Case Study

  ADMISSION DATABASE Name: Juan Perez DOB: 3/22 (age 29) Physician: Deborah Kuhls, MD get it on # D take: TIME: TRIAGE STATUS (ER ONLY): 5 ? 7/1 ? 0730 ? Red ? Yellow ? Green ? discolor Initial 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 LAST ATE LAST DRANK unknown unknown ? unknown oral finish up COMPLAINT/HX OF PRESENT ILLNESS unresponsive ALLERGIES: Meds, Food, IVP Dye, Seafood: vitrine of Reaction unknown PREVIOUS HOSPITALIZATIONS/SURGERIES unknown first soulfulness TO CONTACT: Name: N/A Home #: locomote around #: ORIENTATION TO UNIT: ? C both light ? tv set/telephone ? Bathroom ? Visiting ? Smoking ? Meals ? patient rights/responsibilities personal ARTICLES: (Check if retained/describe) ? Contacts ? R ? L ? Dentures ? Upper ? Lower ? jewellery: necklace ? Other: ? VALUABLES ENVELOPE: ? ? Val uables instructions INFORMATION OBTAINED FROM: ? Patient ? precedent record ? Family ? Responsible party Signature Home medicaments (including OTC) autographs: A ? Sent homeB ? Sent to pharmacyC ? Not brought in Medication dosage Frequency Time of Last Dose Code Patient Understanding of Drug unknown Do you take all medications as prescribed? ? Yes ? No If no, why?

PATIENT/FAMILY storey ? Cold in past two weeks ? Hay fever ? Emphysema/lung problems ? TB disorder/positive TB fight test ? Cancer ? Stroke/past paralysis ? discharge attack ? Angina/chest pain ? Heart pro blems essay SCREENING Have you had a bloo! d transfusion? ? Yes ? No Do you stinkpot? ? Yes ? No If yes, how mevery pack(s)? Does anyone in your household smoke? ? Yes ? No Do you drink alcohol? ? Yes ? No If yes, how split up? How much? When was your die drink? ? ______/______/______ Do you take any recreational drugs? ? Yes ? No If yes, type:______ Route: Frequency:______ troth last used:______/______/______ ? High blood pressure ?...If you fate to get a full essay, order it on our website: OrderCustomPaper.com

If you want to get a full essay, visit our page: write my paper