Nursing soap note homework | Nursing | Homework

3. I10-Essential (primary) Hypertension

· Continue medication · Keep track of the BP readings. · Cut down coffee intake · continue the low salt diet and exercise on a daily basis. · Pt. advised to avoid stress. · call us if the SBP is more than 150. PRESCRIPTION ORDERS:Amlodipine Besylate 10MGTAKE 1 TABLET BY MOUTH EVERY DAY1 Refills # 90(Ninety),Norvasc 10MG1 po Q d1 Refills # 90(Ninety) Body Mass Index: 18.4- eat plenty of healthy foods to maintian caloric intake Weight: 107 Height: 64Fall Risk Screening 65 Years And Older:How many times in the past year did you fall: 0 or one fall Confirm Patient has walker/cane or other ambulatory assistance: No How often does it happen to you that you think you are about to fall, but manage to grab something and then don’t fall: Never or rarely have near falls Follow up can include visit with PCP, Specialist or Physical Therapy.: Yes

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