MEDICATION RECORD
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ALLERGIES |
Date__________ |
Order Date |
Exp. Date |
Initials |
PRN MEDICATIONS MED=Dose_Freq-Route |
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1.a. Administer Vitamin ?12 1,000 mcg Intamuscularly for three times in a week.
1.b. Administer Morphine sulfate 15 mg subcutaneously immediately and 10 mg subcutaneously 4th hourly (every 4 hours) as needed for pain.
[IM- Intramuscular, Subcut- Subcutaneous route, TIW- For 3 times in a week. Stat- Immediately, q4H- every 4 hours,PRN - whenever necessary/ as needed]
2.
Diagnosis: | Pneumonia |
Allergies | Not known |
Date : dd/mm/yy |
Order Date |
Exp. Date |
Initials |
PRN MEDICATIONS MED=Dose_Freq-Route |
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10/01/18 | 10/10/18. | Ibuprofen = 400 mg_b.i.d-PO |
Date Time Initial |
dd/mm/yy 9:00 am |
9:00pm |
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10/01/18 | 10/10/18. | Amoxil = 1 tsp_q4h-P.O |
Date Time Initial |
dd/mm/yy 9 am |
dd/mm/yy 1:00pm |
dd/mm/yy 5:00pm |
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10/01/18 | 10/10/18. | Diclofenac = 125 mg_stat- IM |
Date Time Initial |
dd/mm/yy 9 am |
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