Medical Handover Report
Prepared by: [Your Name]
Date: October 28, 2050
I. Patient Information
Field | Details |
|---|
Patient Name | Barry Morar |
Date of Birth | 01/01/1980 |
Medical Record Number | MRN123456 |
Admission Date | 10/15/2050 |
Discharge Date | 10/28/2050 |
II. Clinical Summary
Patient Condition
Barry Morar was admitted with a diagnosis of acute pneumonia. His initial treatment included intravenous antibiotics and supportive care. The patient's condition stabilized over the course of his stay, with significant improvement noted on 10/25/2050.
Key Interventions
Antibiotic Therapy: Administered Ceftriaxone 1g IV every 24 hours.
Oxygen Therapy: Maintained at 2L/min via nasal cannula.
Fluid Management: IV fluids at a rate of 125 mL/hr.
III. Medications at Discharge
Medication | Dosage | Route | Frequency | Indication |
|---|
Amoxicillin | 500 mg | Oral | Every 8 hours | Infection prevention |
Albuterol | 90 mcg | Inhalation | As needed | Bronchospasm relief |
Prednisone | 10 mg | Oral | Once daily | Inflammation reduction |
IV. Follow-Up Plan
Follow-Up Appointments
Home Care Instructions
Monitor temperature daily and report any signs of fever above 100.4°F.
Maintain hydration, aiming for at least 2 liters of fluid intake daily.
Administer prescribed medications as directed.
V. Contact Information
For further inquiries or clarification, please reach out to [Your Name] at [Your Email] or contact [Your Company Name] at [Your Company Email]. You can also visit us at [Your Company Address] or call us at [Your Company Number].
VI. Additional Notes
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