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  • COURSE in WARD Presentation (Hemophilia)

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    An 18-year-old male was admitted to the hospital on March 1st with a hematoma on his right eye and swelling of his left knee and leg. Over the next few days, nurses monitored his vital signs, administered IV fluids and medications like paracetamol and prednisone to reduce fever and swelling. The patient's temperature decreased and pain levels improved though he still had limited movement in his left leg. Doctors continued IV treatments and monitoring over three days until the patient was stable and comfortable.

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    COURSE in WARD Presentation (hemophilia)

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    An 18-year-old male was admitted to the hospital on March 1st with a hematoma on his right eye and swelling of his left knee and leg. Over the next few days, nurses monitored his vital signs, administered IV fluids and medications like paracetamol and prednisone to reduce fever and swelling. The patient's temperature decreased and pain levels improved though he still had limited movement in his left leg. Doctors continued IV treatments and monitoring over three days until the patient was stable and comfortable.

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    2K views16 pages

    COURSE in WARD Presentation (Hemophilia)

    Uploaded by

    stara123
    An 18-year-old male was admitted to the hospital on March 1st with a hematoma on his right eye and swelling of his left knee and leg. Over the next few days, nurses monitored his vital signs, administered IV fluids and medications like paracetamol and prednisone to reduce fever and swelling. The patient's temperature decreased and pain levels improved though he still had limited movement in his left leg. Doctors continued IV treatments and monitoring over three days until the patient was stable and comfortable.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 16

    COURSE IN WARD

    NURSES NOTES

    • March 1 2010
    DAY 1
    • Admitted an 18 year old male form emergency room,
    stretcher conscious and coherent with right hematoma.
    Focus-risk for recurrence fever. Iv regulated well, Warm
    to touch, Encourage tepid sponge bath assessed vital
    signs at 8:00am awake lying in bed and established
    rapport at 9:00am focus- incurred bp, Bp is 140/90 mmhg.
    No headache drowsiness noted at 9:30am swollen left
    eye knee noted, assess pain, Provide warm compress on
    left knee. Given predisone 40mg tab after lunch, Kept
    comfortable and rested, Vital signs taken, Conscious and
    coherent, Febrile 38.8,Swollen left knee note 8/10 pain
    scale,Hematoma of right eye, Weak left leg at 2:28pm
    Placed comfortable at bed at 3:15 Hooked to IVF of
    D5NM1Lx125cc/hr at left hand regulated and infusing
    well.
    March 2 2010
    DAY 2

    • Focus-risk of bleeding.
    Established rapport Instructed
    patient to cal if in need, Seen
    patient time to time and Stable
    and rested
    March 3 2010
    DAY 3

    • At 5:00 focus- fever warm to


    touch assessed temperature
    provide tepid sponge bath by
    relative given paracetamol 1 tab
    P.O kept comfortable decreased
    level of pain 2/10 at
    • 8:00pm focus-safety. Awake
    infusing well Seen from time to
    time, Intake and output
    monitored, Vital signs taken
    every 2 hours, Patient was safe
    comfortable and Provide
    adequate rest
    DOCTORS NOTES
    DAY 1
    March 1 2010

    • Emergency room admission


    • 3:05am
    • Diet as tolerated
    • Monitor input and output
    • D5x1Lx125cc/hr
    • 6:00
    • Paracetamol 500mg, 1tab q4
    • Temperature-37.8
    • 7:30
    • Monitor vital signs every 2hours
    • Given another 6,000mg 5 vials of
    NOVOSEVEN (Recombinant coagulation
    factor VII)
    • IV push
    • 10:00am
    • D5NM1Lx125cc/hr
    • 11:30
    • Apply warm compress on left knee
    • Predisone 40mg per orem, once a
    day (20mg/tablet) after meal
    • Still can’t move the leg
    • Right eye hematoma
    • 8:30
    • IV to follow D5nm1Lx125cc/hr
    DAY 2

    • March 2 2010
    • 9:95am
    • IV to follow D5nm1Lx125cc/hr
    • 7:40pm
    • IV to follow D5nm1Lx120cc/hr
    DAY 3

    • March 3 2010
    • IV to follow D5nm1Lx125cc/hr
    • IV to follow D5nm1Lx125cc/hr
    • given predisone
    • given each vial SIVP in 20m c/o prod
    • 4828 every 6 hours, SIVP equivalent
    6 vial of 808 96/vials every 12
    hoursx2 doses

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