Medications
What the doctor ordered, what was actually given, what was refused or held — and why each medicine matters.
Allergies
Penicillin · Shellfish — flagged on every order screen.
Apixaban (Eliquis) 5 mg
Twice daily — 09:00, 21:00
What it's for
Blood thinner. Prevents clots in the legs and lungs after hip surgery.
Why it matters
After a hip fracture the risk of a dangerous clot is high for about 5 weeks. Missing doses raises that risk.
Today's record
09:00 given by K. Alvarez, RN · 21:00 given by M. Doyle, LVN
Dr. P. Okafor, MD — ordered 8/3/2026
Metformin 500 mg
Twice daily with meals
What it's for
Lowers blood sugar in type 2 diabetes.
Why it matters
Keeps glucose steady so the surgical wound heals and infection risk stays low.
Today's record
08:00 and 17:45 given with food. No GI upset reported.
Dr. P. Okafor, MD
Furosemide (Lasix) 20 mg
Daily — 09:00
What it's for
Water pill for congestive heart failure.
Why it matters
Removes extra fluid so the lungs stay clear and breathing is easier.
Today's record
Daily weight and swelling checks charted.
Dr. P. Okafor, MD
Oxycodone 5 mg
Every 6 hours as needed for pain
What it's for
Short-acting pain relief.
Why it matters
Used before therapy sessions so she can participate. Given only when pain is 4/10 or higher.
Today's record
14:00 dose refused — 'I don't want to feel foggy for my daughter's call.' Pain reassessed at 3/10. RN notified, non-drug comfort measures used.
Dr. P. Okafor, MD
Vitamin D3 1000 IU + Calcium
Daily — 08:00
What it's for
Bone strength.
Why it matters
Supports healing of the hip fracture and helps prevent the next one.
Today's record
Taken with breakfast.
Dr. P. Okafor, MD
Senna-S
Nightly
What it's for
Stool softener / laxative.
Why it matters
Pain medication and reduced movement cause constipation; this prevents it.
Today's record
Held — resident had a bowel movement at 13:00. Per standing order.
Dr. P. Okafor, MD
How refusals are handled
A resident always has the right to refuse a medication. When that happens the nurse documents the refusal and the reason, reassesses the symptom, notifies the physician when required, and offers the dose again. Refusals are never charted as "given," and the family sees them here the same day.