Name of Student: Erika Mae M.

Gusi

KARDEX
Name of Patient: Althea Mae M. Gusi Age: 12 Adm. No.: 0123

Address: 657 GJC, Purok 5, Cupang, Muntinlupa City Sex: Female Room/Bed No.: 302/1

Admitting Diagnosis: Persistent cough and phlegm Nationality: Filipino Date of Adm.: September 25, 2021

Chief Complaint: Religion: Roman Catholic Date of Disc.:

Operation Performed: N/A

Dr: Erika Gusi Height: 5’0 ft. Weight: 45 Kg

Date Treatment Nursing Diagnosis

(IV Fluid)

9/25/21 Risk for Infection

Date Date Date Result Laboratory Exams

Ordered Done
9/25/21 Diet

Vital Signs:

T: 36.5

PR: 60

RR: 13

BP: 120/80

O2 Sat.:99

Pain Scale: 5/10

Date Contraptions

Allergies: Food: Peanuts Drug: None Others : Blood Type : A

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 Name of Student: Erika Mae M. Gusi
DOCTOR’S ORDER SHEET
Date and Time Orders (Treatments, Medications, Diet, Etc.) Checked By:

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