Nr509 week 2 soap note - Study guides, Class notes & Summaries

NR 509 Week 2 SOAP Note

NR509 Week 2 SOAP Note – Chamberlain College of Nursing S: Subjective Information the patient or patient representative told you. Initials: JT Age: 28 years Gender: Female Height: 170cm Weight: 89kg BP: 140/81 HR: 89 Temp: 98.5 SPO2: 97% Pain (1-10): 0 Allergies Medication: Penicillin Food: No known allergy Environment: Cats History of Present Illness (HPI) CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instanc...

Exam (elaborations) NR 509 WEEK 4 SOAP NOTE (NR509) SOAP Note Template Initials: BF Age: 58 Gender: Male Height Weight BP HR RR Temp SPO2 Pain Allergies 5’ 11 197lbs 146/ 90 104 19 36.7C 98% Medication: Codeine : reports causes nausea and vomiting Food: none Environment: none 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...

NR509 Week 2 SOAP N

Exam (elaborations) NR511 WEEK 1-3 LECTURES Primary care is different than tertiary care. The types of problems that are solved in primary care are different than those seen in acute- or critical-care settings, which you may be used to as a bedside nurse. Upper respiratory infections, abdominal complaints, skin rashes, and vague somatic complaints are problems that are not often encountered in the hospital setting. Even chronic conditions present differently in primary care. HTN, CHF, ...

NURSING MS NR509 -NR 509 SOAP Note Template Week 2

Soap Notes: Asthma dx age 2.5 yrs old, Diabetes dx at 24yrs old,Denies surgical history, last hospital admission at 16 yrs old for asthma exacerbation. Reports all Immunization are current at this visit, Last Flu vaccine: declines at this time Last Tetanus booster: last year

Chamberlain College of Nursing - NR 509 Soap.Note.Respiratory.TinaJones. (complete updated 2021) S: Subjective Information the patient or patient representative told you. Initials: T. J. Age: 28 Gender: Female Height: 170cm Weight: 86kg BMI: 30.8 BP: 140/81 BG: 224 RR: 20 HR: 89 Temp: 98.5 SPO2: 97% Pain (1-10): Denies LMP: 1/14/20- irregular; every 2 moths; or 6 times a year Allergies: YES Medication: Penicillin- rash/hives Food: Denies Environment: Cats and dust- itchy watery eyes, running nos...

S: Subjective Information the patient or patient representative told you. Initials: JT Age: 28 years Gender: Female Height: 170cm Weight: 89kg BP: 140/81 HR: 89 Temp: 98.5 SPO2: 97% Pain (1-10): 0 Allergies Medication: Penicillin Food: No known allergy Environment: Cats History of Present Illness (HPI) 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”. Sometime...