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------------------------------------------------ **Patient Information:**

- **Name:** Emily Montgomery
- **Date of Birth:** 10-13-1965
- **Physician:** Dr. Jack Wall

**History and Physical Examination:**

- Emily Montgomery is a 55-year-old woman admitted with a diagnosis of pneumonia and malnutrition.
- She was brought to the emergency department by a friend.
- Lives alone and does not work outside the home.
- Her husband of 30 years died about 1 year ago.
- She has a son and a daughter; both are married and live about 100 miles away.

**Physical Examination:**

- Appears thin and frail.
- Mild respiratory distress noted.
- Receiving oxygen at 2 L/min.
- On intravenous fluids: 5% dextrose in water with 40 mEq of potassium.
- On a full liquid diet with orders to increase oral fluid intake.
- Height: 5'6"
- Weight: 103 lb.
- Reports a poor appetite for the past year and usually eats one small meal daily.
- Reports a 40-lb weight loss.

**Laboratory Values:**

- Hemoglobin: 9.7 g/dL
- Hematocrit: 30.1%
- Albumin: 2.8 g/dL

**Admission Orders:**

1. **Diet:** Full liquid diet
2. **Dietary Consult**
3. **Vital Signs:** Every 4 hours
4. **Intake and Output:** Every 4 hours
5. **Oxygen:** 2 L/min via nasal cannula, titrate to maintain SpO2 above 92%
6. **Intravenous Fluids:** D5W + 40 mEq KCl at 80 mL/hour continuous
7. **Medication:** Levofloxacin 500 mg IV every 24 hours for 7 days
8. **Multivitamin:** 1 tablet orally daily
9. **Psychiatric Referral:** To rule out depression