Kardex By Ray
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Diet of your patient:
Name of Student: Name of Patient: Age: Chief complain: Marital Status: Medical Diagnosis: General Objectives: Religion: Date of Adm: Attending Physician:
Special Endoresment:
Laboratory/diagnostic Exam Results:
VITAL SIGNS
Time
Temp
PR
BP
O2 Nursing Diagnosis (3 Priority):
No. of Stools: No. of Urine: IVF/BLOOD Name
Order Reg.
Time
Level
Amount
IVF to Follow
I/O
Time
Oral
INTAKE Tubal
Parenteral
Total
Urine
Patients Name:
OUTPUT Suction Others
Total
Name of Student: Name of Patient: Age: Chief complain: Marital Status: Medical Diagnosis: General Objectives: Religion: Date of Adm: Attending Physician:
Special Endoresment:
Laboratory/diagnostic Exam Results:
VITAL SIGNS
Time
Temp
PR
BP
O2 Nursing Diagnosis (3 Priority):
No. of Stools: No. of Urine: IVF/BLOOD Name
Order Reg.
Time
Level
Amount
IVF to Follow
I/O
Time
Oral
INTAKE Tubal
Parenteral
Total
Urine
Patients Name:
OUTPUT Suction Others
Total
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