Scribd Logo
Upload

Welcome to Scribd!

  • Name of Patient: Age: 35 Gender: Male Room Number: Chief Complain: Physician: Admitting Diagnosis: Current Assessment: VS

    Uploaded by

    Fau Fau Dheobo
    34 views1 page
    SJ, a 35-year-old male, presented with recurring epigastric pain and episodes of black tarry stool. He was admitted with a diagnosis of peptic ulcer disease, specifically a duodenal ulcer. His current assessment found his temperature and vital signs were normal. He was placed on IV fluids and medications to treat his condition. He was instructed to follow a high-fiber diet and was scheduled for a gastroscopy the following morning to further evaluate his condition.

    Original Description:

    Original Title

    kardex

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    SJ, a 35-year-old male, presented with recurring epigastric pain and episodes of black tarry stool. He was admitted with a diagnosis of peptic ulcer disease, specifically a duodenal ulcer. His current assessment found his temperature and vital signs were normal. He was placed on IV fluids and medications to treat his condition. He was instructed to follow a high-fiber diet and was scheduled for a gastroscopy the following morning to further evaluate his condition.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    34 views1 page

    Name of Patient: Age: 35 Gender: Male Room Number: Chief Complain: Physician: Admitting Diagnosis: Current Assessment: VS

    Uploaded by

    Fau Fau Dheobo
    SJ, a 35-year-old male, presented with recurring epigastric pain and episodes of black tarry stool. He was admitted with a diagnosis of peptic ulcer disease, specifically a duodenal ulcer. His current assessment found his temperature and vital signs were normal. He was placed on IV fluids and medications to treat his condition. He was instructed to follow a high-fiber diet and was scheduled for a gastroscopy the following morning to further evaluate his condition.

    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 1

    Name of Patient: SJ Room Number: #4

    Age: 35 Gender: Male


    Chief Complain: Recurring epigastric pain, 8/10 in severity and episodes of black tarry stool Physician: Dr. J. Bautista
    Admitting diagnosis: Peptic Ulcer Disease: Duodenal Ulcer
    Current Assessment: Special Orders: IVF
    2:00pm Monitor vital signs q4 hours and record. D5LRS 250mL c flow
    VS: Monitor I and O per shift and record. rate of 31gtts/min
    Temp- 37.5c Prepare patient for gastroscopy tomorrow morning
    BP-120/80 mmHg
    RR-17 cpm
    PR-90 bpm

    Diet: Medications: Laboratories/ Diagnostics:


    High-fibre and rich in vegetables, fruits, Amoxicillin 500 mg per cap 2 caps PO BID Gastroscopy
    and whole grains Clarithromycin 500 mg per tab 1 tab PO OD
    Omepron 40 mg IV every 12 hours
    Prevacid FDT 30 mg per tab 1 tab PO BID ac
    Zinnat 500mg 1 tab PO BID
    Mucosta 100 mg 1 tab PO TID ac
    Ketorolac 30mg IV PRN for gastric pain
    PATIENT’S KARDEX

    You might also like