text:  Neurontin   Keppra   Lamictal   decadron   multivitamin   Murray   Calcium Discharge Medications  1. Heparin Sodium  Porcine  5 000 unit    mL Solution Sig  One  1  Injection TID  3 times a day  . 2. Diphenhydramine HCl 25 mg Capsule Sig  One  1  Capsule PO Q6H  every 6 hours  as needed . 3. Albuterol  Ipratropium 103-18 mcg    Actuation Aerosol Sig  03-04 Puffs Inhalation Q4H  every 4 hours  as needed . Acetaminophen 325 mg Tablet Sig  1-2 Tablets PO Q4-6H  every 4 to 6 hours  as needed . Fluticasone  Salmeterol 250-50 mcg    Dose Disk with Device Sig  One  1  Disk with Device Inhalation BID  2 times a day  . Lamotrigine 100 mg Tablet Sig  1.5 Tablets PO BID  2 times a day  . Levetiracetam 500 mg Tablet Sig  Three  3  Tablet PO BID  2 times a day  . Ibuprofen 400 mg Tablet Sig  Two  2  Tablet PO Q8H  every 8 hours  as needed . 9. Docusate Sodium 100 mg Capsule Sig  One  1  Capsule PO BID  2 times a day  . 10. Pantoprazole Sodium 40 mg Tablet   Delayed Release  E.C.  Sig  One  1  Tablet   Delayed Release  E.C.  PO Q24H  every 24 hours  . 11. Ciprofloxacin 500 mg Tablet Sig  One  1  Tablet PO Q12H  every 12 hours  for 2 weeks. Tablet  s  Metoprolol Tartrate 25 mg Tablet Sig  0.5 Tablet PO BID  2 times a day  . Lorazepam 1 mg Tablet Sig  One  1  Tablet PO HS  at bedtime  as needed . 14. Dexamethasone 2 mg Tablet Sig  One  1  Tablet PO Q12H  every 12 hours  . 15. Insulin Regular Human 100 unit    mL Solution Sig  One  1  Injection ASDIR  AS DIRECTED   51-150 0 Units 151-200 2 Units 201-250 4 Units 251-300 6 Units 301-350 8 Units 351-400 10 Units > 400 Bessie MD 16. Hydralazine HCl 20 mg    mL Solution Sig  0.5 syringe Injection Q4HR   as needed for sbp > 150 . Disp  qs syringe  Refills  0  Discharge Disposition  Extended Care Discharge Diagnosis  Cerebrospinal fluid leak Chronic steroid use wound infection Perforated sigmoid diverticulum status post exploratory laparotomy Status post sigmoid colectomy   hartmans pouch and washout Post operative fever fever status post Reveision Right craniotomy and revsion of bone flap change in mental status Seizure Conant palsy with Left sided weakness Respiratory failure requiring intubation Methicillin resistant staph aureus infection of central nervous system Pelvic abscess oligodendroglioma Asthma S  p craniotomy x 3 Hernia Surgery x 3 Discharge Condition  Good Discharge Instructions  Call with any spiking fevers   leakage from your head wound   increase in headaches   confusion   blurry vision severe neck stiffness   redness   swelling   or discharge around your wound site Call your general surgeon if you experience increased abdominal pain   vomiting   decreased or increased ostomy output . Followup Instructions  1. Dr. Martha Lopez or Dr. Henson in infectious disese in 2 weeks . Call for an appointment  724  875 5043 2. Dr Fisher in General surgery   1 week   call his office for an appointment . 515-3442 3. Follow up in 1 week at brain tumor clinic . Call for an appointment 908-6508 Cherrie Celeste MD 44-924 Completed by  Angie Irene MD 36-512 2012-06-19  0950 Signed electronically by  DR. Charles Mcwilliams on