Assessment:
V/S-39.4-105-32-154/82, SpO2 84%. Crackles, diminished breath sounds. Green sputum when coughing, left chest pain. Non-smoker.
Past hx: CAD, MI, (+) stent
Present med hx: Metoprolol(Lopressor), amiodipine(Norvasc), lisinopril(Zestril), furosemide(Lasix). Glucophage& Glucotrol for DM2.
How do I prioritize following orders?
VS q 2h
Blood culture & sensitivity STAT
Metaproterenol sulfate (Alupent) 0.4% q 3h
Give O2 to maintain SpO2 over 90%
CBC & diff. count & BMP
CXR now and in the morning.
D5 1/2 NS 125mL/hr IV
Ceftriaxone (Rocephin) 1g q12h IV
2,100 kcal DM diet