History
Vitals
Labs
Orders
Notes
Atrial fibrillation on warfarin 5 mg daily; started trimethoprim-sulfamethoxazole for UTI 4 days ago; reports new bruising on arms and legs.心房顫動，每日服用warfarin 5 mg；4天前因UTI開始使用trimethoprim-sulfamethoxazole；主訴手臂和腿部出現新的瘀傷。
BP 128/78 mmHg, HR 88 bpm, RR 18/min, Temp 98.6°F (37.0°C)血壓128/78 mmHg，心率88次/分，呼吸18次/分，體溫98.6°F (37.0°C)
INR 5.8 (therapeutic range 2.0-3.0), Hgb 12.1 g/dL, Platelets 210,000/mm³INR 5.8（治療範圍2.0-3.0），血紅素12.1 g/dL，血小板210,000/mm³
Warfarin 5 mg PO daily; Trimethoprim-sulfamethoxazole DS 1 tablet PO BID for 7 days; PT/INR todayWarfarin 5 mg每日口服；Trimethoprim-sulfamethoxazole DS 1錠每日兩次，共7天；今日檢測PT/INR
Client alert, oriented; multiple ecchymoses on bilateral upper and lower extremities; no active bleeding.個案意識清楚、定向力正常；雙側上下肢多處瘀斑；無活動性出血。