Diabetes case study jt - Study guides, Class notes & Summaries
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NR 509 WEEK 2 SOAP NOTES TEMPLATE GRADED A VERIFIED
- Case • 11 pages • 2020
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S: Subjective 
Information the patient or patient representative told you. 
 Initials: JT 
 Age: 28 years 
 Gender: Female 
 Height: 170cm 
 Weight: 89kg 
 BP: 140/81 
 HR: 89 
 Temp: 98.5 
 SPO2: 97% 
 Pain (1-10): 0 
 
Allergies 
Medication: Penicillin 
Food: No known allergy 
Environment: Cats 
 
History of Present Illness (HPI) 
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 p...
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