to replace
lost fluids and
provide
carbohydrates to the
body.
V/S every 4 hours of HR To have a baseline Done
and SO2 data and to assess
the heart rate and
oxygen saturation of
the patients health
status.
12/02/23 Shift benadryl to cetirizine An antihistamine Done
8:29 AM HCI 10 mg PO once daily medicine that helps
the symptoms of
allergies. It's used to
treat: hay fever.
conjunctivitis (red,
itchy eye)
Salbutamol 1 neb every 4 To relieve symptoms Done
hours such as chest
tightness, wheezing,
shortness of breath
and coughing in
some other chest
diseases too, such as
COPD
Refer To refer to any Done
casualties and
maintain professional
accountability
towards physicians
and other healthcare
staff.