VI.

MEDICAL MANAGEMENT

a. Medical Orders and Rationale DATE / TIME DOCTORS ORDER RATIONALE

1/3/13 (3:50 PM) Pt. admit under the service of Dr. Macadaeg . NPO except meds then DAT. For further management and treatment of condition To ensure proper nutritional intake of the patient. IVF: PLR i liter @ 25-26 cc/ hr. Labs: CBC, S/E. For fluid replacement. To screen the patients urine components and to detect any abnormalities and to determine the patients blood components Meds: 1.Ampicillin 200 mg IV q 8h ANST 2.Ranitidine 600g IV q 8H 3. Paracetamol q4h PRN 1/5/13 and to detect any abnormalities acts as a competitive inhibitor of the enzyme inhibits stomach acid production

On vol. /vol. replacement, I and O q shift, V/S q 4 hours and Refer accordingly. Follow-up on labs as requested. To have baseline data and for comparison of future data / for monitoring of

IVF to follow with PLRS i liter @ 25-26 cc/ hr. Zinc sulfate drops 1ml OD p.o 1/6/13 Follow-up S/E, U/A. Continue meds.

patients condition. For monitoring of any abnormalities and to determine patients blood components. For fluid replacement. Replacement and supplementa- tion therapy in patients who are at risk for zinc deficiency,

1/7/13 IVF to follow PLR i liter @ 26 cc/ hr. Continue meds. . For faster recover

For fluid replacement For faster recovery

14-15 b. LABORATORY RESULTS

Automated Complete Blood Count

Date: 1/5/13 White Cell Count Red Cell Count Hemoglobin Hematocrit Platelet Count BT CT Reticulocyte Count ESR ABO Typing DIFFERENTIAL COUNT Granulocyte Lymphocytes Monocytes Eosinophil

RESULT 13,100

EXPECTED VALUES 5,000 10,000 4.20 5.40 (million)

11.2 34.2 398,000

12.0 16.0 gm/dL 37.0 47.0 % 150, 000 400, 000/mm

84 16

43.4 76.2 % 17.4 48.2 % 4.5 10.5 % 0 0.7 %

Basophil Stabs

0 2.0 % 1.0 2.0 %

16 Fecalysis Color Consistency Amoeba Cyst Trophozoite Pus Cells Red Blood Cells Parasites Hookworm bacteria plenty Date: 1/5/13 yellow Soft

NONE SEEN

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