KARDEX

NAME: Rosalinda B. ATTENDING PHYSICIAN: Dr. Shiva ROOM: DATE OF ADMISSION: April 29, 2021,
Hiroshima Male 7 am
Medical
-
Surgica
l Ward
DIAGNOSIS: Carpal Tunnel Syndrome ALLERGIES: DIET: DAT

STANDING IVF: LABORATORY: PENDING:

ORDERS/MEDICATIONS: Received D5LR 1L to run at  For possible wrist splinting
 Admitted patient to 24-25 gtts/min. care of Dr. Alday, secure
Male medical Surgical consent
Room under the
service of Dr. Shiva

 Secured consent for

admission

 Informed Dr. Shiva of

the admission

 Hooked O2 inhalation
via nasal cannula at 3-5
LPM PRN for SPO2 <
92%
 Performed skin test to
patient

 Gave Ketorolac 15 mg
 TIV q6 PRN for severe
pain
 Lessen activities of the
right hand
 Applied cold compress
for swelling
 Gave Advil 500 mg OD

INTAKE & OUTPUT: SEPCIAL ENDORSEMENT:

 Monitor V/S q4 hour
Intake: 576  Ketorolac 15 mg TIV q6 PRN for severe pain
Urine: 300
Output: 276