NR 509 Abdominal Pain SOAP NOTE

Exam (elaborations) NR 509 Abdominal Pain SOAP NOTE t Weight BP HR RR Temp SPO2 Pain Allergies 157.48 (5’2”) 54 kg (120 lbs) 110/ 70 92 16 37.0 C 99% 6/10 Medication: Latex (Rxn - itchy skin rash) Food: NKA Environment: NKA History of Present Illness (HPI) Chief Complaint (CC) “Belly pain” CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient h...

Exam (elaborations) NR 509 Abdominal Pain SOAP NOTE (NR509) SOAP Note Template Initials: E.P. Age: 78 Gender: F Height Weight BP HR RR Temp SPO2 Pain Allergies 157.48 (5’2”) 54 kg (120 lbs) 110/ 70 92 16 37.0 C 99% 6/10 Medication: Latex (Rxn - itchy skin rash) Food: NKA Environment: NKA History of Present Illness (HPI) Chief Complaint (CC) “Belly pain” CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache...