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 | |||||

