Allergy: penicillin, anaphylaxis. Documented 12 Mar 2024 by Dr. R. Okafor. Alternative antibiotics are listed in the care plan.

Elena Marquez

MRN 884-2201 · 61 years · Female

Blood type
O+
Primary
Dr. Okafor
Admitted
12 Sep
Room
4B-12

Vitals, last 24 hours

Recorded every 4 hours

Heart rate

88 bpm

Blood pressure

142/88

Above target

Temperature

37.4 C

SpO2

96%

Room air, no supplemental oxygen

Recent labs

Collected 14 Sep, 06:10
Recent laboratory results with reference ranges
TestResultReferenceFlag
Haemoglobin11.2 g/dL12.0-15.5Low
White cell count12.8 K/uL4.5-11.0High
Creatinine0.9 mg/dL0.6-1.1Normal
Potassium4.1 mmol/L3.5-5.1Normal

Active medications

  • Amlodipine
    5 mg, once daily, oral
    Active
  • Metformin
    500 mg, twice daily with food
    Active
  • Enoxaparin
    40 mg, subcutaneous, nightly
    New
  • Ceftriaxone
    1 g IV, every 24 hours
    Review

Encounters

  • Ward round. Blood pressure still above target; amlodipine dose review scheduled.

  • White cell count rising. Cultures sent, empiric cover continued.

  • Admitted from emergency with community-acquired pneumonia.

Clinical template. Patient data is fictional and must not be used for care. Built with ux-ui-agent-skills by Thientan Soparat. All examples