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September 20, 2022

Sage Brimstone 65/M Medical Ward

WARD NOTES
7:05 am > received pt on bed, unconscious
>W/ an on-going PNSS 1L at 800 c, intact and infusing well
>W/ mechanical vent w/ O2 regulated at 2-3L/min
>W/ NGT
>w/ IFC inserted
>VS monitored q1hr
8:00 am >NGT feeding done c SAP
12:00 pm >NGT feeding done c SAP
1:00 pm >pt breathing labored then stopped
>administered epinephrine as per Dr. Torres’ order
>CPR done to try revive; no response
>VS monitored. PR: 0, RR: 0, BP: 0
>pupil fixed and dilated
> no response to verbal stimuli
2:00 pm >pt pronounced expired by Dr. Torres
2:30 pm >mechanical vent removed
>IV fluid removed
>NGT removed
>IFC removed
>post mortem care rendered.
>Tranferred to morgue
Breatney Guinto Marlyn M. Cabungcal, RN, MAN
Student Nurse - BULSU Clinical Instructor – BULSU
Batch 2024 Lic. #0000

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