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  • Name Age Abw Ibw PMH: Admit Date: Room Adjbw HT CC:: O Med Rec Completed PPV Candidate O

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    kjrunner2
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    This document contains a patient's admission note and initial lab workup. It includes the patient's name, age, admitting weight and height, primary medical history, admission date and room number, chief complaint, home medications, allergies, medical reconciliation status, do not resuscitate status, scheduled procedures, intravenous fluids and antibiotics administered, imaging ordered, vital signs including temperature, Glasgow Coma Scale, oxygen saturation, respiratory rate, and intake and output over 24 hours, initial laboratory results including electrolytes, kidney and liver function tests, blood counts, coagulation studies, and cultures collected.

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    Monitor

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    This document contains a patient's admission note and initial lab workup. It includes the patient's name, age, admitting weight and height, primary medical history, admission date and room number, chief complaint, home medications, allergies, medical reconciliation status, do not resuscitate status, scheduled procedures, intravenous fluids and antibiotics administered, imaging ordered, vital signs including temperature, Glasgow Coma Scale, oxygen saturation, respiratory rate, and intake and output over 24 hours, initial laboratory results including electrolytes, kidney and liver function tests, blood counts, coagulation studies, and cultures collected.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLSX, PDF, TXT or read online from Scribd
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    32 views3 pages

    Name Age Abw Ibw PMH: Admit Date: Room Adjbw HT CC:: O Med Rec Completed PPV Candidate O

    Uploaded by

    kjrunner2
    This document contains a patient's admission note and initial lab workup. It includes the patient's name, age, admitting weight and height, primary medical history, admission date and room number, chief complaint, home medications, allergies, medical reconciliation status, do not resuscitate status, scheduled procedures, intravenous fluids and antibiotics administered, imaging ordered, vital signs including temperature, Glasgow Coma Scale, oxygen saturation, respiratory rate, and intake and output over 24 hours, initial laboratory results including electrolytes, kidney and liver function tests, blood counts, coagulation studies, and cultures collected.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Name Age ABW IBW PMH:

    Admit date: Room AdjBW Ht


    CC:

    Scheduled Home Meds:

    Allergies: SH
    o Med Rec Completed PPV candidate o
    DVTP: SUP:
    PRN Other: PPV admin:
    Date Source Result Sensitivity

    Drips Imaging:

    ABX
    Date POC
    Tmax
    CrCl/SCr
    GCS
    SpO2

    Resp
    I/O (24h)
    BM
    Diet
    Na (138-147)
    K (3.6-5)
    Cl (100-108)
    CO2 (22-30)
    BUN (7-20)
    Ca (8.4-10.2)
    PO4 (2.5-4.5)
    Mg (1.6-2.3)
    AlkPh (38-126)
    AST/ALT
    Tbili (< 1.0)
    T.Pro (6.3-8.2)
    Albu (3.9-5)
    Pre-alb (18-42)
    Amy (30-110)
    Lip (25-300)
    LDH (310-620)

    WBC (4.1-10.8)
    Hgb(13.7-17.5)
    Hct (40.1-50.1)
    Plt (140-370)

    INR
    PT (9.4-11.6)
    aPTT (22-30.4)

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