BSN 266- SHADOW HEALTH
PERIOPERATIVE HOURLY ROUNDS
(SONIA BEST 2026/2027 LATEST
UPDATE) WITH REAL AND EXPLAINABLE
ANSWERS
SECTION 1: SUBJECTIVE DATA COLLECTION
Patient Check-In Questions
Category Questions to Ask
Chief Complaint Reports foot wound, scheduled for below-the-knee amputation
Patient Status "How are you feeling?" – Reports "doing fine"
Patient Comfort Reports feeling comfortable
Current Needs Reports desire for water
Key Patient Information :
• A&O x4 (alert and oriented to person, place, time, and situation)
• Reports 3/10 pain in left leg
• Denies fever, chills, or fatigue
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, • Denies chest pain, palpitations, cough, or shortness of breath
• Denies nausea, vomiting, or diarrhea
Social History
Topic Findings
Support System Has a good support system; lives alone but plans to live with family after surgery
Tobacco Use Smoked cigarettes, half a pack a day for 36 years; quit 6 months ago
Alcohol Use Drinks wine 1-2 times per week, 1-2 drinks per sitting; last drink 6 days ago
Marijuana Use Uses one edible dose once a month; started a few months ago; last use 3 weeks ago
Home Medications
Medication Dose Frequency
Dapagliflozin 10 mg PO every morning
Insulin Glargine 25 units Subcutaneously every evening
Insulin Aspart Sliding scale Subcutaneously Q AC & HS (see sliding scale below)
Aspirin EC 81 mg PO daily
Rosuvastatin 20 mg PO daily
Insulin Aspart Sliding Scale :
• BG = 150-199 → 3 units
• BG = 200-249 → 5 units
• BG = 250-299 → 7 units
• BG = 300-349 → 9 units
2|Page
, • BG > 350 → call for dose
Review of Systems
System Findings
Constitutional Denies fever, chills, fatigue
Cardiovascular Denies chest pain, palpitations
Respiratory Denies cough, shortness of breath
Gastrointestinal Denies nausea/vomiting, diarrhea
Allergies
• NKDA (No Known Drug Allergies)
• Denies all other allergies (food, environmental, latex)
Past Medical History
• Type II Diabetes
• Peripheral Vascular Disease (PVD)
• Coronary Artery Disease (CAD)
• Hypercholesterolemia
SECTION 2: OBJECTIVE DATA COLLECTION
Vital Signs
Parameter Measurement
Temperature 37°C (Normothermic)
Blood Pressure 134/80 mmHg (Slightly hypertensive)
3|Page
PERIOPERATIVE HOURLY ROUNDS
(SONIA BEST 2026/2027 LATEST
UPDATE) WITH REAL AND EXPLAINABLE
ANSWERS
SECTION 1: SUBJECTIVE DATA COLLECTION
Patient Check-In Questions
Category Questions to Ask
Chief Complaint Reports foot wound, scheduled for below-the-knee amputation
Patient Status "How are you feeling?" – Reports "doing fine"
Patient Comfort Reports feeling comfortable
Current Needs Reports desire for water
Key Patient Information :
• A&O x4 (alert and oriented to person, place, time, and situation)
• Reports 3/10 pain in left leg
• Denies fever, chills, or fatigue
1|Page
, • Denies chest pain, palpitations, cough, or shortness of breath
• Denies nausea, vomiting, or diarrhea
Social History
Topic Findings
Support System Has a good support system; lives alone but plans to live with family after surgery
Tobacco Use Smoked cigarettes, half a pack a day for 36 years; quit 6 months ago
Alcohol Use Drinks wine 1-2 times per week, 1-2 drinks per sitting; last drink 6 days ago
Marijuana Use Uses one edible dose once a month; started a few months ago; last use 3 weeks ago
Home Medications
Medication Dose Frequency
Dapagliflozin 10 mg PO every morning
Insulin Glargine 25 units Subcutaneously every evening
Insulin Aspart Sliding scale Subcutaneously Q AC & HS (see sliding scale below)
Aspirin EC 81 mg PO daily
Rosuvastatin 20 mg PO daily
Insulin Aspart Sliding Scale :
• BG = 150-199 → 3 units
• BG = 200-249 → 5 units
• BG = 250-299 → 7 units
• BG = 300-349 → 9 units
2|Page
, • BG > 350 → call for dose
Review of Systems
System Findings
Constitutional Denies fever, chills, fatigue
Cardiovascular Denies chest pain, palpitations
Respiratory Denies cough, shortness of breath
Gastrointestinal Denies nausea/vomiting, diarrhea
Allergies
• NKDA (No Known Drug Allergies)
• Denies all other allergies (food, environmental, latex)
Past Medical History
• Type II Diabetes
• Peripheral Vascular Disease (PVD)
• Coronary Artery Disease (CAD)
• Hypercholesterolemia
SECTION 2: OBJECTIVE DATA COLLECTION
Vital Signs
Parameter Measurement
Temperature 37°C (Normothermic)
Blood Pressure 134/80 mmHg (Slightly hypertensive)
3|Page
