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Temperature Pulse and Respiration Rate Chart

This document is a temperature, pulse, and respiration rate chart used to record vital signs for hospitalized patients. It includes fields to record the patient's name, age, sex, room number, attending physician, hospital unit, date, and vital signs including respiratory rate, pulse rate, temperature, blood pressure, stool output, urine output, and post-operative day number if applicable. Readings are recorded every 4, 8, and 12 hours to monitor patients' recovery and identify any changes in their condition.

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Lyons Mac
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8K views1 page

Temperature Pulse and Respiration Rate Chart

This document is a temperature, pulse, and respiration rate chart used to record vital signs for hospitalized patients. It includes fields to record the patient's name, age, sex, room number, attending physician, hospital unit, date, and vital signs including respiratory rate, pulse rate, temperature, blood pressure, stool output, urine output, and post-operative day number if applicable. Readings are recorded every 4, 8, and 12 hours to monitor patients' recovery and identify any changes in their condition.

Uploaded by

Lyons Mac
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Temperature, Pulse, and Respiration Rate Chart

URGELLO STREET, CEBU CITY, PHILIPPINES 6000

+63 32 4188410 to 14

TEMPERATURE PULSE AND RESPIRATION RATE CHART


Patient Name: __________________________________________ Attending Physician: ________________________________________
Age: _______ Sex: _______ Room No. /Bed No. ___________ Hospital Unit No. ____________________________________________
Day of
Hospitalization
Post-Operative
Day No.
Date
RR PR Temp 4 8 12 4 8 12 4 8 12 4 8 12 4 8 12 4 8 12 4 8 12 4 8 12 4 8 12 4 8 12

150 41

140 40
130
39
120
38
110
37

100 36

90 35

80

70 70

60 60

50 50

40 40

30 30

20

10

BLOOD PRESSEURE
6-2
2-10
STOOL 10-6
TOTAL
6-2
URINE 2-10
10-6
TOTAL
DOH-SWUMeD-NSD-F-007 Rev. 2

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