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>Received patient, disoriented, lying on bed at supine position, pt is febrile (T-38 ℃, RR-18 CPM,

PR-70 BPM, HR-82 BPM, BP-120/70 mmHg,.


>WITH FLUSHED SKIN, PROFUSE PERSPIRATION.
> HIGH WBC RESULT (RESULT?); URINALYSIS PRESENCE OF 50 HPF BACTERIA.
>With ongoing IVF Second bottle of D5LR at 500 cc level infusing well and regulated properly at
10 GTTS/min, inserted at the right cephalic vein.
>With indwelling urinary foley catheter FR 14, Patent and Intact, connected to urine bag draining
to 50CC of amber colored urine.
>TSB RENDERED.
> ENCOURAGED ORAL FLUID INTAKE; IVF PROPERLY REGULATED.
>DR. DURAN NOTIFIED WITH ORDERS GIVEN AND CARRIED OUT.
> PARACETAMOL 1 TAB GIVEN ORALLY AS ORDERED.
> TEMPERATURE MONITORED AND REFERRED ACCORDINGLY.

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