Soapie and Sources
Content
November 14, 2013 (Thursday) S = “Sobrang sakit. Wag nyo muna akong kausapin.” O = Received patient oriented to time, place, and person with an ongoing intravenous fluid of D5LRS at 200 cc level regulated at 30 gtts/min. Patient appears weak and irritable. With facial grimace, guarding behaviour, and protective gestures. Patient states epigastric pain with a pain scale of 10 out of 10. Patient is selffocusing with reduced interaction with people. With pale, cold clammy skin and pale nailbeds. A = Acute Pain P = After 2-3 hrs of nursing interventions the paient will verbalize nonpharmacologic interventions to promote relief, I = Took and recorded vital signs Provided AM care Provided safety measures Provided comfort measures Encouraged use of relaxation techniques Instructed use of diversional activities IV out D5LRS Encouraged non pharmacological methods to provide relief Encouraged verbalization of feelings towards pain E = Patient verbalized nonpharmacological methods to provide relief
November 15, 2013 (Friday)
S = “Nahihilo ako.. tsaka nanghihina.”
O = Received patient in a supine position, oriented to time, place, and person with an ongoing intravenous fluid of D5LRS regulated at 30-31 gtts/min at 800 cc level with side drip of 1L PNSS + 3 amp Tramadol regulated at 10-11 gtts/min at level of 600 cc. Patient appears weak and disinterested in surroundings. Patient verbalized nausea and reported vomiting. With pale skin and nailbeds. A= Fatigue P = After 2-3hrs of nursing interventions, the patient will verbalize decrease of exhaustion. I = Vital signs taken and recorded Provided am care Provided safety measures Encouraged adequate rest periods Provided comfort measures Encouraged use of relaxation techniques Assisted in self care needs Encouraged client to be compliant with nutren feeding E = Patient verbalized decrease of exhaustion
http://labtestsonline.org/understanding/analytes/hematocrit/tab/test/ http://labtestsonline.org/understanding/analytes/hematocrit/tab/test#what http://global.britannica.com/EBchecked/topic/352799/lymphocyte http://www.newhealthguide.org/Low-Lymphocytes.html
www.nlm.nih.gov/medlineplus/ency/article/003647. http://www.muschealth.com/lab/content.aspx?id=150173 http://www.healthlinkbc.ca/kb/content/medicaltest/hw8252.html http://www.healthcommunities.com/blood-tests/blood-chemistry-screen.shtml http://www.news-medical.net/health/Biopsy-What-is-Biopsy.aspx http://www.webmd.com/digestive-disorders/digestive-diseases-endoscopy
November 15, 2013 (Friday)
S = “Nahihilo ako.. tsaka nanghihina.”
O = Received patient in a supine position, oriented to time, place, and person with an ongoing intravenous fluid of D5LRS regulated at 30-31 gtts/min at 800 cc level with side drip of 1L PNSS + 3 amp Tramadol regulated at 10-11 gtts/min at level of 600 cc. Patient appears weak and disinterested in surroundings. Patient verbalized nausea and reported vomiting. With pale skin and nailbeds. A= Fatigue P = After 2-3hrs of nursing interventions, the patient will verbalize decrease of exhaustion. I = Vital signs taken and recorded Provided am care Provided safety measures Encouraged adequate rest periods Provided comfort measures Encouraged use of relaxation techniques Assisted in self care needs Encouraged client to be compliant with nutren feeding E = Patient verbalized decrease of exhaustion
http://labtestsonline.org/understanding/analytes/hematocrit/tab/test/ http://labtestsonline.org/understanding/analytes/hematocrit/tab/test#what http://global.britannica.com/EBchecked/topic/352799/lymphocyte http://www.newhealthguide.org/Low-Lymphocytes.html
www.nlm.nih.gov/medlineplus/ency/article/003647. http://www.muschealth.com/lab/content.aspx?id=150173 http://www.healthlinkbc.ca/kb/content/medicaltest/hw8252.html http://www.healthcommunities.com/blood-tests/blood-chemistry-screen.shtml http://www.news-medical.net/health/Biopsy-What-is-Biopsy.aspx http://www.webmd.com/digestive-disorders/digestive-diseases-endoscopy
