NAME Age P

R
Room T
CODE Dr. O2
Pain
Isolation 0800
Activity : Lungs:
Diet GI:
Allergy: BM?
Pulses: R: / P: /

Dx: GU:
Skin:
Edema:
Hx:
Other:
1400
: Lungs:
GI:

Report: BM?
Pulses: R: / P: /
GU:
Skin:
Edema:
Other:

Labs

MEDS

IV:
1800 IV Pump _______________mL
O2:
Time
Glu
Units

100 140 180

0 0 0
BP