Patient Name
Stanford Med Ctr.
Psych 304, Bed 3
Female, 55 yrs (06/10/49)
Admitted 3/24/05
Right lower lobe pneumonia, hallucinations, new onset diabetes, history of manic depressive illness.
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Discharge. PB MD 1345 4.4.05

No delirium. GNM RN 1200 4.4.05

Enema given. PAC RN 1100 4.4.05

Will treat for probable constipation. MBM 2245 4.2.05

Vomited. RW RN 2230 4.2.05

Left lower lobe infiltrate or atelectasis. AL MD 1500 4.2.05

Alert and oriented. No complaints. PAC RN 1100 4.1.05

Attending to activities of daily living. PAC RN 1100 3.31.05

Ambulates with assistance. Weak. PAC RN 1400 3.30.05

Still coughing. Breath sounds diminished at right base. PB MD 1000 3.30.05

Discontinued sitters. MM RN 1500 3.29.05

Follows directions. DB RN 1500 3.28.05

More relaxed. CM RN 700 3.28.05

Drowsy and sleeping. MT RN 2130 3.27.05

Out of restraints. JMT MD 1330 3.27.05

Left conjunctivitis; treat with gentamicin drops. DJS MD 1230 3.27.05

4-point restraints and sitter needed. PM RN 1500 3.26.05

4-point restraints required. Delirious. Switching to half normal saline for hydration. Parathyroid hormone test results pending. LMG MD 930 3.26.05