The Presbyterian Hospital
          in the City of New York
   Columbia - Presbyterian Medical Center
         New York, NY 10032 - 3784

   NURSING DATA BASE FLOWSHEET
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DATE    8/26/93                         7A TO: 7:30/P
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NEUROLOGICAL        Observations at 12Noon and 5P.M.
     A(lert) & O(riented) X 3   Moves all extremities well.  Pupils
(? 4 - mm),  PERL (pupils equal reactive to light).   On seizure precaution,
 speech clear.  
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PSYCHOLOGICAL
calm   cooperative   no sign of agitation

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RESPIRATORY
 Resp(irations) regular, unlabored, symmetrical breath
sounds.  Lung fields clear
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CARDIO-VASCULAR  Observations at 1,2, and 7P.M.
SR (Sinus Rhythm)  (?without) ectopy    QRS int(erval) 0.08 sec  no
chest discomfort   (?w/   H pulses),  no edema   D5NS
infusing at 200 cc/hour
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GASTROINTESTINAL
    Abd(omen) - soft.  non-tender      +Bowel Sounds  NPO

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GENITO/URINARY
    Foley to (?S.P.)  draining clear, yellow urine

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INTEGUMENTARY   Observation at 1P.M.
 Skin warm & dry    nail beds pink   complexion
pink   W(ith) I.V. (?right) arm.   started 8/25
Site - erythematous with swelling.  Skin integrity at back intact
with  (?swelling) erythematous (?areas) of face
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MUSCULOSKELETAL
 moving freely.   condition normal.   With /  Protective
devices wrists and chest.
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COMFORT
no specific discomfort presently

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REPRODUCTIVE
  no penile discharge

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                                     SIGNATURE A Bryant   TITLE RN

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