SUBJECTIVE- History Chief Complaint: Altered Mental Status. “Patient has been especially drowsy and can barely answer commands.” –Staff member HPI: 76 YO ECF Hispanic male with new onset alt... ered mental status that started approximately 2 hours after a dose of Percocet. The staff report he opens his eyes inconsistently to command and does not reliably respond to verbal stimuli. Staff denied recent facility fall or trauma, but has a + history of seizures and diabetes. This AMS started approximately 30 minutes ago and is worsening (patient becoming more lethargic). The staff report that he did eat his morning meal and received a dose of insulin to cover an elevated BG. According to family, the patient has not taken Percocet in the past. Social Hx: Tobacco: never used Alcohol: former drinker Drug use: denies street drug use Lives with wife Smoke detector in the house: yes Language: English No travel outside US Current Medications: Amlodipine 5mg tablet, once per day Aspirin 81mg, once per day Bisacodyl 10mg suppository. Insert once daily PRN for constipation Carvedilol 3.125mg tablet, BID with meals Clopidogrel 75mg tablet once daily Daily Multivitamin tablet Divalproex 500mg EC tablet, once daily Docusate Sodium 100mg capsule, twice daily for 30 days Ferrous Sulfate 325mg tablet, take once per day with breakfast for 30 days Gabapentin 300mg capsule, once daily Hydrocodone Acetaminophen 5-325 mg per tablet, take 1 tab every 4 hours PRN for pain Insulin Glargine 100unit/mL insulin pen, inject 15 units nightly for 30 days Insulin Lispro 100unit/mL insulin pen, inject 1-10 units 3 times per day with meals for 30 days Insulin Lispro 100unit/mL insulin pen, inject 1-8 units nightly for 30 days Lipitor 40mg tablet, once daily [Show More]
Last updated: 1 year ago
Preview 1 out of 7 pages
*NURSING> SOAP NOTE > NRP 531Tom Walker, Episodic SOAP Note: Already graded A. (All)
Episodic SOAP Note: Tom Walker|NRP 531,Latest 2020 complete, Already graded A.
By Expert1 , Uploaded: Jul 18, 2020
$10
*NURSING> SOAP NOTE > NURS 112 SOAP Note Chest Pain Pennsylvania State University -Download To Score An A (All)
SOAP Note Chest Pain 1. Identifying data: Brain Foster is a 58-year-old Caucasian male. 2. Chief Complaint or Reason for Visit: he c/o having chest pain for 1 month. 3. History...
By Succeed , Uploaded: Aug 03, 2020
$9.5
Health Care> SOAP NOTE > SOAP Note: Cardiovascular Patient: Liam Fitzgerald SUBJECTIVE CC: “Routine follow up for his chronic conditions” (All)
HPI: Mr. Fitzgerald is a 66-year-old male who presents via telehealth for a routine follow up on his chronic heart failure. He provided verbal consent for this telehealth visit. Mr. Fitzgerald repor...
By STUDY-GUIDENOTES , Uploaded: Oct 05, 2022
$7
Health Care> SOAP NOTE > Caroline Casey SOAP (All)
Caroline Casey SOAP
By Ellen Ronald , Uploaded: Jul 29, 2022
$8
Health Care> SOAP NOTE > Episodic SOAP Note: Tom Walker|NRP 531,Latest2019/ 2020 complete, Already graded A (All)
Running head: EPISODIC SOAP NOTE: TOM WALKER 1 Episodic SOAP Note: Tom Walker NRP 531 2021 Professor Sandra Brown EPISODIC SOAP NOTE: TOM WALKER 2 DOS: 4/15/2019 ID: Tom Walker (M) DOB: 6/28/73 (45) C...
By Nancylect , Uploaded: Jul 20, 2022
$9
Health Care> SOAP NOTE > Episodic SOAP Note: Tom Walker|NRP 531,Latest 2019/ 2020 complete, Already graded A (All)
Running head: EPISODIC SOAP NOTE: TOM WALKER 1 Episodic SOAP Note: Tom Walker NRP 531 2021 Professor Sandra Brown EPISODIC SOAP NOTE: TOM WALKER 2 DOS: 4/15/2019 ID: Tom Walker (M) DOB: 6/28/73 (45) C...
By MARKALLAN , Uploaded: Jul 20, 2022
$9
*NURSING> SOAP NOTE > Episodic SOAP Note: Tom Walker|NRP 531,Latest 2020 complete, Already graded A (All)
Running head: EPISODIC SOAP NOTE: TOM WALKER 1 Episodic SOAP Note: Tom Walker NRP 531 2021 Professor Sandra Brown EPISODIC SOAP NOTE: TOM WALKER 2 DOS: 4/15/2019 ID: Tom Walker (M) DOB: 6/28/73 (45) C...
By Prof.Pierro , Uploaded: Jul 20, 2022
$9
*NURSING> SOAP NOTE > ADULT 620 Week 4 make up SOAP note clinical patient (All)
ADULT 620 Week 4 make up SOAP note clinical patient Chief Complaint The patient presents in the clinic today with complaints of loss of voice 6 days ago, has rhinitis and congestion. Says has just...
By Topmentor , Uploaded: Jul 12, 2022
$10
*NURSING> SOAP NOTE > BACTERIAL VAGINOSIS SOAP NOTE (All)
BACTERIAL VAGINOSIS SOAP NOTE KL is a 25-year old female of a Caucasian decent
By Topmentor , Uploaded: Jul 12, 2022
$10
*NURSING> SOAP NOTE > Week 6 SOAP note Patient Initials P.R. A 94 year old female (All)
Week 6 SOAP note Patient Initials P.R. A 94 year old female Chief Complaint Follow-up from last week on peri-area rash. Patient states was in the hospital with a catheter, then in rehab was given ‘...
By Topmentor , Uploaded: Jul 12, 2022
$10
Connected school, study & course
About the document
Uploaded On
Oct 02, 2021
Number of pages
7
Written in
This document has been written for:
Uploaded
Oct 02, 2021
Downloads
0
Views
87
Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students
Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.
Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality
Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.
In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.
We're available through e-mail, Twitter, Facebook, and live chat.
FAQ
Questions? Leave a message!
Copyright © Browsegrades · High quality services·