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    Kardex

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    Harold Haze Cortez
    The patient is to receive Lovenox teaching, albuterol treatments every 6 hours as needed, and range of motion exercises every 2 hours while awake. Vital signs are to be monitored closely and the physician notified of any abnormalities. The patient should keep their head elevated at least 45 degrees and use supplemental oxygen, continuous monitoring, and respiratory treatments as ordered. Wound care and output monitoring are also ordered.

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    Kardex

    Uploaded by

    Harold Haze Cortez
    1K views1 page
    The patient is to receive Lovenox teaching, albuterol treatments every 6 hours as needed, and range of motion exercises every 2 hours while awake. Vital signs are to be monitored closely and the physician notified of any abnormalities. The patient should keep their head elevated at least 45 degrees and use supplemental oxygen, continuous monitoring, and respiratory treatments as ordered. Wound care and output monitoring are also ordered.

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    Kardex

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    The patient is to receive Lovenox teaching, albuterol treatments every 6 hours as needed, and range of motion exercises every 2 hours while awake. Vital signs are to be monitored closely and the physician notified of any abnormalities. The patient should keep their head elevated at least 45 degrees and use supplemental oxygen, continuous monitoring, and respiratory treatments as ordered. Wound care and output monitoring are also ordered.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views1 page

    Kardex

    Uploaded by

    Harold Haze Cortez
    The patient is to receive Lovenox teaching, albuterol treatments every 6 hours as needed, and range of motion exercises every 2 hours while awake. Vital signs are to be monitored closely and the physician notified of any abnormalities. The patient should keep their head elevated at least 45 degrees and use supplemental oxygen, continuous monitoring, and respiratory treatments as ordered. Wound care and output monitoring are also ordered.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    P

    R
    O
    O
    F
    Lovenox teaching kit
    Albuterol 2.5mg/3ml Normal Saline via nebulization every 6 hours
    around the clock times 24 hours then every 6 hours as needed
    Dangle at bedside tonight, may ambulate with assist
    Active range of motion to lower extremities every 2 hours while awake
    Keep head of bed elevated at least 45
    Overhead trapeze
    Knee high ted hose & Sequential Compression Device
    Vital signs on admit every 30 minutes times 2, every 2 hours times 4, then every 4 hours
    Notify physician of heart rate/pulse >120 beats/minute
    Notify physician if temp >101
    Foley to dependent drainage
    I & O every 4 hours, notify physician if output <125ml in 4 hours
    Wound care: Change abdominal dressings with/dry sterile gauze
    every 48 hours and when saturated/stained
    Home care follow up
    Provide education for smoking cessation
    O2 via nasal canula @ 1-6 liters/minute for saturation <93%
    Continuous SpO2 for 24 hours then every 4 hours and as needed
    Notify physician if <=88% SpO2
    Cough & deep breathing, Incentive Spirometer 10 times/hour while awake
    Secretion clearance technique
    Initiate influenza/pneumonia vaccine order sheet
    Abdominal binder when sitting up in chair and ambulating
    Abdominal binder on at all times
    Jackson Pratt bulb to suction
    8
    7
    1
    0
    0
    4
    4
    6
    2
    8
    LAB WORK DIET
    Date
    Ordered
    PHYSICIANS ORDERS
    ACTIVITY & TRANSPORTATION
    PERSONAL HYGIENE
    PROFILE & HABITS
    RADIOLOGY/MEDICAL IMAGING
    RESPIRATORY THERAPY
    NURSING ORDERS/DISCHARGE PLANNING
    NURSING KARDEX
    CBR BRP Assist
    Commode Chair Hoyer Assist
    Ambulation Assist
    Up ad lib
    Travel by: Stretcher Wheelchair
    1 person
    2 person
    Self Care Shower Tub
    Complete bath Assist bath Foley care
    Peri Care Oral Care Dentures
    Turn & Position Foot Care
    Other Pertinent Info:
    Yes
    No
    Blind Glasses Contact lenses
    Deaf HOH Hearing Aid
    Prosthesis: Limb Eye Other
    Smoker: Yes No
    ALLERGIES & TYPES OF REACTIONS:
    CODE STATUS: RESTRAINTS & SAFETY: VALUABLES: ADVANCE DIRECTIVE:
    PATIENT ADDRESS & TELEPHONE SIGNIFICANT OTHER: (Name, Relationship, Address, Telephone)
    ADMITTING DIAGNOSIS OTHER DIAGNOSED DISEASES OPERATION DATE OR DELIVERY
    PHYSICIAN CONSULTANTS
    ROOM# DATE OF ADM. AGE NAME UNIT # CONDITION
    RELIGION ANOINT
    Yes No
    In Safe
    Yes No
    Name:
    Telephone:
    FORM 3038E 1/08
    HENRY FORD
    WYANDOTTE
    HOSPITAL
    FACE
    1
    A
    NOT A PERMANENT PART OF MEDICAL RECORD
    BARIATRIC ORDERS
    Date/Time
    To Be Done

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