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    This medical document contains information about a patient's diagnosis, medical history, test results, procedures, consultations, medications, allergies, vital signs, tasks, and special needs. Key details include diagnoses of diabetes, hypertension, myocardial infarction, congestive heart failure, cerebrovascular accident, and renal failure. The patient's plan involves accuchecks, tube feeding, activity, IV access and fluids, oxygen, therapy, and scheduled medications.

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    This medical document contains information about a patient's diagnosis, medical history, test results, procedures, consultations, medications, allergies, vital signs, tasks, and special needs. Key details include diagnoses of diabetes, hypertension, myocardial infarction, congestive heart failure, cerebrovascular accident, and renal failure. The patient's plan involves accuchecks, tube feeding, activity, IV access and fluids, oxygen, therapy, and scheduled medications.

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    This medical document contains information about a patient's diagnosis, medical history, test results, procedures, consultations, medications, allergies, vital signs, tasks, and special needs. Key details include diagnoses of diabetes, hypertension, myocardial infarction, congestive heart failure, cerebrovascular accident, and renal failure. The patient's plan involves accuchecks, tube feeding, activity, IV access and fluids, oxygen, therapy, and scheduled medications.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views1 page

    New Template

    Uploaded by

    fecone
    This medical document contains information about a patient's diagnosis, medical history, test results, procedures, consultations, medications, allergies, vital signs, tasks, and special needs. Key details include diagnoses of diabetes, hypertension, myocardial infarction, congestive heart failure, cerebrovascular accident, and renal failure. The patient's plan involves accuchecks, tube feeding, activity, IV access and fluids, oxygen, therapy, and scheduled medications.

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    PHONE PASSWORD PCT PRECAUTION

    ROOM #
     

    D IAGNOSIS
    DNR FULLCODE
      NUTRITION
    DM HTN MI CHƒ CVA RENAL ƒ LIVER ƒ COPD PSYCH PRESENTING
    THYROID CVA CAD PACER GERD OSTEO ASTHMA SEIZURE
    HISTORY

    ACCUCHECK TUBE FEED

    ACTIVITY LAB RESULTS

    IV ACCESS
    PLAN

    DATE PROCEDURE RESULTS

    IVF @ RATE
    TESTS & PROCEDURES

    OXYGEN

    THERAPY

    VITALS BASELINE 2000 0000 0400


    C ONSULTS

    SPECIAL NEEDS

    BP

    HR
    SCHEDULED MEDICATIONS
    R

    SPO2

    TEMP

    PAIN

    BS
    IN
    FOLEY
    OUT CATHETER

    SKIN INTACT | WOUND

    PRN

    ALLERGIES

    NEURO CARDIO

    RESPIRATORY GI/GU

    TASKS

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