NURS ART 450
Chaffey College
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nursing med surg Report sheet
- Exam (elaborations) • 3 pages • 2023
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Name/Age/Sex Admit/ /POD Full Code/DNR Allergies: Iso: 
CC: 
DX: 
PMHx/PSHx: 
Social/Living situation: 
Access NS/LR ml/hr 
 A+OX PERRLA MM 
rhythm/rate pulses cap refill edema DVT prophy 
lung sounds effort 
GI: Diet BS 
LBM: 
GU: 
Skin: 
 VITALS 
BP 
HR 
MAP 
TEMP/MAX TEMP 
RESP % 
BG 
P 
 Hgb 
 12-18 
WBC Plts 
5-10 150-450 
 Hct 
 35%-50% 
 RBC 
4.2-6.2 
 Na Cl BUN 
135-145 95-105 8-20 
 GLU 
 K HCO3 Cr 60-110 
3.5-5 22-28 0.7-1.4 
 Ca AST 
8.5-10.2 10-40 
 Pro ALT 
 6-8 10-40 
 Alb AlkPhos ...
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