Week six focused SOAP note NURS 6531   NURS 6531 Week six focused SOAP note - NURS 6531 Week 6 SOAP note   Week six focused SOAP note NURS 6531   NURS 6531 Week six focused SOAP note - NURS 6531 Week

************ * **************** six focused SOAP noteNURS ************************************************* Indigestion *** uti symptoms”HPI:The patient is * *** ******** ********* ****** *** *** c/o abdominal **** frequency ******* ******* *** ****************** ***** started two **** *** **** is highest at **** however is ********* ** rest and ********* **** ********* *** ******** **** ******** ** felt ** abdomen when ******** ** increased *** ******** slightly with ******** is somewhat ******** ** ************** ** * pressure type **** ** ***** ****** *** ** exacerbated **** ****** It comes and **** *** ************ ****** with ******** ****** vomiting diarrhea hematuria ********** ***** ** ******** ** ************** ************ ******* **** ** **** dailyTylenol325mg: 2 ******* ** ****** every 8 ***** for painALLERGIES: *********** ***************** **** ****** ******** 1988 *** **** with hospitalization **** ******************* alive; HTN ****** ****** no *********** ******* kidney ******** ****** recipient from ************ ******** ******* abuse **** **** ******* ***** **** ******* ** ******************* ** weight **** ***** chills ******** ** ************* Eyes: ** ****** **** ******* vision ****** ****** ** ****** ******* ****** and conjunctiva ******** for ******* ** ******** **** **** ******* No ******* **** sneezing congestion ***** nose or **** *********** ** rash or ********************** ** chest pain ***** ******** or ***** discomfort ** ************ ** edemaRESPIRATORY: No ********* ** ****** ****** ******** or ********************** No ******** ******** ****** with ************ *********** ** ******** ** diarrhea **** abdominal **** and ******** *** ***** **** *** No blood or ****** ** ***** ******** ************************ ** hematuria no odor pain **** urination ******* urgency *** ********* Left ****** only due ** ********************* ** ******** ** ********* ******* paralysis ****** numbness ** ******** ** *** extremities No ****** ** bowel ** bladder *********************** ** muscle **** **** ***** **** ** ******************** No enlarged nodes ** history ** ********************* No history ** asthma or eczema   OVS: ** ******* P *** * 16; * 982; 02 *** Wt135lbs6136 *** Ht67 ”BMI ******************** *** ******** ** apparent distress *** *** ************************ ***** regular **** no ******************************* Lungs *** ***** to ************ *** ********** *********** No ************************ *********** ********* ** cough *********** ****** ******** **************** ****** ********** ** ******************* ******* No ***** or erythema ** ****** **** and ******* ********* pharynx ************ tonsils normal **** *** *** ** exudatesEyes: ****** *** ****** *** ******* non-reddened ****** and *********** non-reddened ** ******** ** ********* tearing ***** *** ****** ***** ** intact *********** with ****** ***** ************* ** redness or ******** ** ********* ** ***** ******** ** **** upon *********** ** sinusesSkin: No ****** ** ******* ** ********* ******* ** open ****************** ***** and ******** ******* ********* *********************** ** abnormal ******** **** Soft ****** ** ********* ********* ***** ********* **** ****** ** upper ********* ** ******** ***** ****** ****** x4 No aortic abnormalities ************ ** ******* ********** ** ******** **** not enlarged ******** ************* ** CVA ********** with ******************* results: *** ** ***** ******* ******** ******** ******* ********* ******* returned as od ***** **** **** *** ***** ************ testing to ******** ***** ******* ********* * *** *** *** **** **** ** ********* to **** *** ******* *********** ******** ***** *** ****** ***** ***** ******* *** ******** ***** countAPrimary ********************* Diagnosis: ************ Patient ********* Patient *** ****** *********** lower abdominal **** and ******* ******** ***** ***** ** ******* to **** if ***** ** * ******** ** *** intestines and bladder **** stool **** ********* **** ******** ******** of ******* ***** ********* ******* **** can ** **** ** cases ** constipation ** *** ***** ** ***** to *** ******* ***** For ******** **** ******** constipation ******* and ***** symptoms *** **** be common (Buttaro ** al2017 pp646) This may be ******* with comfort measures **** ****** *** *** *********** ** ***** ******* **** ** a ***** ******************** ************ Diverticulitis: *** ******* ****** ** ********** ** **** this ** *** symptoms *** often ** urinary *** women *** sometimes **** *** ******** ** they *** having urinary tract ********** or ******** ** it *** ***** *** **** ***** ******* ******* ** ******** *** ******* may and *** ******* with ************ have * ****** ****** ********* **** in *** **** ***** ******** ** **** ** ******* ***** ********** and ****** ******* et ** ***** ** **** **** ** ********* * *********** *** ****** ** ******* ************** **** *** ******* *** ******** ** *********** and ****** ***** as **** ** * ****** ******** ********* and *** common ******* ******** indigestion ** ********* **** ** ******** *** this ******* * ***** want ** check *** ***** ***** *** symptoms ** well ** * ********* Buttaro ** ** ***** pp672) She ** **** taking ** **** ****** *** **** is ** ********* **** for ********** **** ****** (Drugscom2017)3) Urinary tract ********** ******* may **** ** infection ***** *** ***** **** ** ** culture ** is ********* ** send ***** *** ******* ** ******* ******* a ********* Patient *** * ******* ** these infections ***** ********* **** ******* ******** **** ****** *** ** ***** *** ***** ******* ********** ******** her labs ***** ***** were only *** ***** ********************** patient ** **** in ** *** *** *** ***** workto **** *** ******* related ******** Sent UA *** ******* *** **** patient if bacteria ** ***** ******* ** follow up with *** in ***** **** ********* urinary ******** ******* should ****** to urgent ***** ** ** symptoms ******* ****** or *** symptoms ***** **** ****** and **** *** current ******** *** *** continue **** ******* *** *** ** ****** *** **** ******* *** ****** ***** **** **** ** bananas **** ****** ***** OTC ****** ** Prilosec *** ** used to ****** indigestion ***** ******** or ******** ** treat constipation Takeaways: I **** **** ******* ** **** *********** ******* ** being * ***** *** becoming ********* *** **** * ******** ********* **** ****** be ********** *** ruled *** ***** to ***** ********* *** ******** pointed ** * UTI ******* * feel **** ** is always important ** ******** **** her ********** of nausea and *********** should *** ** ruled *** ** ***** ******* or *********** ******* **** ****** ** ******** ** the patient *** ***** *** **** ******* ******* ** ********* previously ** prevent ******* ********* more ******* Prior ** **** **** * *** *** **** **** women ***** in **** **** ************** *** **** it *** ** being seen *** ******* ******** *** ********** ********* to ***** ******* ** ** ********* ** complete * **** ********** including any *** ********** abdominal ********** tenderness ***** ****** *** ***** assessment ******** to ****** that *** *** *** ******* anything ******** ********* (2013d)                    References:Buttaro * * Trybulski * ****** Bailey * & Sandberg-Cook * (2017) Primary ***** * collaborative ******** **** *** ** ***** *** **************** **** *********** ******** * 2017)Retrieved from:https://wwwdrugscom/pro/celexahtml Laureate Education *** (Executive ********* (2013d) Case ****** Female ********* disorder ********* *** ******

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