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DUTY DAY 1

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DUTY DAY 1
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  • Greg, after gathering with the rest of his group mates for endorsement, proceeded writing down notes.
  • 7 AM
  • Patient's complaint is dyspnea.Remaining IV ng patient is 550 cc to run at 60 cc/hr.
  • On bed c, patient Chan, Honey. 57 y.o. female diagnosed with lung abscess.
  • _
  • _
  • Greg, after performing hand hygiene, proceeded with bedside rounds.
  • Lisod kaayo ko magginhawa, sir.
  • 7:20 AM
  • Maayong buntag, po, ma'am. Ako po si Greg, ang nurse assigned sa imoha karon na adlaw.
  • Unsa ang imohang bati karon, ma'am?
  • Greg, after taking the patient's VS and monitored I&O, proceeded with bedside care.
  • 8:25 AM
  • Placed the patient on semi-Fowler's position at 8:15 am.
  • Adjusted IV to run at 60 cc/hr.
  • I-adjust ko ang oxygen flow rate to 5 L/min, as indicated ng doctor's order.
  • Greg recited his drug study of piperacillin in front of his clinical instructor.
  • Ma'am. Ang medication po ng patient ko ay Piperacillin, po. Antibiotic po ito. Given IV sa patient, po. Since every 6 hrs po ito at ang last dose ni patient kay 7 am, oras na ibigay sa kanya ang gamot dahil 1 pm na, po.
  • 1:00 PM
  • Instruct the patient to report any signs of adverse reactions such as pruritus and/or erythema.
  • Greg presented his FDAR to his clinical instructor for evaluation.
  • 1:30 PM
  • Follow the doctor's order, ha? Huwag itong gawin na independent nursing action unless indicated.
  • Ang focus ko po is impaired gas exchange related to pulmonary obstruction.I administered oxygen therapy 5 L/min, as indicated at 8:25 am, po.
  • Opo, ma'am.
  • _
  • After final VS plotting and endorsement of the patient's I&O to the nurse on duty, Greg bid farewell to his patient at the end of his shift.
  • 3:30 PM
  • Salamat din kaayo, sir.
  • Ma'am, nahuman na po ang akong shift karong adlawa. Daghang salamat, po, sa inyohang kooperasyon.
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