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  • Patient

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    nour Ammar
    7 views2 pages
    This document appears to be a medical chart or record containing information about a patient including their name, habits, medications, medical history, allergies, home medications, vital signs, assessments, care plan, labs, procedures, and nursing diagnoses. The chart includes sections for admitting diagnosis, past medical history, surgeries, allergies, assessments of different body systems, plans for care, and results of labs, imaging, and other tests.

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    This document appears to be a medical chart or record containing information about a patient including their name, habits, medications, medical history, allergies, home medications, vital signs, assessments, care plan, labs, procedures, and nursing diagnoses. The chart includes sections for admitting diagnosis, past medical history, surgeries, allergies, assessments of different body systems, plans for care, and results of labs, imaging, and other tests.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    7 views2 pages

    Patient

    Uploaded by

    nour Ammar
    This document appears to be a medical chart or record containing information about a patient including their name, habits, medications, medical history, allergies, home medications, vital signs, assessments, care plan, labs, procedures, and nursing diagnoses. The chart includes sections for admitting diagnosis, past medical history, surgeries, allergies, assessments of different body systems, plans for care, and results of labs, imaging, and other tests.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Patients name Patients habits Medication class

    Smoking
    Patients admitting diagnosis
    Coffee

    activity

    Patients past medical history Patients room

    Patients age
    Patients past surgeries Gender

    Patients allergies Admission date


    Vital signs

    Patients home medications

    Assessment Care plan Labs


    Neuromuscular

    Activity alert

    ROM strength

    Respiratory

    O2 breath sounds

    Sputum tubes hemo

    Cardio Imaging procedures Nursing diagnosis

    Rhythm rate

    edema

    Gastrointestinal Ecg

    Diet bowel sound

    Bowel movement
    fluids
    Genato uro

    Freely characteristics

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