Week 7 ihuman.

Primary Diagnosis: Choledocholithiasis possible cholangitits

Status/Condition: Critical/guarded

Code Status: Full

Allergies: NKA

Admit to Unit: ICU

Activity Level: Strict bedrest

Diet: NPO

IVF: 18g IVL x 2 NS at 125 ml/hr.

Critical Drips: N/a

Respiratory: O2 @ 2-4 L via NC to keep O2 sat>90%. Respiratory therapy to monitor and

titrate per patient’s needs.

Medications:

Zosyn 3.375 mg IVPB Q8h

Ondansetron 4 mg IV q6h PRN for N/V

Acetaminophen 1000 mg IV Q6H PRN fever greater than 101.5, pain less than 5. maximum

4000 mg/day

Diluadid 1 mg IV Q2-4H PRN for breakthrough pain, monitor for BP. Hold if SBP<90 and

notify the provider

Pantoprazole 40mg IVP over 2 min QD