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DAVAO DOCTORS COLLEGE | Nursing Program

General Malvar St., Davao City

Name of Patient: DE LEON, STACEY __ Date of Admission: February 13, 2023


Age: 33-year-old Sex: Female Civil Status: Married
Attending Physician: Dr. Libres

DATE/TIME FOCUS PROGRESS NOTE

DATA:
February 13, 2023 NAUSEA “Para akong nasusuka at kalaunay nasuka narin ako.”
@ 7:00 am
Objective:
T = 36.2°C
P = 90 bpm
RR = 20 cpm
BP = 140/90 mm Hg.

ACTION:
 Tell patient to avoid foods and smells that trigger nausea.
 Position the patient upright while eating and for 1 to 2 hours post-meal

RESPONSE:
 The patient is no longer experienced nausea.

ADRIAN NAKILA
Name of Student

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