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    Patient's Chart - Parenteral Sheet

    Uploaded by

    Renea Joy Arruejo
    This document contains the patient record for Cleopatra Andude, a 36-year-old female from Vigan City, Philippines who was admitted to the hospital on October 25, 2021. Her admitting diagnosis was pulmonary tuberculosis, chemically induced acute kidney infection, and ovarian cancer. Her final diagnosis upon discharge was acute kidney infection. During her hospital stay, she received intravenous fluids and was discharged in an improved condition.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Patient's Chart - Parenteral Sheet

    Uploaded by

    Renea Joy Arruejo
    389 views3 pages
    This document contains the patient record for Cleopatra Andude, a 36-year-old female from Vigan City, Philippines who was admitted to the hospital on October 25, 2021. Her admitting diagnosis was pulmonary tuberculosis, chemically induced acute kidney infection, and ovarian cancer. Her final diagnosis upon discharge was acute kidney infection. During her hospital stay, she received intravenous fluids and was discharged in an improved condition.

    Original Description:

    WARD

    Original Title

    PATIENT'S CHART - PARENTERAL SHEET

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    This document contains the patient record for Cleopatra Andude, a 36-year-old female from Vigan City, Philippines who was admitted to the hospital on October 25, 2021. Her admitting diagnosis was pulmonary tuberculosis, chemically induced acute kidney infection, and ovarian cancer. Her final diagnosis upon discharge was acute kidney infection. During her hospital stay, she received intravenous fluids and was discharged in an improved condition.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    389 views3 pages

    Patient's Chart - Parenteral Sheet

    Uploaded by

    Renea Joy Arruejo
    This document contains the patient record for Cleopatra Andude, a 36-year-old female from Vigan City, Philippines who was admitted to the hospital on October 25, 2021. Her admitting diagnosis was pulmonary tuberculosis, chemically induced acute kidney infection, and ovarian cancer. Her final diagnosis upon discharge was acute kidney infection. During her hospital stay, she received intravenous fluids and was discharged in an improved condition.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    PATIENT’S RECORD

    Case Number 2021- IV003 Patient ID 2021-003

    Name: Age: Date of Birth: Place of Birth: ISPH-GS, Category of


    Patient:
    Andude, Cleopatra 36 01/01/1985 Vigan City, Ilocos Sur
    Philhealth

    Home Address: Sex: Civil Status: Religion: Nationality:


    Roman
    8 Rivero St. Brgy. IX, Vigan City, Ilocos Sur Female Married Catholic Filipino

    Next of Kin: Relationship: Address: 8 Rivero St. Brgy. IX, Contact No.:
    Vigan City, Ilocos Sur
    Andude, Ka Husband

    Date Admitted: Time: Date of Discharge: Time: No. of Hospital Days:

    October 25, 2021 __8_____ ________


    A.M. A.M.

    ________ ________
    P.M. P.M.

    Ward: Attending Physician: Admitting Nurse:

    OBWARD-123 Dr. Danilo Dizon Renea Joy M. Arruejo

    ADMITTING DIAGNOSIS:

    R/0 PTB BT, chemically induced Acute Kidney Infection; Ovarian CA

    FINAL DIAGNOSIS: ICD 10 Code:

    Acute Kidney Infection N17.9

    Condition on Discharge: Disposition:

    [ ] recovered [ ] died [ ] discharged [ ] absconded

    [ ] improved [ ] autopsied [ ] transferred [ ] referred to OPD

    [ ] unimproved [ ] not autopsied [ ] home against for follow up advice

    COMPLICATIONS:
    OPERATION/PROCEDURE DONE:

    Review for completeness:

    dizondanilo juneaprilmay

    ___________DANILO DIZON________________ _____________APRIL MAY JUNE_______________

    Signature over Printed Name Signature over Printed Name

    of Attending Physician (Record Officer)

    PARENTERAL SHEET
    Name:_Andude, Cleopatra_____________________Age_36_Sex: Female CS:_Married_Ward/Room:
    OBWARD-123
    Attending Physician:_Dr. Danilo
    Dizon_______________________________________________________________

    BOTTLE SOLUTION, VOLUME.


    NO. REMARKS Time REMARKS
    DRUGS Time
    Date Regulation
    INCORPORATED SIGNATURE Consumed SIGNATURE
    Started
    BLOOD TYPE

    Followed-
    10/25/21 1 D5LRS 1L x 20hrs 16-17 gtts/min 8:05 Started/RJA 4:05/RJA
    up/RJA

    Followed
    10/25/21 2 D5LRS 1L x 20hrs 16-17 gtts/min 4:05 7:00/RJA Revised/RJA
    up/RJA

    10/25/21 2 D5LRS 1L x 20hrs 20 gtts/min 7:05 Started/RJA

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