NURSE PRACTITIONER SOAP NOTE
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Patient’s name: Number 10 Age: 64 Gender: M SUBJECTIVE DATA: Chief Complain (CC): The patient is in the hospital for his normal monthly check-ups History of the present illness (HPI): Patient num... ber 10 is 64 years old and he is a Native American. The patient is in the hospital for the monthly check-up of his hypertension condition. The client reports to have improved as the symptoms are mild. The blood pressure is 136/ 80. He also complained of a dry cough that has lasted for two weeks. Medications: Protonix 40g daily Lisinopril-Hydrochlorothiazide 20-12.5 mg, 1 tablet daily Amlodipine Bestyle 5g tablet daily Clonidine 0.2 mg daily Spironolactone 50mg daily Dextromethorphan Allergies: The patient has no allergies from food, environment, medications or insects Past Medical History (PMH): Hypertension as from 2011 Past Surgical History (PSH): None Personal/Social History: Non-smoker. [Show More]
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