just conmplete the template.

Name: Eugene Voit

Age: 87 years

Allergies: aspirin

Medication

Time Administered

Timolol 1-2 drops of 0.5% solution once daily

Donepezil 5 mg by mouth

 

Lorazepam 2 mg by mouth q4h PRN for agitation

 0015

Aspirin 81 mg by mouth once daily

 

Sodium valproate sprinkles 250 mg once daily at hour of sleep

 

Melatonin 5 mg by mouth

5/16 0700

Client Information: 
Medical History: Dementia, visually impaired, glaucoma

BLOOD PRESSURE

Date 

Result

5/15 0700

144/88 mmHg

5/16 0700

130/86 mmHg

BLOOD GLUCOSE LOG

Date

Result

5/15 1700

175 mg/dL

5/15 2100

253 mg/dL

5/16 0700

205 mg/dL

5/16 0700

Client History: Type 2 diabetes, end-stage renal disease, yeast infection under bilateral breasts


5/16 0630 Pain Scale: 6/10

VITAL SIGN TREND

Date 

Temp

HR

BP

5/16 0630

98.2 °F 
(36.7 °C)

98

130/86 

MEDICATION ADMINISTRATION RECORDMedication5/155/16Apixaban: 5 mg by mouth dailyAcetaminophen: 650 mg oral  q4h PRN for pain (Maximum 3g in 24 hours)
1100 ABC
1500 ABC
2000 JFG
 0200 JFGCarvedilol: 25 mg by mouth daily
  Nicotine patch: 14 mg transdermal patch q24h
  Tube feedings: 250 mg once a day HS
  

5/16 0700

Client Information: stroke, paraplegia, has a gastrostomy tube, depression