MR. RED KARDEX

1. FATHER SATURNINO URIOS UNIVERSITY
San Francisco St. Butuan City 8600, Region XIII Caraga, Philippines
Nursing Program
Student Nurse: April Tom O. Cuenca Student Nurse: December 10, 2021
Patient: Mr. Red Age: 64 years old
KARDEX
Diet: NPO Interventions IVF
(indicate date and time started)
Room Number: 104 - Referred to a gastroenterologist for
colonoscopy
- Underwent physical examination
and diagnostic test (positive stool
guaiac test)
- Referred to surgery
- Admitted to surgical intensive care
unit (SICU) with large
serosanguineous drainage on the
abdominal dressings
- Given oxygen inhalation via nasal
cannula @ 2LPM
- Vital signs taken
- Removed and changed soiled
surgical dressings
1 D5NSS 1L @30gtts/min [DONE]
2 D5NSS 1L @30gtts/min
3 D5NSS 1L @30gtts/min
4 D5NSS 1L @30gtts/min
Chief Complaints:
Fatigue
Intermittent constipation
Abdominal bloating
Admitting Diagnosis:
Adenocarcinoma of the
colon
Patient’s Name:
Mr. Red
Age:
64 years old
Date of Birth:
N/A
Special Procedures
• Fecal occult blood test or
stool guaiac test (+)
• Complete blood count with
the following: [all normal]
a. Differential
b. Basic Metabolic Panel
(BMP)
c. Carcinoembryonic antigen
(CEA)
• Colonoscopy (5cm mass in
the sigmoid colon,
adenocarcinoma of the
colon on Dukes’ stage B)
• Distant metastatic workup (-)