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    Vital Signs Graphic Sheet

    Uploaded by

    Macen Ortega
    The documents provide medical information for a patient named Consuelo Rivera including vital signs, medications, and nursing notes. The vital signs graphic sheet and monitoring sheet track measurements over time. The medication sheets list intravenous and oral medications ordered with dosages and administration times. The nursing notes from February 4th document the patient's general condition upon receipt, intravenous fluid status and oxygen administration with actions taken and the patient's response.

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

    Vital Signs Graphic Sheet

    Uploaded by

    Macen Ortega
    2K views6 pages
    The documents provide medical information for a patient named Consuelo Rivera including vital signs, medications, and nursing notes. The vital signs graphic sheet and monitoring sheet track measurements over time. The medication sheets list intravenous and oral medications ordered with dosages and administration times. The nursing notes from February 4th document the patient's general condition upon receipt, intravenous fluid status and oxygen administration with actions taken and the patient's response.

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    The documents provide medical information for a patient named Consuelo Rivera including vital signs, medications, and nursing notes. The vital signs graphic sheet and monitoring sheet track measurements over time. The medication sheets list intravenous and oral medications ordered with dosages and administration times. The nursing notes from February 4th document the patient's general condition upon receipt, intravenous fluid status and oxygen administration with actions taken and the patient's response.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views6 pages

    Vital Signs Graphic Sheet

    Uploaded by

    Macen Ortega
    The documents provide medical information for a patient named Consuelo Rivera including vital signs, medications, and nursing notes. The vital signs graphic sheet and monitoring sheet track measurements over time. The medication sheets list intravenous and oral medications ordered with dosages and administration times. The nursing notes from February 4th document the patient's general condition upon receipt, intravenous fluid status and oxygen administration with actions taken and the patient's response.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    VITAL SIGNS GRAPHIC SHEET

    SURNAME: _________________AGE: _______ SEX: ______ HOSP. NO: ___________

    GIVEN NAME: ______________ MI:______________ WARD: ____________________

    Days of the Month


    No. of Days in Hospital
    Height/weight
    RESP PULSE TEMP 8 12 4

    42
    41
    180 40
    39
    160 38
    37
    140 36
    35
    120

    100
    60
    50 80
    40
    30 60
    20
    10

    SHIFT BP U S BP U S BP U S BP U S
    7-3
    3-11
    11-7
    MEDICATION SHEET - IV

    SURNAME:____________________ AGE: ______ HOSP.NO.: ______________________

    GIVEN: ________________________ MI: ______________ SEX: _______ WARD: ___________

    Date/Time Medication Dosage Route Freq Date


    Ordered
    Shift Time Sig Time Sig Time Sig
    02-04-21 Reteplase IV   7-3 8 MCO
    8am 3-11
    11-7

    02-04-21 Nitroglycerin IV 7-3 8 MCO


    8am 3-11
    11-7
    morphine  4 mg IV q5min prn 7-3 8 MCO
    02-04-21 3-11
    8am 11-7

    Weight-based heparin IV   7-3 8 MCO


    02-04-21 3-11
    8am 11-7

    Metoprolol ) 5 mg IV q5min 7-3 8 MCO


    02-04-21 3-11
    8am 11-7

    7-3
    3-11
    11-7
    7-3
    3-11
    Treatment 11-7
    7-3
    3-11
    11-7
    Breakfast DAT
    Diet Lunch DAT
    Dinner
    MEDICATION SHEET-ORAL

    SURNAME:____________________ AGE: ______ HOSP.NO.: ______________________

    GIVEN: ________________________ MI: ______________ SEX: _______ WARD: ___________

    Date/Time Medication Dosage Route Freq Date


    Ordered
    Shift Time Sig Time Sig Time Sig
    Aspirin 325 mg/ PO/ 7-3 8 MCO
    3-11
    11-7
    7-3
    3-11
    11-7
    7-3
    3-11
    11-7
    7-3
    3-11
    11-7
    7-3
    3-11
    11-7
    7-3
    3-11
    11-7
    7-3
    3-11
    Treatment 11-7
    7-3
    3-11
    11-7
    Breakfast DAT
    Diet Lunch
    Dinner
    VITAL SIGNS MONITORING SHEET

    SURNAME:____________________ AGE: ______ HOSP.NO.: ______________________

    GIVEN: ________________________ MI: ______________ SEX: ______ WARD: ____________

    DATE/SHIFT/TIM BP PR RR CR T
    E
    02-04-21 150/70 110 28 110 37.5
    02-04-21 150/70 110 38 110 37.5
    150/70 110 38 110 37.5

    NURSE’S PROGRESS NOTES


    SURNAME: Rivera_______ AGE: 51___ HOSP.NO.: ______________________

    GIVEN: Consuelo_______ MI: ______________ SEX: M____ WARD: ____________

    DATE/TIM FOCUS DATA ACTION RESPONSE


    E
    02-4-21 General - Received pt. lying - v/s taken & recorded
    8am Disposition on bed - morning care
    - weak in appearance rendered - Rapport established
    - bedside care done

    IVF - c IVF of D5LRS 1L - checked for patency - patent and intact


    X 12hrs and intactness

    O2 - O2 inhalation - checked for patency - patent and intact


    administered via and intactness
    nasal cannula @
    2-3 LPM

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