AGE:  32 YEARS
REASON WHY YOU WERE DISPATCHED:possible overdoes
COMPLAINT: pt stated she was drinking alcohol and has high bp
SUBJECTIVE:patient and husband were fighting during the evening and stated she was drinking alcohol.
OBJECTIVE: pt stated she drank a lot of alcohol a felt like her bp was up. pt not compliant with her bp meds. hx- high bp
TREATMENT:vitals. pt refused to go to the hospital
CHANGES:

SELF REPORT SKILLS

 Directions: Check the box for all the skills you performed for this patient then press the 'Input Skill' button.  Click the delete button to remove extraneous skills.


 

SELF REPORT TAGS

Directions: Check the box for all patient conditions, ages, and procedures (yes, some of the procedures would also be recorded above) that you peformed for this patient then press the 'Input Tag' button.  Click the delete button to remove extraneous skills.

 

 
  Mission Complete, Ready To Do Another PCR or Quit



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