Pt Name: Edward Cullen
French National Health Care Coverage 
MR # 000-000-000-5 
Allergies: NKDA
DOB 08/08/1980

Medications - Scheduled
Time Time: Now 4 hours past 6 hours past 12 hours past 16 hours past
Heparin 5,000 units sub q 12H     5,000 units  

Levothyroxine 50mcg po daily

       
Vancomycin 1 Gram IV q 12 hours. Infuse over 90 minutes        
Glargine (Lantus) 26 units, subq, q 12H     Given  

Effexor 150 mg, po, BID

     Given  

Humalog (insulin lispro) Insulin sliding scale (moderate dose),  0-12 units q 6H hs, <70 initiate hypoglycemia protocol
70-140 = 0 units
141 – 180 = 2 units
181- 220 = 4 units
221 – 260 = 6 units
261 – 300 = 8 units
301 – 340 = 10 units

>340 = 12 units and call MD 		  4 Units 6 Units  
Fluarix 0.5 ml IM one time dose        
PRNs Below
Time Time: Now 4 hours past 8 hours past 12 hours past 16 hours past
Percocet - 5/325 mg acetaminophen-oxycodone 2 tab, by mouth, q 3H, PRN, moderate pain (4-6), Do not exceed 4 gms of acetaminophen in 24 hours. 2 tab/s given 2 tab/s given

2 tab/s given

 2 tab/s given
Ondansetron 4mg IV push q 4 Hr for nausea        

Dilaudid 0.2 mg IV push q 2 hr for severe pain

 Given      
Acetaminophen 1000 mg po q 6 hr PRN for Temp greater than 37.5   Given   Given
Narcan (naloxone), 0.04 mg IV, prn, sedation, give q 1 minute until a change in alertness is observed.          
Glucose (Dextrose 50% injection 50ml) 25 gm IV push, prn, use if blood glucose is less than 70 mg/dl          
Ativan 1mg po q 6 hr prn anxiety        
Medications - IV Soulutions
Time Time: Now 4 hours past 8 hours past 12 hours past 16 hours past
D5 1/2 NS at 125 ml/hr   New Bag Hung   New Bag Hung
           
           
VS H and P Meds Labs