Why is your patient in the hospital (use own words and include the HX: of present illness

/in /by

A 52-year-old patient has just arrived in the Emergency Department with complaints of severe abdominal pain, nausea, and vomiting over the last few days. His abdomen is distended. He has poor skin turgor and dry mucous membranes. He has not urinated since yesterday. He has felt “dizzy” and “weak” all evening. He thought it might be the flu, but decided to come in because the stomach pains were getting worse. He has signed informed consent for treatment and labs have been drawn.

 

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M/F

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 Diagnosis:

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Allergies:

 HCP:

Consults:

 Isolation:

Fall Risk:

Transfer:

 IV Type:

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Fluid/Rate

 Critical Labs: Other Services:

Consults Needed:

Date: Student name: Assigned vSim:

Why is your patient in the hospital (use own words and include the HX: of present illness
Health history/Comorbities (that relates to the hospitalization:
Shift Goals/ Patient Education Needs

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Path to discharge:
Path to death or injury: