You are on page 1of 2

Esquivel, Joshua (Snake bite)

8:am with Heparin lock on left arm Bp. 100/60

Hygiene A.Discussed the importance of daily body hygiene to promote comport

8:30am R. Full bath done by himself and assisted by his mother and the undersigned.

Sign

6:00am with heparin lock on left arm BP 90/60 mmhg

8:30am Discharge Planning A. Home medication regimen and follow-up check-up instructed
process of discharging from hospital discussed. Still into settle bills.

Sign

Igot,Heidie (Intra Abdominal Mass)

6:00am Receive patient with IV fluid of D5 0.3 NACL IL @ 350 CC level on right arm

8:00am Afebrile,with enlarged abdomen


no complaint of abdominal pain
Maintain bed rest

8:30am Health teaching A. Adviced the father regarding cleanliness


(Hygiene) full body bath done assisted by the undersigned
Sign
6:00am Receive patient with IV fluid of D5 0.3 NACL IL @ 600 CC level on right arm
Afrebrile , with enlarged abdomen

8:00am Diet A. Advised the father to give nutritious food such as food rich in protein, iron
and fiber. To regain strength and energy.

8:30am A. Discussed the importance of daily bath to promote comfort and good
hygiene
Full bath done assisted by the undersigned
Sign

6:00am Received patient with IV fluid of D5 0.3 NACL IL @ 600 CC level on right arm
Afrebrile , with enlarged abdomen
8:00 am A. Full bath done assisted by the undersigned
10:00am examined by Dr. Dela Cruz with orders made
sign
Low hemoglobin D.Hemoglobin 85 g/l
Diet Referred to Dr.Dela Cruz
11:00am Health teaching A. Advised the father to give nutritious food such as food rich in protein,
(Diet) iron and fiber. To regain strength and energy.
sign

Roque,Frances (AGN) Acute Glumerulonephritis

6:00am with heparin lock on left arm


BP:120/80 mmHg
10:am Examined by Dr. Dela Cruz with orders made

10:00am Health teaching Full body bath done assisted by the undersigned
(Hygiene)
sign

You might also like