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  • Name: Age: Sex: Date:: Date Ordered Medication-Dose-Route TIM E Date Sign Date Sign Date Sign

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    Cezanne Cruz
    165 views3 pages
    This document appears to be a medication sheet or kardex for tracking a patient's medications and treatments during a hospital stay. It includes fields for the patient's name, age, sex, hospital information, attending physician, diagnosis, and dates of admission and surgery. The bulk of the document consists of tables to record medications ordered including dose, route, and dates and times of administration as well as signatures. There are also sections to note the patient's mental status, activities, diet, tubes or catheters, and any special instructions. Additional tables allow recording intravenous fluids, blood transfusions, medical treatments, lab tests and diagnostics ordered and performed.

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    medication-sheet-and-kardex

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    This document appears to be a medication sheet or kardex for tracking a patient's medications and treatments during a hospital stay. It includes fields for the patient's name, age, sex, hospital information, attending physician, diagnosis, and dates of admission and surgery. The bulk of the document consists of tables to record medications ordered including dose, route, and dates and times of administration as well as signatures. There are also sections to note the patient's mental status, activities, diet, tubes or catheters, and any special instructions. Additional tables allow recording intravenous fluids, blood transfusions, medical treatments, lab tests and diagnostics ordered and performed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    165 views3 pages

    Name: Age: Sex: Date:: Date Ordered Medication-Dose-Route TIM E Date Sign Date Sign Date Sign

    Uploaded by

    Cezanne Cruz
    This document appears to be a medication sheet or kardex for tracking a patient's medications and treatments during a hospital stay. It includes fields for the patient's name, age, sex, hospital information, attending physician, diagnosis, and dates of admission and surgery. The bulk of the document consists of tables to record medications ordered including dose, route, and dates and times of administration as well as signatures. There are also sections to note the patient's mental status, activities, diet, tubes or catheters, and any special instructions. Additional tables allow recording intravenous fluids, blood transfusions, medical treatments, lab tests and diagnostics ordered and performed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    NAME: Age: Sex: Date:

    Ward/room no.: Attending Physician:


    Date MEDICATION-DOSE- FREQUENCY TIM Date Date Date
    ordered ROUTE E Sign sign sign
    AM
    PM
    N
    AM
    PM
    N
    AM
    PM
    N

    AM
    PM
    N

    AM
    PM
    N

    AM
    PM
    N

    MEDICATION SHEET
    KARDEX
    NAME: ________________________________ AGE:____ SEX:_____ HOSPITAL NO._____________________

    ADDRESS:_______________________________________ CLASSIFICATION:___________ WEIGHT:________

    ADMITTING PHYSICIAN:__________________________ DATE/TIME ADMITTED:________BLOOD TYPE:_____

    ATTENDING PHYSCIAN:_____________________________________________________________________

    IMPRESSION DIAGNOSIS:____________________________________________________________________

    SURGERY DONE:____________________________________________________DATE/TIME: SURGERY_____

    MENTAL STATUS: Activities: Diet: Tubes: Special Info:


    ___Conscious ___ambulant ___NPO ___Foley Catheter ___Weigh Daily
    ___drowsy ___dangle and sit up ___DAT ___thoracic tube ___BP q shift
    ___stupor ___bedrest with BRP ___Soft ___NGT ___Neuro V/S
    ___unconscious ___CBR w/o BRP ___clear liquids ___CVP ___abdominal girth
    ___comatose Others:___________ ___ gen. liquids Others:__________ Others:__________
    Others:_________

    Date Medication Date IV FLUIDS/ BLOOD TRANSFUSION DATE AND


    ordered Ordered TIME
    DISCONTINUED

    DATE Medical Treatment/ Date Done


    ORDERED Laboratories/Diagnostics

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