Case Study

  ADMISSION DATABASE Name: Juan Perez DOB: 3/22 (age 29) Physician: Deborah Kuhls, MD adopt it on # DATE: judgment of conviction: TRIAGE STATUS (ER ONLY): 5 ? 7/1 ? 0730 ? Red ? Yellow ? Green ? White sign alert Signs TEMP: RESP: SAO 2 : 39 ? 22 HT (in): WT (lb): B/P: PULSE: 5 ? 10 ? ? 225 ? one hundred fifteen/65 ? 90 go TETANUS go bad ATE LAST DRANK abstruse unknown ? unknown oral sex cathexis/HX OF PRESENT ILLNESS unresponsive ALLERGIES: Meds, Food, IVP Dye, Seafood: symbol of Reaction unknown PREVIOUS HOSPITALIZATIONS/SURGERIES unknown first soulfulness TO CONTACT: Name: N/A Home #: move roughly #: ORIENTATION TO UNIT: ? augur light ? Television/telephone ? Bathroom ? Visiting ? Smoking ? Meals ? Patient rights/responsibilities face-to-face ARTICLES: (Check if retained/describe) ? Contacts ? R ? L ? Dentures ? Upper ? Lower ? Jewelry: necklace ? new(prenominal): ? VALUABLES ENVELOPE: ? ? Valuables instructions INFORMATION OBTAINED FROM: ? Patient ? former record ? Family ? Responsible party Signature Home medicaments (including OTC) autographs: A ? direct homeB ? Sent to pharmacyC ? Not brought in medication Dose relative frequency age of Last Dose reckon Patient Understanding of Drug unknown Do you take all medications as prescribed? ? Yes ? No If no, why?

PATIENT/FAMILY HISTORY ? Cold in past two weeks ? convert fever ? Emphysema/lung problems ? TB disorderliness/positive TB hide test ? Cancer ? Stroke/past paralysis ? fervour attack ? Angina/chest pain ? spirit problems RISK SCREENING Have you had a blood transfusion? ? Yes ? No Do you smoke? ? Yes ? No If yes, how mevery pack(s)? Does anyone in your mob smoke? ? Yes ? No Do you beverage alcohol? ? Yes ? No If yes, how lots? How more? When was your die drink? ? ______/______/______ Do you take any recreational drugs? ? Yes ? No If yes, type:______ Route: Frequency:______ Date last use:______/______/______ ? High blood pressure ?...If you pauperism to get a secure essay, order it on our website: Ordercustompaper.com

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