DOCTOR’S ORDER WITH SIGNIFICANCE/RATIONALE

DATE/TIME ORDER RATIONALE

February 19, 2020  Please admit  To provide the necessary

care needed for the patient.
3:45 PM
 Vital signs are an important
 V/S q2; BP q1 component of patient care.
They determine which
treatment protocols to
follow, provide critical
information needed to
make life-saving decisions,
and confirm feedback on
treatments performed.
 Diet: Low salt, low fat
 Helps to control or
decrease cholesterol and
triglycerides in your blood.
It also helps to control or
decrease blood pressure
and fluid retention.
 IVF: D5LR iL with 15
 D5LR is a source of water
gtts/min and electrolytes and it is
capable of inducing
diuresis.
 Labs:
 A urinalysis is used to
- U/A
detect and manage a wide
range of disorders, such as
urinary tract infections,
kidney disease and
diabetes. A urinalysis
involves checking the
appearance, concentration
and content of urine.
Abnormal urinalysis results
may point to a disease or
illness.
 A complete blood count
- CBC
(CBC) is a blood test used
to evaluate your overall
health and detect a wide
range of disorders,
including anemia, infection
and leukemia. Abnormal
increases or decreases in
cell counts as revealed in a
complete blood count may
 indicate that you have an
underlying medical
condition that calls for
further evaluation.
 To determine whether your
- NA
sodium level is within
normal limits; to help
evaluate electrolyte balance
and to help determine the
cause of and monitor the
treatment for illnesses
associated with abnormal
sodium levels in the body.
 A potassium test is used to
- K
measure the amount of
potassium in your blood.
Potassium is an electrolyte
that’s essential for proper
muscle and nerve function.
Even minor increases or
decreases in the amount of
potassium in your blood
can result in serious health
problems.
- 12 lead ECG  The main purpose of the
12-lead ECG is to screen
patients for possible cardiac
ischemia.
 A chest X-ray test is a very
- Chest X-ray, PA
common, non-invasive
radiology test that produces
an image of the chest and
the internal organs. This is
to detect and see the
condition of her lungs.
 A serum creatinine test —
- Creatinine which measures the level of
creatinine in your blood —
can indicate whether your
kidneys are working
 This blood test measures an
- SGPT
enzyme called alanine
transaminase (ALT). ALT
is an enzyme made in the
liver. It is released into the
blood when tissues are
damaged. This enzyme is
also called serum glutamic-
pyruvic transaminase.
- SGOT
  Meds:  This is a blood test that
checks for liver damage.
- Hydralazine 5 mg IVTT
now then PRN BP ≥  Hydralazine: Treatment
for hypertension
160/110
- Amlodipine 10 mg 1 tab
PO then OD PO
 Amlodipine dilates
- blood vessels and
improves blood flow.
 Refer accordingly

Kim T. Luardo, M.D

February 20, 2020  Change/shift Amlodipine plain  Losartan: Treatment for
5:10 PM to Amlodipine + Losartan high blood pressure.
(5mg/100mg) 1 tab in AM
before breakfast.
 Monitor BP q2 until stable  For further monitoring of
then q4 blood pressure and address
immediate interventions

 Continue amlodipine PO  Amlodipine dilates blood

vessels and improves blood
flow.
8:00 PM  Therapeutics:  Metoprolol: Treatment for
Metoprolol 50 mg tab BID PO, high blood pressure, chest
continue other meds pain, and heart stress.
 Continue BP monitoring  For further monitoring of
 Refer blood pressure and address
immediate interventions
Marlon C. Turaja, M.D
February 21, 2020  Continue meds  To see progress in the
patient’s condition.
 IVF D5LR iL KVO  D5LR is a source of water
and electrolytes and it is
capable of inducing
diuresis.
 Give ferrous sulfate (inc.  Ferrous sulfate: Used to
 metoprolol) treat iron deficiency
anemia.
Althea V. Oculares, M.D