KARDEX

SPECIAL ENDORSEMENT: RECOPIED BY:

DATE DIET ACTIVITY CONTRAPTIONS
3/7/2020 NPO temporarily Insert NGT
3/7/2020 Give of 1800kcal every 6 hour equal Monitor vital signs q2 hours
feeding once diet resume TSB for fever

DATE SPECIAL NEEDS DATE PROCEDURE DATE REFERRALS

3/7/2020 Hooked O2 2L/M via nasal DATE Refer to Dr. Barza for co-management
canula
3/7/2020 For abdominal evaluation c/o
OB RO
3/7/2020 Watch out for severe abdominal
pain, hypotension, vaginal
bleeding
3/7/2020 Complete bed rest without
bathroom priviledges

DATE PARENTERAL FLUIDS DATE DIAGNOSTIC EXAMS DATE DONATE DATE RESULT IN
3/7/2020 IVF: D5LR 1L x 8 hours 3/7/2020 labs: CBC with platelet, HBsAG
3/7/2020 Shift IVF PNSS 1L X 8 hours while in BT 3/7/2020 For TVS c/o Dr. Asuncion
3/7/2020 For repeat CBC with platelet
after 6hours post BT of 2nd
unt PRBC

DATE CBG MONITORING DATE BLOOD TRANSFUSION

3/7/2020 For possible BT of 2 units PRBC
 properly typed and cross matched
for 4 hours each unit without
interupts

DATE MEDICATIONS DATE PRN MEDICATIONS

3/7/2020 Ceftriacxone 1gm IV q12 hours 3/7/2020 Give Diphenhydramine 1amp IV 30mins prior to
3/7/2020 Ranitidine 50mg IV q8 hours while in NPO BT of 1st unit
3/7/2020 Aeknil 1amp IV q4 ˚for T>39˚c
3/7/2020 Paracetamol 500mg/tab 1 tab q4 ˚ for T>37.8˚c
3/7/2020 Serc 16mg/tab 1 tab TID pc
Plasil 1 amp now

DATE TREATMENT

DATE DAILY RECORD

AGE GENDER: RELIGION: CASE STATUS: ADM # HOSPITAL #

ATTENDING PHYSICIAN: DR. Allcanara ADM DATE: DATE OF BIRTH

CHIEF COMPLAINT: DIZZINESS HEIGHT: 163CM WEIGHT: 68KG

INITIAL DIAGNOSIS: SURGERY PERFORMED:

PATIENTS NAME: Patient X CIVIL STATUS: RM#