| MRP | Dr. James |
| Admit Date | 3 days prior |
| Primary Diagnosis | bowel obstruction preop |
| SECONDARY DIAGNOSES | hypertension, angina, COPD |
| — |
| Blood Consent | Yes | Blood Type: | O+ |
| Aggression | History of Violence: no | Physically Aggresive: | no |
| Behaviour | Verbally Aggressive: no | Violence Prevention Toolkit: |
| Religion | not specified |
| OXYGEN | keep SpO2 > 92% | Pain Management | epidural & NSAIDS & non narcotics |
| SURGERY | 2 days prior: resection of the small bowel with lysis of adhesions. |
| DRAIN | JP – abdomen |
| WOUND | Abdomen |
| Additional Precautions | standard | | Code Status: | Link to MOST |
| Substance Use | none | | Last Use: | |
| Alcohol Use | socially -1-2 per week | | Last Use: | 14 days ago |
| Tobacco Dependence: | none | Last Use: | |
| ALLERGIES | Reaction type: | NKA | Severity: | |
| Reaction type: | | Severity: | |
| Reaction type: | | Severity: | |
| DIET | As per ERAS orders |
