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Doctor's Orders for Epigastric Pain Management

The doctor's order admits a patient to the hospital for epigastric pain and places them under the internal medicine service. Tests and medications are ordered to diagnose and treat possible ulcers, including endoscopy, antibiotics, and antacids. The patient is to be monitored closely and receive consultations from infectious and gastroenterology doctors.

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Lynn Marie Igos Delgado
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145 views2 pages

Doctor's Orders for Epigastric Pain Management

The doctor's order admits a patient to the hospital for epigastric pain and places them under the internal medicine service. Tests and medications are ordered to diagnose and treat possible ulcers, including endoscopy, antibiotics, and antacids. The patient is to be monitored closely and receive consultations from infectious and gastroenterology doctors.

Uploaded by

Lynn Marie Igos Delgado
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

DOCTOR’S ORDER

Name of Patient:_________________________________ Area & Bed No.: _________________ Case No.:_________

DATE TIME PROGRESS NOTES DOCTOR’S ORDER


BP: > Admit patient under the service of Internal Medicine at male medical ward
HR: > Kindly secure consent to care
RR: > Problem: epigastric pain
Temp: > Condition: stable
O2 Sat: > Diet: NPO temporarily
> IVF: PNSS 1L @ 30 gtts/min
> Monitor V/S q 4 hours
> Monitor I & O q shift
> CBS monitoring q 4 hrs while on NPO
> Laboratories:
CBC Blood typing BUN Crea
Serum Na Serum K Amylase Lipase
> Diagnostics:
Esophagogastroduodenoscopy
> Therapeutics:
1. Metoclopramide 10 mg IVTT q 8 hours PRN for nausea and vomiting
2. Omeprazole 20 mg/tab, 1 tab BID PO x 14 days
3. Clarithromycin 500 mg/tab, 1 tab BID PO x 14 days
4. Amoxicillin 1000 mg/tab, 1 tab BID PO x 14 days
5. Sucralfate 1000 mg/tab, 1 tab QID PO X 4 weeks
> O2 inhalation via nasal cannula at 2 lpm PRN for dyspnea
> Activity level: bed rest w/ TP, elevate head of bed to 45 deg
> Family appraised regarding patient’s condition and prognosis
> Case referred to Dr. _______ (Infectious Consultant)
and Dr. ________ (Gastro Consultant)
> Please inform ROD and NOD at ward
> V/S prior transport
> Refer accordingly
> Thank you!

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