text:  Acetaminophen 325 mg Tablet Sig  Two  2  Tablet PO Q4-6H  every 4 to 6 hours  as needed for fever or pain . Albuterol-Ipratropium 103-18 mcg  Actuation Aerosol Sig  06 -17 Puffs Inhalation Q2-4H  every 2 to 4 hours  as needed . Calcium Acetate 667 mg Capsule Sig  Two  2  Capsule PO TID W  MEALS  3 TIMES A DAY WITH MEALS  . Fentanyl Citrate  PF  0.05 mg  mL Solution Sig  25-100 mcg Injection Q2H  every 2 hours  as needed for comfort . Insulin Regular Human 100 unit  mL Solution Sig  2-10 units Injection ASDIR  AS DIRECTED   per sliding scale for blood sugars > 150mg  dl . 6. Midazolam 1 mg  mL Solution Sig  1-2 mg Injection Q2H  every 2 hours  as needed for comfort . 7. Phenytoin Sodium 50 mg  mL Solution Sig  One 95y  150  mg Intravenous Q8H  every 8 hours  . 8. Ranitidine HCl 15 mg  mL Syrup Sig  One 95y  150  mg PO DAILY  Daily  . 9. Polyvinyl Alcohol-Povidone 1.4-0.6  Dropperette Sig  01-12 Drops Ophthalmic QID  4 times a day  . Discharge Disposition  Extended Care Discharge Diagnosis  Hypoxic brain injury Cranial hemorrages  sub arachnoid and parenchemal  Pseudomonal sepsis   completed antibiotic course Metastatic Squamous cell carcinoma of unknown primary . Thrombocytopenia Blood loss anemia Discharge Condition  Intubated   stable Discharge Instructions  You are being transferred to another hospital   intubated   with the plan to extubate upon arrival to Women s and Infants hosptial and initiation of palliative care . . Your antibiotics were stopped 2016-05-15  Vancomycin 1000mg q24 and Aztreonam 1000mg q8  as your micorbiology data has been negative and your course for pseudomonal sepsis has been completed . If you continue to have fevers   blood cultures should be repeated . Followup Instructions  As directed . Jacque John MD 40-836 Completed by  Marcy Caroline Latham MD 51-251 2016-05-31  1628 Signed electronically by  DR. Richard Ronald Lockett on  MON 2016-08-01