You are on page 1of 1

Name: _____________________ Age: _________ Ward: _____________

Address: _________________________________________________ Case No. ______________

Date and Time Focus D.A.R.


2/22/23 Hyperthermia D-Received on bed; awake
-with ongoing IVF of PNSS 1L to run @
100cc/hr; intact and infusing well at left
cephalic vein
- with O2 inhalation at 3LPM via NC
-Latest VS: T-38, P-109, RR-30, BP-
110/80
- (+) Febrile : T-38
- (+) Difficulty of breathing

A- VS Checked and recorded


-Seen and Examined by Dr. with order’s
made and carried out
-Instructed pt to wear light clothing
-Instructed pt to increase OFI
-Tipid Sponge bath done
-Administered Paracetamol 500mg IVTT
PRN as ordered
-Administered Trimethoprin-
Sulfamethoxazole (Bactrim) 300 mgs
IVTT q8 as ordered
-Provided comfort and safety measures
-Cared for

R- Endorsed to NOD

NURSES NOTES

You might also like