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  • 7/21/2019 SOAP Edited

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    Subjective Objective Problem Medis Current Therapy DRPs Plan

    Monitoring Suggestion

    Anorexia

    ethargy poor s!in turgor

    poor muscle tone

    irregular pulse rate

    decreased bo"el

    sounds

    #elt uncom#ortable

    in

    loss o# appetite

    nausea

    vomiting$ and

    diarrhea as

    gastrointestinal

    motility

    increases

    blurred vision$

    visual

    disturbances

    %yello"&green

    halos andproblems "ith

    color perception'

    (nsomnia

    nightmares$

    agitation$ and

    depression$

    potassium %)' *+,

    m-./ 0under thenormal value1

    sodium %2a' 345

    m-./ 0normal1

    chloride %Cl' ,6

    m-./ 0under

    the normal value1

    blood pressure

    357/,7 mm8g 01

    pulse 96

    beats/minute

    irregular and

    respirations

    4:/minute

    8eart #ailure %8;'

    Myocardialin#arction

    digoxin %anoxin'

    #urosemide%asix'

    potassium

    chloride %)Cl '

    *: m-. perday

    orally

    Contraindication