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medical documentation
created Tuesday June 17, 07:23 by mohannadq9
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The patient was admitted with symptoms of hypertension, tachycardia, and acute respiratory distress. Vital signs were monitored every four hours. Administer intravenous fluids and monitor oxygen saturation levels. The attending physician requested a complete blood count and chest X-ray. Document all findings in the electronic medical record. Assess for signs of infection, including elevated white blood cells and fever. Notify the on-call cardiologist if arrhythmias persist. Discharge planning should include follow-up with primary care and medication reconciliation. Ensure proper hand hygiene and use of personal protective equipment.
