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Swift River Med Surg Clinical

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2024/2025 Written for academic year
Institution Swift River Med Surg Clinical
Course Swift River Med Surg Clinical
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Swift River Med Surg Clinical Leave the first rating Save Terms in this set (49) Estelle Hatcher, 31yr old, r/o appendicitis, 1st day post op appendecto my; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Wound site clean, dry and intact NPO, NG tube to low continuous suction. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Ambulates with minimal assistance. Family at Educational Needs Increased Fall Risk Increased Health Change Increased Pain Level Increased Psychological Needs Normal Sensorium Normal beside. Dr. Sangerstien Ann Rails, 38 years old, c/o back pain, non significant past medical history. No known allergies (NKA). Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Pain and numbness in legs for one week. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Neuro WNL, except leg pain upon movement. Activity as tolerated with assistance. D/C plan decrease pain and restore normal gait. Educational Needs Increased Fall Risk Increased Health Change Increased Pain Level Increased Psychological Needs Normal Sensorium Normal

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Swift River Med Surg
Clinical
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Terms in this set (49)

,Estelle Educational Needs Increased
Hatcher, 31yr- Fall Risk Increased
old, r/o Health Change Increased
appendicitis, Pain Level Increased
1st day post- Psychological Needs Normal
op Sensorium Normal
appendecto
my; No
known
allergies
(NKA); Vital
signs - Temp
101.2, BP
108/74, P 92,
RR 20, SaO2
99%, alert
and
cooperative.
Wound site
clean, dry
and intact
NPO, NG-
tube to low
continuous
suction. IV
maintenance
fluids with D5
1/2 NS with
20 KCL @
125ml/hr in
left forearm.
Ambulates
with minimal
assistance.
Family at

,beside. Dr.
Sangerstien

, Ann Rails, 38 Educational Needs Increased
years old, c/o Fall Risk Increased
back pain, Health Change Increased
non- Pain Level Increased
significant Psychological Needs Normal
past medical Sensorium Normal
history. No
known
allergies
(NKA). Vital
signs -BP
124/82, Temp
98.2, P 84, RR
22, SaO2 96%.
Pain and
numbness in
legs for one
week.
Abnormal left
leg weakness,
gait unsteady,
5/10 on
numeric pain
scale. Neuro
WNL, except
leg pain upon
movement.
Activity as
tolerated with
assistance.
D/C plan-
decrease
pain and
restore
normal gait.

Document information

Uploaded on
May 6, 2025
Number of pages
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Written in
2024/2025
Type
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