scoop shovel Note ------------------------------------------------- Associate Level Material sludge Note Create collar SOAP notes using check medical terminology from the diligent information in auxiliary C. ?Organize the information correctly ? put the SOAP notes ? decree language where necessary Post your paper as a Microsoft® Word attachment. affected role One Chapter 6 Soap Notes escort:| 07/04/2012| Chart #:| 001| Age:| 22| Name:| Doe, Jane| interlocking of hand over:| 01/14/1990| Sex:| F| S:| | | | | | | | | | | patient role states she has had monstrous lower derriere reveal constantly for 5 days. tolerant has not been eating much. on that point has been no vomiting with want to what the patient has been able to eat. Patient also experiencing headaches. Bowel sounds ar good and no issues declared with evacuation of same. Not currently on any medications. Has acquire a diagnosis of sickle jail cell genus Anemia in the past. | CC:| | | | | | | | | | | Acute back pain and frequent headaches| narration of Present Illness: historical Medical History:| | | | | | | | | | | linchpin discomfort and headaches.Sickle cell anemia| O:| | | | | | | | | | | Physical psychometric test of patients body uneventful. Patient is qui vive and responsive.
Skin colour is normal and regular. fixed pain is puzzle in abdomen above lumbar spinal cord. livestock work and labs drawn. Iv with fluids golf clubed. inception work results show blanched blood cells 4300, haemoglobin 13.1g/dl, packed cell volume 39.9%, platelets 162,00, Segs 65.9, lymphs 27, monos 3.4.| Vital Signs:| BP:| | PR:| ! | RR:| | T:| °F| W:| lbs| | | cxl/60| | 22| | 38| | 99 degrees F| | n/a| | | A:| | | | | | | | | | | Patient experiencing a sickle cell crisis| Dx:| | | | | | | | | | | Sickle cell crisis| P:| | | | | | | | | | | Patient is to be admitted to hospital. IV fluids to be administered along with pain medication via the IV. Physcian will...If you want to go far a full essay, order it on our website:
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