DATA

Received patient awake lying on bed, awake

With ongoing intravenous fluid of sterofundin 1 L regulated @ 60
ugtts/min @ 150 cc level, infusing well at left metacarpal vein
On DAT diet
ACTION
Repeat CBC with plate count done
Vital signs taken and recorded
IVF consumed and replaced @ 9:30 am
Bedside care done
Due oral medication given
Encouraged increase fluid intake
Rendered health teaching
Needs attended
RESPONSE
Still for continuity of care