Last updated: 4/23/2019 4:57:00 PM

Emergency Details

Blood Type: A +

Organ Donor: Yes

History

Conditions: Hypertension
Bleeding Disorder

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Major Surgery: Appendicitis - 1983; Needle Aspiration, Left Wrist - 2002; Oral Surgery Jaw - 2009

Fractures/Broken Bones: Forearm Ulna Fracture; Left Clavicle Fracture

Allergies

Soy, Tree Nuts, Shellfish and Olives

Medications

(1) Clavamox - 3ml twice daily @ 9AM & 9PM; (2) Metronidazole - 3.5ml twice daily @ 9AM & 9PM; (3) Tramadol - 50mg 1 tablet twice daily @ 9AM & 9PM; (4) Pepcid - 10mg 1 tablet twice daily @ 9AM & 9PM.

Adrenalin Injector: No

Vaccinations

PCV13 - Pneumococcal Conjugate
Shingles - Zoster
VAR Chickenpox - Varicella
HepA - HepatitisA
Flu - Influenza

Emergency Contact

Primary Contact: +1 (035) 824-1220