Summary
A medical summary regarding the patient's respiratory status, symptoms, vital signs, and recent clinical observations.
Patient Ward Progress Update
Highlights
Clinical Status and Symptoms
The patient is breathing on room air but exhibits a persistent cough, nausea, and vomiting, resulting in poor oral intake. They are currently shivering despite having an elevated temperature.
Vital Signs and Laboratory Results
Patient vitals show a GCS of 15/15, BP of 116/80, pulse of 116, and oxygen saturation at 91%. Temperature readings are elevated between 38.3 and 39.6 degrees Celsius. Laboratory markers indicate a CRP of 88, PCT at 0.08H, and low hemoglobin at 10.8L.
Management and Care
The patient has been evaluated by physiotherapy and dietetics services, and a peripheral line remains in situ for ongoing care.