Admission Details
- Medical Center Brisbane (April 11)
- Colon polypectomy (April 13)
- Post-op complications at the recovery room, experienced respiratory distress, metabolic acidosis.
- Transferred to ICU and moved to regular ward on April 15
- Hooked to oxygen support at 3-5L NP as needed
- Patient uncooperative at times and requires encouragement to take medications.
- Difficulty sitting; Cannot walk around the room.
- Pain meds given as prn: Paracetamol 1g IV and Endone 2.5mg PRN for intolerable pain
- On laxative, Senna, OD at bedtime.
- Was on Foley’s Catheter; Now with adult diapers due to incontinence.
- Stable vital signs at regular ward
- O2 sat at 96-97% at 2-3L
- Wean if able to tolerate 1L
- Moderate post op pain, wound with no exudates.
- Covid19 test negative
Answer the most essential questions
1 | Patient | Ms Sydney Loten |
2 | Recipient | Ms Jane Hall, Transition Care |
3 | Request | Transfer the patient to home Help with transfer |
4 | Admission | April 11, (this year) |
5 | Admitting Condition | Multiple polyps |
6 | Current Condition (Prognosis) | Post polypectomy |
7 | Treatment Status | Recovering |
8 | Discharge Status | Will be discharged when Oxygen availability is arranged at home. |
9 | Writer | Nurse Practitioner, current facility |
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