VS q 4 hrs

Weight Daily

Strict I/Os

Regular diet

Maintain central access device

Change CVAD dressing & caps Q7D

Parameters: Call MD for SBP > 160 or < 90, DBP > 90 or < 50, T > 100.4⁰F, HR >120

O₂ 2-4L PRN to Keep SpO₂ > 92%

Lab: BMP daily @ 0500

Lab: CBC daily @ 0500

Consult hematology/oncology

Updated Orders:

ABGs

Blood Cultures

Lactic Acid

Place on telemetry

0900 acyclovir 400mg PO BID

0900 fluconazole 200mg PO BID

0900 ondansetron 8mg PO Q12 hrs

0900 enoxaparin 40 mg SQ daily

0900 pantoprazole 40 mg PO daily

0930 Cefipime IVPB Q12H

IVFs:

**0.9%NaCl 1000 mL bolus STAT

0.9%NaCl 10 mL flush Q12H & PRN

PRN:

oxycodone 5mg PO Q4 PRN for moderate-severe pain

Acetaminophen 650 mg PO Q4H PRN for mild pain or fever

Senna 8.6 mg PO daily PRN for constipation

Miralax 17 g PO daily PRN for constipation

T: 100.9F

BP: 98/62

HR: 108

RR: 26

SpO₂: 92% on RA

Weight 86 kg

Na 140

K 4.0

Mg 2.0

Ca 9.8

Albumin 3.6

WBC 500

ANC 200

Cr 1.0

BUN 20

RBCs 3

Hgb 7.2

Hct 22

PLT 30

Labs @ 0900

ABGs

pH: 7.32

PCO2: 35

Bicarb: 20

Lactic Acid 2.2

Blood Cultures: Pending