Nurses Progress Notes

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Last Name Given Name Middle Name Rm. No. Hospital No.

Date Time Medication & Treatment Diet Remarks

Patient's Oxygen sat is 75-81%; RR- 77cpm

4/23/22 4:30pm

Increase oxygen to 10 lpm Given @ 4:30pm due to patient's decreased

O2 sat levels and elevated RR

RR- 84, Oxygen sat- 78-80%, and

4/23/22 6pm +Retractions, grunting, nasal flaring was noted

> Intubate patient done to patient

with ET size 2.5 level of 6.5.
> Connect to mechvent with the ff Carried out
setting: PIP-15, PEEP-5, RR-35,
FIO2-90%

For ABG after 1 hour upon hooking

For referral
to mech vent

For repeat CBC, CRP now

Carried out
For STAT 2D ECHO

ABG, CRP, 2D ECHO results noted Lab results are noted and immediately
referred to Dr. Who?
4/23/22 7pm Suction secretion
PRN Patient was monitored

> Administer NaHCO3 6ml now

> Start Ampicillin 260mg IV q6 hours,
Due medications given
Gentamicin 7mg IV q12
> Start Furosemide 1mg/pptab OD, S
pironolactone 1mg/pptab OD endorsed
> Refer accordingly