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    (Regular/Irregular) Location:: Cardiovascular: Genitourinary

    Uploaded by

    Melissa
    This document appears to be a medical chart for a patient, containing sections for identifying information, vital signs, assessments of major body systems, the patient's medical history and current problems, and notes on treatments. The chart includes spaces to record information on the cardiovascular, respiratory, skin, neurological and gastrointestinal systems as well as genitourinary details and intake/output amounts.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    (Regular/Irregular) Location:: Cardiovascular: Genitourinary

    Uploaded by

    Melissa
    22 views1 page
    This document appears to be a medical chart for a patient, containing sections for identifying information, vital signs, assessments of major body systems, the patient's medical history and current problems, and notes on treatments. The chart includes spaces to record information on the cardiovascular, respiratory, skin, neurological and gastrointestinal systems as well as genitourinary details and intake/output amounts.

    Original Description:

    blank paperwork

    Original Title

    Clinical Paperwork

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    This document appears to be a medical chart for a patient, containing sections for identifying information, vital signs, assessments of major body systems, the patient's medical history and current problems, and notes on treatments. The chart includes spaces to record information on the cardiovascular, respiratory, skin, neurological and gastrointestinal systems as well as genitourinary details and intake/output amounts.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    22 views1 page

    (Regular/Irregular) Location:: Cardiovascular: Genitourinary

    Uploaded by

    Melissa
    This document appears to be a medical chart for a patient, containing sections for identifying information, vital signs, assessments of major body systems, the patient's medical history and current problems, and notes on treatments. The chart includes spaces to record information on the cardiovascular, respiratory, skin, neurological and gastrointestinal systems as well as genitourinary details and intake/output amounts.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Patient Name:

    Last BM:

    Room Number:

    Cardiovascular:

    Age:

    Apical HR-

    Genitourinary:

    DOB:

    (Regular/Irregular)

    Any abnormalities (Y/N)

    Capillary Refill-

    Location:

    Pulses-

    Renal:

    Respiratory:

    Foley (Y/N)

    Lung Sounds-

    Urinating?-

    O2 Therapy? (Y/N)

    Skin:

    Cough? (Y/N) (Productive/Nonprod)

    Edema (Y/N) location-

    Pulse Ox-

    Turgor/Temp/Moisture-

    Labored/Unlabored

    Wounds requiring dressings (Y/N)

    Normal/Shallow

    Location-

    Presenting Medical Problem:

    Past Medical History:

    Past Surgical History:

    Vital Signs:

    Neuro:
    Intake

    Output

    AffectPain-

    Treatments:
    location-

    LOCGastrointestinal:
    Diet:
    IV Infusion:

    AbdomenBowel Sounds-

    Significant Labs:

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