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Kardex

The patient kardex summarizes Steve Rogers' hospital admission information and treatment orders. It lists his diet, vital signs monitoring, laboratory tests, intravenous fluids, medications, and respiratory treatments. The orders include antibiotics, fever reducers, and nebulizer treatments to be decreased over time. His diagnosis is bacterial pneumonia.

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Kristian Karl Bautista Kiw-is
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1K views2 pages

Kardex

The patient kardex summarizes Steve Rogers' hospital admission information and treatment orders. It lists his diet, vital signs monitoring, laboratory tests, intravenous fluids, medications, and respiratory treatments. The orders include antibiotics, fever reducers, and nebulizer treatments to be decreased over time. His diagnosis is bacterial pneumonia.

Uploaded by

Kristian Karl Bautista Kiw-is
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Health
BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER
Baguio City

PATIENT’S KARDEX

Diet: NPO temp Feed: Self Bath: Self Activity: Complete


Assist Partial B.R.P.
To be fed Complete
Ambulatory
 Laboratory B.: U.S. T.P.R. TPR q shift and record
Repeat Vital sign
Misc Weight
X-ray
I&O
Financial
Stat Orders & Test I.V. Fluids
CBC, CXR-APL, U/A 1.PNSS 1L x 24°
Increase OFI. IVF to follow PNSS 1L x 12 hours

Watch out for DOB, dizziness


For sputum culture this AM.

Standing Order
Allergies
Date Date
Injections Time Medicine Time
Ordered Ordered
February Cefazolin 1 gm IV every 6°
5, 2021 ANST ( )

Paracetamol 900 mg per IV


every 4 hours RTC

Amikacin 50 mg IV OD ANST
()
Amikacin 50 mg IV OD ANST
()
February Shift cefazolin to cefuroxime
6, 2021 750 mg IV every 8 hours
ANST ( )

Date
TREATMENT
Ordered
February Salbutamol 1 nebule + 2cc
5, 2021 PNSS every 15 minutes for
three doses then every 4
hours

Suction secretion PRN


Oxygen inhalation at 3-4
LPM/NC
TSB PRN for fever

February Decrease Salbutamol


6, 2021 nebulization to every 6 hours

Decrease paracetamol 600


mg every 4 hours RTC to
every 4 hours then PRN for
fever

Date
Adm.

Name: : STEVE ROGERS Hospital Number: 010110

Ward: MEDICAL WARD ( PRIVATE ROOM) Bed No. 12


Dx: PNEUMONIA( BACTERIAL

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