Admission progress notes PDF

Title	Admission progress notes
Course	Nursing Patients With Acute Illness A
Institution	La Trobe University
Pages	1
File Size	188.6 KB
File Type	PDF
Total Downloads	5
Total Views	190

Preview

CLICK TO PREVIEW PDF

Summary

Download Admission progress notes PDF

Description

URN SURNAME

O75486 Roberts

GIVEN NAME ADDRESS

PROGRESS NOTES Including Initial History and Examination

Darren 25 Happy St Cairns DATE OF BIRTH 23/11/1969 DOCTOR Smith

Admission day

NURSING: O/A: Presented to ED with an acute episode and recent Hx of upper epigastric pain. P’t report pain 7/10 radiating across upper abdomen,and has a positive Murphy's sign. ------------------------CNS: Pt. is alert and orientated to person place and time, GCS -15, PEARLA. Morphine 5mg administered via 18g IVC inserted in L)hand. NVS: CWMS present in all peripheries, Capillary refill...