Diverticulitis Admission Orders Date and time: Name: Age: DOB: Allergies: 1. Admit to: [ ] Acute Care 2. Attending Dr: Younger 3. Admitting Dx: 4. Contributing Dx: 5. Condition: 6. VS: 7. Activity: 8. Nursing: 9. Diet: 10. IV: 11. Meds: 12. Other Meds: 13. Labs: 14. Other: 15. H&P: 16. Consultants: 17. X-ray: [ ] Day Bed [ ] SCUnit [ ] Telemetry [ ] Stable [ ] Fair [ ] Serious [ ] Critical qid with blood pressure sitting and standing. Weight on admission and each AM. Up with assistance. I/O Q shift. Regular diet. IV of LR at 120 ml/hour. Tylenol 1000 mg PO Q 4 hr prn pain. Milk of Magnesia, 30 ml by mouth at bedtime as needed for constipation. Ambien 5 mg, one tablet by mouth at bedtime and may repeat X 1 if needed for sleep. Zosyn 3.375 grams IV every 6 hours. If PCN allergic, then use the Levaquin and Metronidazole as listed below instead of the Zosyn. Levaquin 750 mg IV every 24 hours. Metronidazole 500 mg IV every 8 hours. CBC, chem 7, LFTs, urinalysis (with urine culture if white cells are found in the urine), Sed rate on admission; repeat the chem 7 and CBC daily. EKG on admission; Chest x-ray (PA and lateral) on admission. Call MD if: altered mental status, T 102F or higher, chest pain, pulse < 40 or >130. Type up the dictated H&P. Dr. Kim. CT scans of the abdomen and pelvis with IV and oral contrast. Please have the radiologist call Dr. Kim with the report ASAP. Please do a flat plate and upright x-ray of the abdomen as well. ________________________________________________ Signature