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Well, Brad MAR
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ALLERGY: MORPHINE
DOB 2/22/xx
MR# 8487132
Routine Medications
dexamethasone (Decadron) 10 mg
PO Daily
0900
ipratropium bromide (Atrovent) 2 puffs-given by RT Therapy
q 6 hrs
0900
1500
2100
0300
metoprolol (Lopressor) 100 mg
PO Daily
0900
sulfamethoxazole/trimethoprim (Bactrim) 400 mg
PO q 6 hr
0900
1500
2100
0300
theophylline (Theolair) 125 mg
PO q 8 hrs
0800
1400
2200
PRN Medications
hydrocodone/APAP 5/500
1-2 q 4-6 hrs prn pain (amount given in box)
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Pain Level prior
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Pain Level re-evaluation
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MEDICATION OVERRIDE
Drug Name, Dose, Route, Frequency
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Date/Time Given
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Drug Name, Dose, Route, Frequency
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Date/Time Given
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SIGNATURES
NURSE SIGNATURE
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