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    PMH: Iv Access/Fluid/Drip: History: Notes:: Situation

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    Anees
    This document contains two patient charts. Each chart includes sections for patient information, medical history, assessments of different body systems, vital signs, safety checks, and lab results. The charts follow a standard format and organization to comprehensively document the patient's status and care.

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    PMH: Iv Access/Fluid/Drip: History: Notes:: Situation

    Uploaded by

    Anees
    43 views1 page
    This document contains two patient charts. Each chart includes sections for patient information, medical history, assessments of different body systems, vital signs, safety checks, and lab results. The charts follow a standard format and organization to comprehensively document the patient's status and care.

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    TF

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    This document contains two patient charts. Each chart includes sections for patient information, medical history, assessments of different body systems, vital signs, safety checks, and lab results. The charts follow a standard format and organization to comprehensively document the patient's status and care.

    Copyright:

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

    PMH: Iv Access/Fluid/Drip: History: Notes:: Situation

    Uploaded by

    Anees
    This document contains two patient charts. Each chart includes sections for patient information, medical history, assessments of different body systems, vital signs, safety checks, and lab results. The charts follow a standard format and organization to comprehensively document the patient's status and care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    NAME: CODE STATUS: ROOM:

    AGE: ALLERGIES: FAMILY:


    GENDER: PHYSICIAN: ADMITTED:
    PMH: HISTORY: IV ACCESS/FLUID/DRIP: NOTES: 2000

    2100

    2200
    2300
    HX: MEDICATION: 0000
    DM HTN
    CKD OSA TEST: 0100
    HLP Smoker 0200
    Obesity CHF
    0300

    RESPIRATORY: SKIN: 0400

    Wound 0500
    SPO2
    Care GI/GU: 0600
    ETT
    Others Diet 0700

    TF
    NEURO: VITAL SIGNS: 0800
    Foley

    A & Ox
    BP
    0900
    TEMP
    X SYSTOLIC SITUATION: 1000
    X DIASTOLIC
    PULSE O 1100

    CARDIAC: SAFETY CHECKS: 1200


    ADD O SUPPLY
    Rhythm SUCTION WORKS
    1300

    Edima
    BED WHEELS LOCK 1400
    SIDE RAILS UP
    Pulse
    C. MONITOR ALARM ON
    LABS: 1500
    BED SIDE ANGISED Na CO2 Hct 1600
    MUSCULOSKELETAL:
    DIAGNOSTICS: CI BUN Hgb
    1700
    General Weakness K PIt
    GIu
    1800
    Cr WBC
    Limited Movement
    1900

    NAME: CODE STATUS: ROOM:


    AGE: ALLERGIES: FAMILY:
    GENDER: PHYSICIAN: ADMITTED:
    PMH: HISTORY: IV ACCESS/FLUID/DRIP: 2000
    NOTES:
    2100

    2200
    2300
    HX: MEDICATION: 0000
    DM HTN TEST: 0100
    CKD OSA
    0200
    HLP Smoker
    Obesity CHF 0300

    RESPIRATORY: SKIN: 0400

    SPO2 Wound 0500

    Care GI/GU: 0600


    ETT
    TF
    Others Diet 0700

    TF
    NEURO: VITAL SIGNS: 0800
    Foley

    A & Ox
    BP
    0900
    TEMP
    X SYSTOLIC SITUATION: 1000
    X DIASTOLIC
    PULSE O 1100

    CARDIAC: SAFETY CHECKS: 1200


    ADD O SUPPLY
    Rhythm SUCTION WORKS
    1300

    Edima
    BED WHEELS LOCK 1400
    SIDE RAILS UP
    Pulse
    C. MONITOR ALARM ON LABS: 1500
    BED SIDE ANGISED Na CO2 Hct 1600
    MUSCULOSKELETAL:
    DIAGNOSTICS: CI BUN Hgb
    1700
    General Weakness K PIt
    GIu
    1800
    Cr WBC
    Limited Movement
    1900

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