Summary Dorel McAllister DOB 01/02/ 1939
Patient Summary
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 |