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.