Questions: Nursing Flowsheets Provider Lab Diagnostics Other PRESCRIPTIONS NOTES 11/1 1100 Provider Prescriptions: - Consult neurologist - Insert peripheral IV - Infuse NaCl 0.09% 125 mL / hr - Obtain urinalysis via straight catheter - Orthostatic vital signs now and daily - Monitor intake and output - Encourage oral intake - Activity: out of bed for all meals - Consult dietitian, physical, and occupational therapy - Diet: low sodium - Acetaminophen 650 mg by mouth q 6 h PRN for headache - Furosemide 10 mg IVP now - Continue home medications: - ASA 81 mg by mouth daily - Omeprazole 40 mg by mouth daily - Simvastatin 20 mg by mouth daily - Citalopram 20 mg by mouth daily Continue

The document provided is a list of medical prescriptions and notes for a patient. Here is a summary and explanation of the key components:

1. Consultations and Procedures:

   • Consult neurologist: The patient needs a neurological evaluation, possibly due to symptoms or conditions that require a specialist's input.
   • Insert peripheral IV: A peripheral intravenous line is to be inserted for medication administration or fluid therapy.
   • Obtain urinalysis via straight catheter: A urine sample is needed for analysis, obtained through catheterization to ensure accuracy.

2. Medications and Treatments:

   • Infuse NaCl 0.09% @ 125 mL/hr: The patient is to receive a continuous infusion of saline solution, likely for hydration or electrolyte balance.
   • Acetaminophen 650 mg by mouth q 6 h PRN for headache: Acetaminophen is prescribed as needed for headache relief, every six hours.
   • Furosemide 10 mg IVP now: An immediate dose of furosemide, a diuretic, is to be given intravenously, possibly to manage fluid retention or hypertension.

3. Monitoring and Dietary Instructions:

   • Orthostatic vital signs now and daily: Vital signs are to be checked in different positions to assess for orthostatic hypotension.
   • Monitor intake and output: The patient's fluid intake and output should be tracked to manage fluid balance.
   • Encourage oral intake: The patient is encouraged to consume fluids and food orally.
   • Diet: low sodium: A low-sodium diet is prescribed, likely to manage blood pressure or fluid retention.

4. Activity and Therapy:

   • Activity: out of bed for all meals: The patient is encouraged to be mobile and out of bed during meals to promote activity and possibly improve digestion.
   • Consult dietitian, physical, and occupational therapy: These consultations are aimed at providing comprehensive care, addressing nutritional needs, physical rehabilitation, and daily living activities.

5. Continuation of Home Medications:

   • ASA 81 mg by mouth daily: Aspirin is continued for its antiplatelet effects, often used for cardiovascular protection.
   • Omeprazole 40 mg by mouth daily: Omeprazole is continued for acid reflux or ulcer prevention.
   • Simvastatin 20 mg by mouth daily: Simvastatin is continued for cholesterol management.
   • Citalopram 20 mg by mouth daily: Citalopram is continued for depression or anxiety management.

This comprehensive plan addresses the patient's immediate medical needs, ongoing treatments, and lifestyle modifications to support recovery and health maintenance.