[349d16]: / medical_data / train_data / txt / 869436718_SC.txt

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869436718 SC
64806295
6613471
10/1/2003 12:00:00 AM
post partum
DIS
Admission Date :
10/01/2003
Report Status :
Discharge Date :
10/04/2003
****** DISCHARGE ORDERS ******
KULRINNE , RYYELEGE N
386-85-38-0 X32
Room :
JQL5-545
Service :
OBS
DISCHARGE PATIENT ON :
10/04/03 AT 10:00 AM
CONTINGENT UPON
Not Applicable
WILL D / C ORDER BE USED AS THE D / C SUMMARY :
YES
Attending :
KOTEJOASTHOREUPHKAYS , GAI , M.D.
DISPOSITION :
Home
DISCHARGE MEDICATIONS :
TYLENOL ( ACETAMINOPHEN ) 650 MG PO Q4H PRN PAIN
Alert overridden :
Override added on 10/01/03 by KOTEJOASTHOREUPHKAYS , GAI , M.D.
POTENTIALLY SERIOUS INTERACTION :
ACETAMINOPHEN and ACETAMINOPHEN
Reason for override :
ok
COLACE ( DOCUSATE SODIUM ) 100 MG PO BID IBUPROFEN 600 MG PO Q4H PRN PAIN
Food / Drug Interaction Instruction
Take with food MILK OF MAGNESIA ( MAGNESIUM HYDROXIDE ) 30 MILLILITERS PO BID PRN Constipation PERCOCET 1-2 TAB PO Q4H PRN PAIN
Override Notice :
Override added on 10/01/03 by KOTEJOASTHOREUPHKAYS , GAI , M.D. on order for TYLENOL PO 650 MG Q4H ( ref # 85225311 )
POTENTIALLY SERIOUS INTERACTION :
ACETAMINOPHEN and ACETAMINOPHEN
Reason for override :
ok
DIET :
No Restrictions
ACTIVITY :
Resume regular exercise
FOLLOW UP APPOINTMENT ( S ) :
kotejoasthoreuphkays 6 weeks ,
ALLERGY :
Sulfa , Bactrim
ADMIT DIAGNOSIS :
Pregnancy
PRINCIPAL DISCHARGE DIAGNOSIS ;
Responsible After Study for Causing Admission )
post partum
OTHER DIAGNOSIS ;
Conditions , Infections , Complications , affecting Treatment / Stay
twins
OPERATIONS AND PROCEDURES :
Primary Anesthesia :
Spinal
Vaginal delivery :
Undelivered
Cesarean Status :
Primary
Urgency :
Scheduled
Indications :
Breech , Multiple gestation ,
Uterine incision type :
Transverse
Placenta :
Delivery :
Spontaneous
Condition :
Normal
Staff Obstetrician ( supervising ) :
KOTEJOASTHOREUPHKAYS , GAI , M.D. Delivery
OTHER TREATMENTS / PROCEDURES ( NOT IN O.R. )
none
BRIEF RESUME OF HOSPITAL COURSE :
G3 T1 P0 A1 L1
Estimated EDC :
10/14/03
Maternal transfer :
No
Initial newborn exam :
No observed abnormalities
Baby 1
MRN :
76306248
Delivery date :
10/01/03 09:06 AM
Apgars 8,9
Weight :
7lb 1 oz 3204 grams
Sex :
Male
Baby 2
MRN :
62685780
Delivery date :
10/01/03 09:08 AM
Apgars 8,8
Weight :
7lb 0 oz 3175 grams
Sex :
Female
ADDITIONAL COMMENTS :
DISCHARGE CONDITION :
Stable
TO DO / PLAN :
No dictated summary
ENTERED BY :
KOTEJOASTHOREUPHKAYS , GAI , M.D. ( CT17 ) 10/04/03 07:11 AM
****** END OF DISCHARGE ORDERS ******