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Kardex

This document contains forms for collecting a patient's personal information, medical history, vital signs, diet, medications, and notes from nurses. Sections include spaces for the patient's name, age, sex, religion, physician, address, diagnosis, diet orders, endorsements, intravenous fluids/blood transfusions, medications, oxygen saturation, temperature, pulse, respiration, blood pressure, fluid intake and output, and notes.

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Carmelita Salt
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© Attribution Non-Commercial (BY-NC)
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2K views2 pages

Kardex

This document contains forms for collecting a patient's personal information, medical history, vital signs, diet, medications, and notes from nurses. Sections include spaces for the patient's name, age, sex, religion, physician, address, diagnosis, diet orders, endorsements, intravenous fluids/blood transfusions, medications, oxygen saturation, temperature, pulse, respiration, blood pressure, fluid intake and output, and notes.

Uploaded by

Carmelita Salt
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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STI COLLEGE

College of Nursing

PATIENT’S DATA SHEET

Name: _______________________________ Religion: __________________________


Age/Sex: _____________________________ Attending Physician: ________________
Address: _____________________________________________________________________
Diagnosis: ___________________________________________________________________

KARDEX
Diet Endorsements IVF/BT Medications

VITAL SIGNS
02 Sat Intake Output
Time T (⁰C) P (bpm) R (cpm) BP (mmHg) HGT Stool
(%) P.O IVF Urine

NURSE’S NOTES

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