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Week 9 Assignment: Pneumonia Admission ordersCatherine Varela, RNWalden UniversityNUNP 6566, Advanced Care of Adults in Acute Settings IJanuary 30, 2021
Admission Orders PneumoniaPrimary Diagnosis:hospital-acquired pneumoniaStatus/Condition : acutely ill, stablizingCode Status:Total support Allergies:no known drug allergiesAdmit to Unit:med/surg floorActivity Level: ambulate with assistance as toleratedDiet:regular dietIV Fluids:NS at 75mls/hr, until patient is able to eat & drink > 50% of meals, then d/cCritical Drips: Zosyn 4.5gm IV q 6 hours; tobramycin 5mg/kg IV q 24 hours; Vancomycin 15mg/kg IV q 12 hours; pharmacy to dose abx based on patient’s weight, pharmacy to dose & hold Vancomycin based on trough values
Respiratory:Oxygen up to 6L/min continuous via nasal cannula to maintain O2saturation > 92%, encourage pulmonary hygiene, call MD if O2 needs exceed 6L/min or if unable to wean O2 and maintain O2 sats > 92%Medications: Hold ciprofloxinRivaroxaban 20mg po q day with dinner