MIRN: 109562
Vall: 1000693193

Age: G6y (11-25-1958)
centravites 50 plus oral tablet: 1 taD(s) orally once a day amoxicillin 500 mg oral capsule: 1 cap(s) orally 2 times a day
Guam Regional Modical
City
Current Location:
4-Med-Surg-East – 4232 – 1
Patient’s Home Medications on Discharge
Stop taking the following Medication
amoxicillin 500 mg oral capsule: 1 cap(s) orally 2 times a day
Continue taking the following medication:
These medications are NOT CHANGED:
centravites 50 plus oral tablet: 1 tabs) orally once a day
Start taking the following NEW medicatio
amoxicillin-clavulanate 500 mg-125 mg oral tablet: 1 tab(s) orally 2 times a (with meals)
glipizide 5 mg oral tablet: 1 tab(s) orally
acetaminophen 325 mg oral tablet: 2 tabs) orally every 6 hours as needed
Pain 1-3 or Temp over 101
amlodipine 5 mg oral tablet: 1 tab(s) orally once a day cadexomer iodine 0.9% topical gel: 1 Apply topically to affected area onc needed With each dressing change
collagenase 250 units/g topical ointment: 1 Apply topically to affected ointment topical (Every 1 week at ,09:00 on Friday, Monday, Wednesday)
Discharge Teaching Education:
DISCHARGE TEACHING/EDUCATION:

• Discharge Instructions Given Date and Time
• Discharge Meds Reviewed

16-Oct-2025 15:15
yes
Requested by: Lagman, Angeline (RN), 16-0ct-2025 15:13

170 Ilang Ilang St Dededo GU 96929