text:  Aricept 10 mg qd   Aspirin 81 mg qd   Folic acid   Gabapentin 200 mg tid   Lopressor 12.5 mg bid   Lisinopril 5 mg qd   Daptomycin 420 mg IV qd   Protonix 40 mg qd   Seroquel 50 mg tid   Heparin 5000 units SQ tid   Colace 100 mg bid   Lactulose 15 mg bid   Comtan 200 mg qd   Mirapex 1.5 mg tid   Sinemet 50    200 mg tid Discharge Medications  1. Furosemide 20 mg Tablet Sig  One  1  Tablet PO once a day for 2 weeks . Potassium Chloride 20 mEq Packet Sig  One  1  Packet PO once a day for 2 weeks . Docusate Sodium 100 mg Capsule Sig  One  1  Capsule PO BID  2 times a day  . 4. Pantoprazole 40 mg Tablet   Delayed Release  E.C.  Sig  One  1  Tablet   Delayed Release  E.C.  PO Q24H  every 24 hours  . 5. Aspirin 81 mg Tablet   Delayed Release  E.C.  Sig  One  1  Tablet   Delayed Release  E.C.  PO DAILY  Daily  . 6. Magnesium Hydroxide 400 mg    5 mL Suspension Sig  Thirty  30  ML PO HS  at bedtime  as needed for constipation . 7. Entacapone 200 mg Tablet Sig  One  1  Tablet PO TID  3 times a day  . 8. Pramipexole 0.25 mg Tablet Sig  Six  6  Tablet PO TID  3 times a day  . 9. Carbidopa  Levodopa 50  200 mg Tablet Sustained Release Sig  One  1  Tablet PO TID  3 times a day  . Quetiapine 25 mg Tablet Sig  Two  2  Tablet PO DAILY  Daily  . Procainamide 250 mg Capsule Sig  Three  3  Capsule PO Q6H  every 6 hours   x 6 weeks . 12. Acetaminophen  Codeine 300-30 mg Tablet Sig  One  1  Tablet PO Q4H  every 4 hours  as needed . Warfarin 1 mg Tablet Sig  as directed Tablet PO DAILY  Daily  . Daptomycin 500 mg Recon Soln Sig  Four 90y  480  mg Intravenous Q24H  every 24 hours  thru 05-02 . Discharge Disposition  Extended Care Discharge Diagnosis  mitral valve endocarditis s  p MV replacement HTN s   p CVA Spinal stenosis s  p Lumbar Laminectomy Parkingson s h  o paranoid delusions MGUS vs MM Discharge Condition  good Discharge Instructions  May take shower . Wash incisions with warm water and gentle soap . Do no take bath or swim . Do not apply lotions   creams   ointments or powders to incision . Do not drive for 1 month . Do not lift more than 10 pounds for 2 months . Please contact office if you develop a fever more than 101.5 or notice drainage from chest incision . Followup Instructions  Dr. Portsche in 4 weeks Dr. Bravo  PCP  in 1-2 weeks Infectious disease Provider  Marsha Harriet   MD Phone  574-5036 Date    Time  2019-04-29 1000 Jeffrey Everett MD 23-815 Completed by  MARK Carolyn NP 80-AUO 2019-03 -26  1033 Signed electronically by  DR.