NURS 509 (NURS509)
University Of Texas - Arlington
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SOAP NOTES TEMPLATE WEEK 1
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---15February 20222021/2022
- S: Subjective 
Information the patient or patient representative told you.	 
	Initials: 
T J 
	Age: 28 
	Gender: Female 
	Height: 
170 cm 
	Weight: 
90kg 
	BP: 
142/82 
	HR: 
86 
	Temp: 
101.1 F 
	SPO2: 
99% 
	Pain (1-10): 
 
 
Allergies 
 
Medication 
PenicillinDeveloped a rash when she was a child around 2 years old 
Food 
Environment 
Cats rash, sneezing, trouble breathing requires inhaler. 
 
History of Present Illness (HPI) 
CC is a BRIEF statement identifying why the patient is here ...
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