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Moralda, Jenelyn

MaQuilan, SN
Bsn 4- Orem

ℑ Follow-up laboratory exams


ℑ (+) urine output
1) Patient name: Chiyuto, Margarette
ℑ VS every 4 hours
Age: 18
ACTION:
Dx.: S/P NSD
ℑ Continue oral medications
FOCUS: ℑ Monitored IVF
ℑ Continuation of post-operative care ℑ Advised perineal care
DATA: ℑ Monitored for active bleeding
ℑ Conscious and coherent RESPONSE:
ℑ On Diet as tolerated ℑ (-) Active bleeding
ℑ With oral medications ℑ Patient feels better
ℑ Hooked on D5LR IL + 10 units of ℑ Kept rested
syntocinon x 8 hours ℑ Endorsed
ℑ Follow-up laboratory exams
ℑ (+) urine output Moralda, Jenelyn MaQuilan, SN
ACTION:
ℑ Continue oral medications
3) Patient name: Baby boy Villas
ℑ Monitored IVF; to consume as ordered Age: 1 day old
ℑ IVF resumed @ 8:31am Dx: Delived via NSD
ℑ Advised perineal care
RESPONSE: FOCUS:
ℑ Patient feels better ℑ Newborn care and management
ℑ Kept rested DATA:
ℑ Endorsed ℑ Received patient from nursery room
ℑ pinkish
Moralda, Jenelyn MaQuilan, SN ℑ active
ℑ on breastfeeding with good sucking
ℑ on MGH
2) Patient name: Dimaampao, Jariyah
Age: 20 ℑ Follow-up new born screening
Dx: S/P NSD ℑ VS every 4 hours
ACTION:
FOCUS: ℑ Follow-up new born screening
ℑ Post-transfer assessment ℑ VS every 4 hours
DATA: ℑ Monitored for enhanced breastfeeding
ℑ Received patient from delivery room RESPONSE:
ℑ Conscious and coherent ℑ Kept dry and comfortable
ℑ On Diet as tolerated ℑ Kept rested
ℑ With oral medications ℑ Endorsed
ℑ IV medications for completion
ℑ Hooked on D5LR IL + 10 units of Moralda, Jenelyn MaQuilan, SN
syntocinon x 8 hours

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