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Antibiotics

The document outlines patient assessments including current complaints, vital signs, and physical examination findings. It lists potential symptoms such as headache, nausea, chest pain, and abdominal pain, along with medication plans involving antibiotics. The document also includes details on the patient's hydration status and laboratory tests.

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Eliazar Firmalo
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6 views1 page

Antibiotics

The document outlines patient assessments including current complaints, vital signs, and physical examination findings. It lists potential symptoms such as headache, nausea, chest pain, and abdominal pain, along with medication plans involving antibiotics. The document also includes details on the patient's hydration status and laboratory tests.

Uploaded by

Eliazar Firmalo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Room ______ I/O: Medications: Plans:

Antibiotics
CBG:
Current complaints:
( )Headache/dizines IVF/HL/No IVF:
( )nause/vomiting
( )chest pain/palpi
( )SOB/DOB Side drips:
( )Abd pain
Labs:

Vital Signs
PE
BP Awake, not in distress
Anicteric/Icteric S, Pale/Pink PC, ( ) CLAD, dry/moist mucosa
HR SCE, ( ) normal rate, CBS/ rales / crackles / rhonchi/
wheezes / stridor
RR AP, ( ) normal rate, ( ) regular rhythm, ( ) murmur
Soft/Firm, Flat/ Flabby/ Globular/Gravid, ( ) NABS, nontender,
T non distended
( ) FEP, ( ) edema, ( ) lesion, CRT __ 2sec
SpO2

Room ______ I/O: Medications: Plans:


Antibiotics
CBG:
Current complaints:
( )Headache/dizines IVF/HL/No IVF:
( )nause/vomiting
( )chest pain/palpi
( )SOB/DOB Side drips:
( )Abd pain
Labs:

Vital Signs
PE
BP Awake, not in distress
Anicteric/Icteric S, Pale/Pink PC, ( ) CLAD, dry/moist mucosa
HR SCE, ( ) normal rate, CBS/ rales / crackles / rhonchi/
wheezes / stridor
RR AP, ( ) normal rate, ( ) regular rhythm, ( ) murmur
Soft/Firm, Flat/ Flabby/ Globular/Gravid, ( ) NABS, nontender,
T non distended
( ) FEP, ( ) edema, ( ) lesion, CRT __ 2sec
SpO2

Room ______ I/O: Medications: Plans:


Antibiotics
CBG:
Current complaints:
( )Headache/dizines IVF/HL/No IVF:
( )nause/vomiting
( )chest pain/palpi
( )SOB/DOB Side drips:
( )Abd pain
Labs:

Vital Signs
PE
BP Awake, not in distress
Anicteric/Icteric S, Pale/Pink PC, ( ) CLAD, dry/moist mucosa
HR SCE, ( ) normal rate, CBS/ rales / crackles / rhonchi/
wheezes / stridor
RR AP, ( ) normal rate, ( ) regular rhythm, ( ) murmur
Soft/Firm, Flat/ Flabby/ Globular/Gravid, ( ) NABS, nontender,
T non distended
( ) FEP, ( ) edema, ( ) lesion, CRT __ 2sec
SpO2

Room ______ I/O: Medications: Plans:


Antibiotics
CBG:
Current complaints:
( )Headache/dizines IVF/HL/No IVF:
( )nause/vomiting
( )chest pain/palpi
( )SOB/DOB Side drips:
( )Abd pain
Labs:

Vital Signs PE
Awake, not in distress
BP Anicteric/Icteric S, Pale/Pink PC, ( ) CLAD, dry/moist mucosa
SCE, ( ) normal rate, CBS/ rales / crackles / rhonchi/
HR wheezes / stridor
AP, ( ) normal rate, ( ) regular rhythm, ( ) murmur
RR Soft/Firm, Flat/ Flabby/ Globular/Gravid, ( ) NABS, nontender,
non distended
T ( ) FEP, ( ) edema, ( ) lesion, CRT __ 2sec

SpO2

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