Republic of the Philippines

University of Northern Philippines

Tamag, Vigan City
College Of Nursing

Kardex
Presented
To the College of Nursing
University of Northern Philippines

Submitted by:
RHOSE ANGEL B. AZUR
BSN 3E

November 2021
 KARDEX
Date LABORATORY REQ SENT RESULT DATE PARENTERAL TIME TIME
& DIAGNOSTIC STARTED DUE
PROCEDURES
11-08-2021 ECG / / ST segment elevation 11-08-2021 D5LRS 7:30 AM
T wave inversion in
leads V1,V2, V3 and
V4
11-08-2021 CBG / / 236 mg/dL
11-08-2021 BLOOD /
TEST

DATE CONSULTATION DATE NOTIFIED

DATE MEDICATION ROUTE DOSE/ TIME DATE TREATMENTS FRE TIME

FREQ Q
11-08-2021 Perindopril Oral 5 mg/OD 9:30 am
11-08-2021 Regular insulin Sq 5 units/TID 12:30 pm
11-08-2021 Aspirin Oral 80 mg/TID 8:30 am
11-08-2021 Maalox Oral 15 ml/ TID 8:30 am

DATE PRN TREATMENTS/MEDICATIONS

ACTIVIT BATH TPR HT WT

Y
CBR__ Bed bath___ 36.2 C 160 cm 87 kg
Ambu- Shower____ 113
Tory_/_ bpm
_ Self- 27 cpm
 BRP___ care_/__
DIET: LOW FAT LOW SALT DIET NAT. FILIPINO ALLERGIES: N/A
AGE: 59__ SEX: FEMALE STATUS: MARRIED RELIGION: ROMAN CATHOLIC
Anointed___
Baptized _/__
Admission Date &Time: _11-08- Medical Impression: Surgery Delivery
2021__ ACUTE MYOCARDIAL INFARCTION
Case No.
Room/ Ward Last Name First Name Middle PHYSICIAN:
102 DOE GLENDA Initial DR. ELIZABETH DY