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Endorsement Notes

The patient was admitted for complaints of lethargy, headache, pruritus, lower extremity edema, nausea, and emesis. Diagnostic tests ordered include blood tests, a urinalysis, EKG, and chest x-ray. Medications ordered include IV fluids, insulin, diuretics, antiemetics, and medications for fluid and electrolyte imbalance. Nursing notes document the patient's admission information, diagnostic tests, and medications.
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0% found this document useful (0 votes)
97 views2 pages

Endorsement Notes

The patient was admitted for complaints of lethargy, headache, pruritus, lower extremity edema, nausea, and emesis. Diagnostic tests ordered include blood tests, a urinalysis, EKG, and chest x-ray. Medications ordered include IV fluids, insulin, diuretics, antiemetics, and medications for fluid and electrolyte imbalance. Nursing notes document the patient's admission information, diagnostic tests, and medications.
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We take content rights seriously. If you suspect this is your content, claim it here.
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ENDORSEMENT NOTES

Student’s Name: MIGUEL KELLY D. CATANE IVF’S Diagnostic Tests Medications


Patient’s Name: ARTURO L. MENDOZA  IVF infusion 0.9% Sodium  STAT Blood Draws: CBC  D50 25 g IV for IV injection
Room/Bed: Admission Date: 7/29/2020
chloride at KVO rate (30 with auto differential count,  Sodium bicarbonate 50
Age: 52 Religion: Roman Catholic
Gender: Male Diet: mL/hr using an IV tubing Comprehensive Metabolic mEq for IV Inj
CC: complaints of S/P: with a drop factor of 15 Panel, BUN, Creatinine level,  Sodium Polystyrene
lethargy, banding gtt/mL fingerstick blood sugar (Kayexalate) for Oral
headache, pruritus on  Calcium gluconate 2 g IV check, and ABGs administration
both legs, lower bag for infusion  Urinalysis  Regular Insulin (Humulin
extremity edema,  STAT 12-lead EKG, Chest X- R) vial and 100 unit Insulin
nausea, and emesis ray APL syringe
Admitting Dx: AP:
 Furosemide (Lasix) 20 mg
Fluid and electrolyte
IV vial for injection
imbalance
Remarks:  Ondansetron (Zofran) 4

 Previous Nursing Diagnosis/es: mg vial


 Hydralazine 20 mg IV vial

 Activity Restriction/s: for inj


 Calcium gluconate 2 g IV
bag for infusion
 Albuterol 1.5 mg/3mL
Nebule for Inhalation
 0.9% Sodium Chloride and
tubing with corresponding
drop factor

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