NR 509 Chest Pain SOAP Note
Chamberlain College Nursing
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CHEST PAIN - SOAP Note. Case study
- Case • 14 pages • 2021
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SOAP Note Template
Initials: B. F. Age: 58 Gender: M
Height Weight BP HR RR Temp SPO2 Pain Allergies
180.34 cm 197 146/90 104 19 36.7 C 98% 0/10 Medication: Codeine (causes nausea and vomiting)
Food: NKA
Environment: NKA
History of Present Illness (HPI)
Chief Complaint (CC) Chest Pain CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has more than one compl...
Case
CHEST PAIN - SOAP Note. Case study
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SOAP Note Template Initials: B. F. Age: 58 Gender: M Height Weight BP HR RR Temp SPO2 Pain Allergies 180.34 cm 197 146/90 104 19 36.7 C 98% 0/10 Medication: Codeine (causes nausea and vomiting) Food: NKA Environment: NKA History of Present Illness (HPI) Chief Complaint (CC) Chest Pain CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has more than one compl...
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