Summary Dorel McAllister DOB 01/02/ 1939

Patient Summary

MRPDr. James
Admit Date3 days prior
Primary Diagnosis bowel obstruction preop
SECONDARY DIAGNOSEShypertension, angina, COPD
Blood ConsentYesBlood Type:O+
AggressionHistory of Violence: noPhysically Aggresive:no
BehaviourVerbally Aggressive: noViolence Prevention Toolkit:
Religionnot specified
OXYGENkeep SpO2 > 92%Pain Managementepidural & NSAIDS & non narcotics
SURGERY 2 days prior: resection of the small bowel with lysis of adhesions.
DRAINJP – abdomen
WOUNDAbdomen
Additional PrecautionsstandardCode Status:Link to MOST
Substance UsenoneLast Use:
Alcohol Usesocially -1-2 per weekLast Use:14 days ago
Tobacco Dependence: noneLast Use:
ALLERGIES Reaction type:NKASeverity:
Reaction type:Severity:
Reaction type:Severity:
DIETAs per ERAS orders

Similar Posts