DOB: 4/06/2022
MRN: 987573
| Time | Provider | Notes |
|---|---|---|
| 0800 | Mary Rolland, RN | Patient brought to urgent care by mother with complaints of inconsolable crying and skin feeling warm to touch. No medications given prior to arrival. Infant screaming at triage. |
| Status | Time | Ordering Physician | Order |
|---|---|---|---|
| Active | 0800 | Johhanna Bach PA | acetaminophen (Tylenol 160mg/5ml) liquid suspension 120mg PO now |
| Active | 0800 | Johhanna Bach PA | 0.9% Normal Saline Solution IV bolus 20ml/kg over 1 hour now |
| Time | 0800 |
|---|---|
| Weight | 9kg (20lb) |
| Heart Rate | 150 |
| Blood Pressure | 70/38 |
| Respiratory Rate | 50 |
| Pulse Ox | 92% on Room Air |
| Temperature | 102.4 F Axillary |
| Pain | NOT MEASURED |