07:30 Alert, awake, orientated to person place and time. Follows commands. Skin warm and dry. Respirations unlabored @18. Apical Pulse = 82, regular. Bowel Sounds absent. Hand grasps equal. O2@ 4L via nasal cannula. IV D5/1/2NS infusing @100 to R forearm via pump. Site clean and dry with no swelling or redness. Abdominal dressing dry and intact. Foley draining clear amber urine. Compression boots in place. TEDS in place. Bed in low position, call bell in reach, siderails. M. Nurse, BCNS
07:30 Alert, awake, orientated to person place and time. Follows commands. Skin warm and dry. Respirations unlabored @18. Apical Pulse = 82, regular. Bowel Sounds absent. Hand grasps equal. O2@ 4L via nasal cannula. IV D5/1/2NS infusing @100 to R forearm via pump. Site clean and dry with no swelling or redness. Abdominal dressing dry and intact. Foley draining clear amber urine. Compression boots in place. TEDS in place. Bed in low position, call bell in reach, siderails. M. Nurse, BCNS
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07:30 Alert, awake, orientated to person place and time. Follows commands. Skin warm and dry. Respirations unlabored @ 18. Apical Pulse = 82, regular. Bowel Sounds absent. Hand grasps equal. O2 @ 4L via nasal cannula. IV D5/1/2NS infusing @ 100 to R forearm via pump. Site clean and dry with no swelling or redness. Abdominal dressing dry and intact. Foley draining clear amber urine. Compression boots in place. TEDS in place. Bed in low position, call bell in reach, siderails . M. Nurse, BCNS
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07: 30, Alert awake orientated to, person place and time. Follows commands. Skin warm and dry. Respirations unlabored @ 18.? Apical Pulse = 82 regular. Bowel, Sounds absent. Hand grasps equal. O2 @ 4L via nasal cannula. IV D5 / 1 / 2NS infusing @ 100 To R forearm via pump. Site clean and dry with no swelling or redness. Abdominal dressing dry and intact. Foley draining Clear amber urineCompression boots in place. TEDS in place. Bed in low position call bell, in reach siderails , . M. Nurse, the BCNS
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