History
Vitals
Labs
Orders
Notes
Rheumatoid arthritis is controlled with methotrexate 15 mg by mouth every Tuesday. The client brought the labeled bottle, and the community pharmacy confirms the same schedule.類風濕性關節炎以 methotrexate 15 mg 口服，每週二服用。案主帶來了標籤藥瓶，社區藥局也確認了相同的排程。
BP 124/70 mm Hg, HR 76/min, RR 16/min, temperature 36.8 C. The client is alert and ready for discharge.血壓 124/70 mm Hg，心率 76/分，呼吸 16/分，體溫 36.8 C。案主意識清楚，準備出院。
WBC 6,800/mm3, hemoglobin 12.7 g/dL, platelets 238,000/mm3, creatinine 0.9 mg/dL.白血球 6,800/mm3，血紅素 12.7 g/dL，血小板 238,000/mm3，肌酸酐 0.9 mg/dL。
Discharge medication: methotrexate 15 mg by mouth once daily, first dose tomorrow.出院藥物：methotrexate 15 mg 口服，每日一次，明日首劑。
The client says, "I have always taken all 6 tablets together on Tuesday, never every day." No documentation explains a frequency change.案主說：「我一直都是在週二一次服用所有 6 顆藥片，從來不是每天。」沒有文件解釋頻率的改變。