Nr509 soap note - Study guides, Class notes & Summaries

NR509 Week 2 SOAP Note

NR509 Week 3 SOAP Note final - Headaches with neck pain

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S: Subjective Information the patient or patient representative told you. Initials: JT Age: 28 years Gender: Female Height: 170cm Weight: 90kg BP: 142/82 HR: 86 Temp: 101.1 SPO2: 99% Pain (1-10): 7 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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Skip to document Search for courses, books or documents University High School Books Sign in Information AI Chat GT Students Final Quiz ISYE6501x Courseware ed X GT Students Final Quiz ISYE6501x Courseware ed X Course Elementary Italian (ITAL 1) University Pasadena City College Academic year: 2021/2022 Uploaded by: Anonymous Student Pasadena City College Recommended for you 11 Med surg Immunity HIV AIDS Lecture Notes Med surg Immunity HIV AIDS Lecture Notes...

Skip to document Search for courses, books or documents University High School Books Sign in Information AI Chat GT Students Final Quiz ISYE6501x Courseware ed X GT Students Final Quiz ISYE6501x Courseware ed X Course Elementary Italian (ITAL 1) University Pasadena City College Academic year: 2021/2022 Uploaded by: Anonymous Student Pasadena City College Recommended for you 11 Med surg Immunity HIV AIDS Lecture Notes Med surg Immunity HIV AIDS Lecture Notes...

Initials: DR: Age: 8 years old Gender: Male Height: 4’2” Weight: 90lbs BP: 120/91 HR: 100 RR: 28 FVC: 3.91 FEV1: 3.15 FEV1/FVC: 80.5% Temp: 37.2C SPO2: 96% Pain (1-10): 3 Allergies Medication: NKDA Food: No known food allergies Environment: No known environmental allergies

History of Present Illness (HPI) Chief Complaint (CC) c/o cough, runny nose, right ear pain,sore throat 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 has more than one complaint. For example: If the patient presents with cough and sore throat, identify which is the CC and which may be an associated symptom Onset Cough, runny nose-5 days ago, right ear pain an...