Professional Documents
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Consult M.D. Physical Assessment Neuro Cardio Resp GI/GU Muscleskeletal Peripheral/ Vascular Psychosocial Skin Other Latest Lab Results Age Gender adm date / / Diagnostic Labs ordered for today 1 2 3 4 5 Other Labs
Wbc
Plat
CBCs Date Na K
BG
Time
BP P/HR 800 / 1200 / 1600 / Intake and output Time IN Out 800 1200 1600
Temp
BG
Accuchecks Coverage
Diet
Activity
wounds bedbath
Time
Pain locaion
1\10