Otero Junior College
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Nursing Assessment Guide STUDENT NAME: Danielle Keasling 
 
 
 
 
 
 
 
 
 
 
 
 
 
MEDICATION ORDERS:	List ALL medication orders. administration.	Include	dose, route, frequency & time	of 
*Nexium 40mg IV daily given at 1800	*Regular sliding scale 
* Magnesium 250mg tablet 1 tablet po BIDWM 0800,	<60 0 
1700	60-149	0	 
* Lisinopril 5mg tablet 2 tabs po daily 1000	150-199 
200-249		2 
4 
* Jevity 1000mL q20hrs 0100	250-299		6 
* Xopenex 2.5/0.5mL 1 vial q4-6hrs	300-349		8 
* Morphine 2mg/ml q1...
Nursing Assessment Guide STUDENT NAME: Danielle Keasling 
 
 
 
 
 
 
 
 
 
 
 
 
 
MEDICATION ORDERS:	List ALL medication orders. administration.	Include	dose, route, frequency & time	of 
*Nexium 40mg IV daily given at 1800	*Regular sliding scale 
* Magnesium 250mg tablet 1 tablet po BIDWM 0800,	<60 0 
1700	60-149	0	 
* Lisinopril 5mg tablet 2 tabs po daily 1000	150-199 
200-249		2 
4 
* Jevity 1000mL q20hrs 0100	250-299		6 
* Xopenex 2.5/0.5mL 1 vial q4-6hrs	300-349		8 
* Morphine 2mg/ml q1...
STUDENT NAME: Danielle Keasling 
Pt. Initials: S.L. Rm #: 4607 Age: 24 Sex: Female 
Primary Medical Diagnosis (es): Pyelonephritis, kidney stone, enlarged right kidney 
Surgical Procedures (this admission; include date): bilateral ureteral stent placement 2/2/10 
Chief complaint: Fever, chills, generalized malaise, progressing to right sided flank pain 
HISTORY OF PRESENT ILLNESS: Briefly summarize events (including time frame) leading up to admission. 
Admitted to the hospital in La Jara on 1/2...
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