Everything is abbreviated in medicine lol but :59 year old male patient with history of hypertension, congestive heart failure, chronic obstructive pulmonary disease, type 2 diabetes mellulitis, alert and oriented x4, in emergency dept with right upper quadrant pain rated 10 out of 10, shortness of breath, nausea and vomiting, nothing per os/mouth, no known allergies, intravenous antibiotics vancomycin 20 gauge antecub on 3 liters nasal canula o2