Endorsement Kardex

CAPITOL UNIVERSITY COLLEGE F NURSING ENDORSEMENT KARDEX Name of Patient: ___________________________ Age: ______ Marital Status: ________________ Mental Status: ____________________________

Religion: ___________ Date of Admission: _______ Chief Complaints: __________________________ Medical Diagnosis: _________________________ Attending Physician:

_______________________ IVF/ BLOOD DIET

SPECIAL ENDORSEMENT

Nam e& Vol.

Ordered Regulatio n

Tim e

Lev el

Amt. IVF to Consume follow d

LABORATORY/DIAGNO STIC EXAMS AND RESULTS

NURSING DIAGNOSES

 arxe 

MEDICATIONS

Generic Name Brand Name Dosage Route Frequency

# of stocks

1

2

Timing and frequency

1

2

VITAL SIGNS Nursing Precautions/ Responsibilities Before and During administration

TIME

BP

HR

RR

TEMP

O2 sat

INTAKE

OUTPUT

TIME ORAL 1 2 1 2 1 2 1 2 1 2

NAME OF PATIENT: ______________________ NAME OF STUDENT: ____________________ DATE: _________________

1 2 1 2 1 2

IV

URINE

OTHERS