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Ob Fdar

This document contains 3 patient summaries: 1) 18-year-old post-NSD patient who is conscious, on diet, oral medications and IV fluids with monitored urine output and vitals. 2) 20-year-old post-NSD patient also on diet and oral medications with IV completion and monitored output and vitals. 3) Newborn baby boy who was delivered via NSD, is pinkish and active on breastfeeding being monitored for feeding and screening with regular vitals checks.

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Jene Lyn
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
3K views

Ob Fdar

This document contains 3 patient summaries: 1) 18-year-old post-NSD patient who is conscious, on diet, oral medications and IV fluids with monitored urine output and vitals. 2) 20-year-old post-NSD patient also on diet and oral medications with IV completion and monitored output and vitals. 3) Newborn baby boy who was delivered via NSD, is pinkish and active on breastfeeding being monitored for feeding and screening with regular vitals checks.

Uploaded by

Jene Lyn
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Moralda, Jenelyn

MaQuilan, SN
Bsn 4- Orem

ℑ Follow-up laboratory exams


ℑ (+) urine output
1) Patient name: Chiyuto, Margarette
ℑ VS every 4 hours
Age: 18
ACTION:
Dx.: S/P NSD
ℑ Continue oral medications
FOCUS: ℑ Monitored IVF
ℑ Continuation of post-operative care ℑ Advised perineal care
DATA: ℑ Monitored for active bleeding
ℑ Conscious and coherent RESPONSE:
ℑ On Diet as tolerated ℑ (-) Active bleeding
ℑ With oral medications ℑ Patient feels better
ℑ Hooked on D5LR IL + 10 units of ℑ Kept rested
syntocinon x 8 hours ℑ Endorsed
ℑ Follow-up laboratory exams
ℑ (+) urine output Moralda, Jenelyn MaQuilan, SN
ACTION:
ℑ Continue oral medications
3) Patient name: Baby boy Villas
ℑ Monitored IVF; to consume as ordered Age: 1 day old
ℑ IVF resumed @ 8:31am Dx: Delived via NSD
ℑ Advised perineal care
RESPONSE: FOCUS:
ℑ Patient feels better ℑ Newborn care and management
ℑ Kept rested DATA:
ℑ Endorsed ℑ Received patient from nursery room
ℑ pinkish
Moralda, Jenelyn MaQuilan, SN ℑ active
ℑ on breastfeeding with good sucking
ℑ on MGH
2) Patient name: Dimaampao, Jariyah
Age: 20 ℑ Follow-up new born screening
Dx: S/P NSD ℑ VS every 4 hours
ACTION:
FOCUS: ℑ Follow-up new born screening
ℑ Post-transfer assessment ℑ VS every 4 hours
DATA: ℑ Monitored for enhanced breastfeeding
ℑ Received patient from delivery room RESPONSE:
ℑ Conscious and coherent ℑ Kept dry and comfortable
ℑ On Diet as tolerated ℑ Kept rested
ℑ With oral medications ℑ Endorsed
ℑ IV medications for completion
ℑ Hooked on D5LR IL + 10 units of Moralda, Jenelyn MaQuilan, SN
syntocinon x 8 hours

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