PATIENTS NAME: MICHAEL LARIOQUE

AGE: 21Y/O

DIAGNOSIS: ARF 2 AGE WITH MODERATE DEHYDRATION

ROOM: MALE MEDICAL WARD (BED #5)

F: PROVIDE REST AND COMFORT

D: received patient on bed, awake with ongoing IVF of PNSS 1Lx16hrs @200cc/level

Patient appears weak

A: vital signs taken and charted,

>Emphasized on low salt low fat diet.
>advised to decrease OFI.
> raised side rails for safety.
>provided a quiet and calm environment.
> encourage adequate rest.
> encouraged to do activities as tolerated.
> advised caregiver to always be close by him
> Due medications given and recorded.
>needs met.
R: patient was keep comfortable and well rested throughout my shift.

STUDENT NAME: IDI FAITH AFOKE

SECTION/DUTY GROUP: BSaN3Y1-1A

AGENCY: VALENZUELA MEDICAL CENTER

ROTATION OF DUTY: THURSDAY/FRIDAY