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.
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- 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.
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- 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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