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EMR Patient Snapshot

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Patient Name: Jimmy Burgess

Allergies: amoxicillin (rash)

CrCL: 72 mL/min

DOB: 2/4/[year] (37 y)

Sex: Male

Problem List: type 2 diabetes, hypertension, insomnia

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Vitals

Date

[today]

BP (mmHg)

128/82

HR (bpm)

72

RR (rpm)

18

T (oF)

98.2

   

Weight (kg)

104

Height (in)

70

   

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Labs

Date

[3 weeks ago]

Na+(mEq/L)

140

K+(mEq/L)

4.5

Cl-(mEq/L)

101

CO2 (mmol/L)

25

BUN (mg/dL)

9

SCr (mg/dL)

1.0

Gluc (mg/dL)

177 (H)

A1c (%)

9 % (H)

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Current Medications Administration Directions

amlodipine (NORVASC) tablet 10 mg

1 tablet PO DAILY

insulin glargine (TOUJEO SOLOSTAR) 3 mL pen (300 units/mL)

50 units subcutaneously DAILY AT BEDTIME

losartan (COZAAR) tablet 50 mg

1 tablet PO DAILY

metformin (GLUCOPHAGE) tablet 1000 mg

1 tablet PO TWICE DAILY

rosuvastatin (CRESTOR) tablet 40 mg

1 tablet PO DAILY

trazodone (DESYREL) tablet 100 mg

1 tablet PO DAILY AT BEDTIME AS NEEDED for insomnia

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