KARDEX

PATIENT NAME: Kai Araneta AGE: 3 y/o HOSPITAL NO.: 14

PHYSICIAN: Dr. Kim SEX: Male WARD/ROOM: Pediatric Ward
Date Admitted: January 7, 2022 Chief Complaint: Fever and vomiting Height: 37.5 inches
Diagnosis: Acute Gastroenteritis (AGE) Allergies: No allergies Weight: 15 kg

DIAGNOSTICS DATE ORDERED NURSING ACTION

 DONE AT ER, FOLLOWED UP RESULTS, REFERRED RESULTS TO DR.
 CBC and Platelet  01/07/2022 KIM
 UA  01/07/2022  ENDORSED TO THE NEXT NURSE
 FA  01/07/2022  ENDORSED TO THE NEXT NURSE

MEDICATIONS DATE ORDERED NURSING ACTION

 Paracetamol (Tempra) 250mg/5ml
Times: Q4H PRN  01/07/2022  ADMINISTERED MEDICATION, ENDORSED TO THE NEXT NURSE
 Metoclopramide (Plasil) 5mg/5ml
Times: 5 ml TID  01/07/2022  ADMINISTERED MEDICATION, ENDORSED TO THE NEXT NURSE
Oral Rehydration Salts (Hydrite) 1 sachet in 200ml
water PRN 01/07/2022 ADMINISTERED MEDICATION, ENDORSED TO THE NEXT NURSE

IV FLUIDS DATE ORDERED NURSING ACTION

 D5 IMB 500mL @ 60ugtts  01/07/2022  REGULATED IV
     
     
SPECIAL ENDORSEMENTS DATE ORDERED NURSING ACTION
 Monitor bouts of vomiting and/or watery
stools  01/07/2022  CARRIED OUT, ENDORSED TO THE NEXT NURSE
Watch out for signs of dehydration and refer ASAP 01/07/2022 CARRIED OUT, ENDORSED TO THE NEXT NURSE
 Monitor VS and I and O every 4 hours  01/07/2022  CARRIED OUT, ENDORSED TO THE NEXT NURSE

TREATMENT DATE ORDERED NURSING ACTION

     
     
PROCEDURES DATE ORDERED NURSING ACTION
     
     
     
DIET DATE ORDERED NURSING ACTION
 Bananas, Rice, Apple, Toast (BRAT) Diet  01/07/2022  REQUESTED TO THE DIETICIAN
     
     
NURSING NEEDS DATE ORDERED NURSING ACTION
 Monitor bouts of vomiting and/or watery
stools  01/07/2022  CARRIED OUT, ENDORSED TO THE NEXT NURSE
Watch out for signs of dehydration and refer ASAP
 Monitor VS and I and O every 4 hours