Patient: Indira Desai
作者:Autumn Hirsch

1. Vital Signs
1.1. Temp: 100.5 F
1.2. RR: 30
1.3. P: 110
1.4. B/P: 142/90
1.5. Pain rating: 3/10
1.6. O2 Stat: 98
2. Secondary DX: Anxiety Disorder
2.1. Theraputic Interventions
2.1.1. Relaxation Techniques
2.1.2. Teach pursed lip breathing
2.1.3. Guided imagry
2.1.4. Spousal support
2.1.5. Administer PRN meds
3. Safety concerns
3.1. Assist patient to a safer and more comfortable position
3.2. Lower the bed
3.3. Ensure call light is within reach
3.4. Allergy to shellfish
3.5. Ask about known status of dog
4. Medications
4.1. Morphine
4.1.1. Hep lock IV in right hand