Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 6

g;

‫كلية معتمدة‬
Kardex 1

On 10/10 /2022 at medical department room number (1), bed number (3),
there is a patient named Shaimaa Ahmed Abd el razek, 45years, Muslim,
entered hospital on 9/10 /2022 with hospital number 47890, complain of
chronic abdominal pain. At admission time doctor took vital signs of
temperature (37.2) and BP (120/70), pt is able to serve himself. Nurse
inserted a peripheral cannula (blue color) at left arm, doctor ordered to do
lab investigation (Hgb, PT, PTT, KFT, LFT and ESR ) on admission date
and results arrived on the same day with normal range. The patient drink
large cup of juice and small cup of water and went to bathroom once at
morning (200 cc), the nurse named Faten Mostafa Mohamed took vital signs
every 6 hours (BP 110/70, T 37.3, R 22 c/m, p: 72 b/m). The doctor ordered
the following medication and the nurse gives it at 10.00A.m:

.‫ ساعة ببطئ‬24 / ‫مجم أمبول عضل‬50 ‫ زانتاك‬

‫ ساعات‬8/ ‫سم‬500 ‫محلول ملح‬ 

‫ ساعة‬12 / ‫جم فيال‬1,5‫ يوناسين‬

‫ مل أمبول عضل عند اللزوم‬2 W‫ باسكوبان‬

1
g;

‫كلية معتمدة‬

Kardex 2

On 10/10/2022 at Obstetric department unit (A) room number (2) bed


number (2), there is a patient named Maha Saeed Mohamed, 27 years,
married, Muslim, entered hospital on 8/10/2022 with hospital number
48669, complains of Anti partum hemorrhage and make daily living activity
with assistant. At admission time nurse insert a peripheral cannula
(yellowcolor) at right arm, doctors ordered to observe color and amount of
blood and also report if any abnormality occur, do lab investigation (CBC,
INR, PT, PTT ) and results arrived on 8/10/2022 with in normal range , and
also observe vital signs every 8 hours .The pt take large cup of juice and
urinate 2 times each I time was 100 c.c. and nurse named Amal El-Sayed Ali
takes vital signs at 10:00 A.m and it was (T:36, P: 72, BP:90/60, R: 20)..
The nurse give medication according doctor ordered as following at
10:00A.m:-

‫ ساعة‬12/ ‫مجم‬100 ‫ لبوس‬W‫ برونتوجست‬

‫ ساعة‬12 / ‫مجم زجاجة‬100 ‫ زجاجة‬W‫ فالزول‬

‫ ساعة‬12 / ‫ جم‬1.5 ‫ يوناسين‬

2
g;

‫كلية معتمدة‬

Kardex 3

On 10/10/2022 at Urology male department unit (A) room number (B3.3),


bed number (4) there is a patient named Abd Allah Adel Mhamed , 10
years, child, Muslim, entered hospital on 8/10/2022 with hospital number
43996, complain of left torsion testis and make daily living activity by
assistance of his father. At admission time nurses insert a peripheral cannula
(blue color) at left hand. The pt takes small cup of juice and large cup of
water and urinate small cup of urine. Nurse named Mona Salam Ahmed
takes vital signs at 10:00 a.m and it was (T:37.2, P: 68 b/min,
BP:100/60mmhg, R:16 c/min) and vital signs are taken every 8 hours as
doctor orders. The doctor ordered the following medication and nurse give it
at 10:00 a.m:

‫ ساعة‬12/ ‫ جم فيال‬1.5 ‫ يوناسين‬

‫ساعات‬8/‫قرص‬2 ‫مجم‬500 ‫ الفنتيرن‬

‫ ساعه‬12/‫جم فيال‬1 ‫ سيفترياكسون‬

3
g;

‫كلية معتمدة‬
Kardex 4

On 10/10/2022 at Obstetric department unit (A) room number (2) bed


number (2), there is a patient named Maha Saeed Mohamed, 27 years,
married, Muslim, entered hospital on 8/10/2022 with hospital number
48669, complain of Anti partum hemorrhage and make daily living activity
with assistant at admission time nurse insert a peripheral cannula (yellow
color) at right arm. So, doctors ordered to observe color and amount of blood
and also report if any abnormality occur , and also observe vital signs every
8 hours and the pt take large cup of juice (250cc) and urinate 2 times each I
time was 100 c.c. and nurse named Amal El-Sayed Ali takes vital signs at
10:00 A.m and it was (T:37, P: 72, BP:90/60, R: 20). Doctor ordered to do
lab investigation (CBC, INR, PT, PTT ) on 8/10/2022 and results not arrived
yet . the nurse give medication according doctor ordered as following at
10:00 a.m.

‫ ساعة‬24 / ‫ كال ماج قرص‬

‫ ساعة‬12/ ‫مجم‬100 ‫ لبوس‬W‫ برونتوجست‬

‫ ساعة‬12 / ‫ مللى‬100 ‫ زجاجة‬W‫ فالزول‬

‫ ساعة‬12 / ‫ جم فيال‬1.5 ‫ يوناسين‬

4
g;

‫كلية معتمدة‬
Kardex 5

On 10/10/2022 at Male Surgery unit (A) room number (2) bed number (3)
there is a patient named Mohamed Farag Ahmed, 25 years, single, Muslim,
entered hospital on 7/10/2022 with hospital number 63280, complain of
infected hand wound and make daily living activity with Assistant. At
admission time nurses insert a peripheral cannula (yellow color) at left
hand , and nurse named Hager Ahmed Mohamed takes vital signs at 10:00
A.m and it was (T:37, P: 72, BP:110/60,R: 20). Doctors ordered to observe
vital signs every 6 hours. Patient take large cup of juice (250cc) and large
cup of water (250cc) and patient urinate 2 times each 1 was 100 cc urine. No
investigations are required. The nurse gives medication as following at 10:00
a.m.

‫ ساعه‬12 / ‫ اجم فيال‬W‫ سيفوتاكس‬

‫ ساعة‬12/ ‫ جم فيال‬1.5 ‫ يوناسين‬

‫ ساعة‬24/ ‫مجم أمبول عضل‬150 ‫ ديكلوفين‬

5
g;

‫كلية معتمدة‬

Kardex 6

On 10/10/2022 at orthopedic department room number (4) bed number (5)


there is a patient named Sabren Mohamed Hasham, 58 years, Married,
Muslim, entered hospital on 9/10/2022 with hospital number 11244,
complain of fracture in clavien bone, patient able to make daily living
activity with assistance. At admission doctor took vital signs (Bp90/60 and
weight 87kg). Nurses insert a peripheral cannula (yellow color) at right arm
and nurse named Ola Mohamed Ameen takes vital signs every 8 hours
(T:36.8, p: 70, BP:130/90, R: 19). Doctor ordered on 9/10/2022 to do lab
investigation (S.creatinine, S. albumin, SGOT, SGPT, total calcium, S. Na
and FBS ) and results were normal. Patient drink large cup of
water(250CC)and large cup of juice (250CC)and urinate 1 times (100 cc).
The doctor ordered the following medication and nurse give them at 10:00
A.m:

‫ساعات‬8/ ‫ مجم أقراص‬75 ‫ اسبوسيد‬

‫ ساعة‬12 / ‫ مل أمبول عضل‬3 ‫ رومارين‬

‫ ساعه‬12 / ‫ اجم فيال‬W‫ سيفوتاكس‬

‫ مجم أمبول عضل عند اللزوم‬75 ‫ ديكلوفين‬

You might also like