KARDEX
KARDEX
KARDEX
KARDEX
NAME OF PATIENT: ______________ SEX: ________ AGE: ___________ RELIGION: ________________ ALLERGIES: _____________________________
ADDRESS: ______________________________________________________________________________________________________________________________________________
Date and Time Special Notation/Procedure Laboratory/Dx. Procedure Medication IV Fluid Diet
Date Time Blood Pressure Body Temperature Pulse Rate Respiratory Rate Oxygen Saturation
Level
Date Time Blood Pressure Body Temperature Pulse Rate Respiratory Rate Oxygen Saturation
Level
Date Time Generic Name Brand Name Classification Indication Dosage Frequency Route
Date Time Generic Name Brand Name Classification Indication Dosage Frequency Route