nursesnotedKS.docx - Nurses note: Patient Concerns: The...

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Nurses note:Patient Concerns:The patient K. Sato is a 6 mo old male here for immunizations as well as a shiny redrash on buttocks.Verified:No known allergies.VItals: BP- 88/46; T-98.9 rectal; RR- 28; Heart rate- 136 BMP Sp02- 98%HEENT:Head- normcephalic. Posterior fontanelle closed, anterior fontanelle remains open and flat.Facial features are symmetrical.Head circumference is 45cm.Ears: Normal structure. No discharge noted.Eyes: No redness, lesions, or tenderness noted.Nose: No discharge or polyps.Mouth: Clear muscosa, tonsils without exudate.Neck: No scars or lesions noted. Trachea is midline and freely mobile.Cardiovascular:Regular rate and rhythm. No edema noted. Capillary refill less than 3 seconds onfingers/toes.
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Term
Fall
Professor
Marlo Robinson
Tags
plantar reflex, muscle rigidity, posterior fontanelle, Fontanelle

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