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Far Eastern University Institute of Nursing

I.

Biographic Data

Name: PPQ Address: Las Pinas City Age: 72 years old Gender: Female Religious Affiliation: Roman Catholic Marital Status: Married Occupation: None Chief Complaint: Blurred, cloudy and dry eyes Provisional Diagnosis: Cataract Attending Physician: Dr. Briones

II.

Nursing History

A. Past Health History

Childhood Illness

The patient said that she had measles and chicken pox when she was a child. The patient said that she is not completely immunized.

Allergies

According to the patient she has allergies to bagoong and when it comes to medications, she doesnt have allergies.

Accidents Ther are no accident happened to the patient.

Hospitalizations The patient said that she had ligation during the 1960s.

Medications used or currently taken Carbidilol Caltrate (Calcium Supplement) Mydriatic eye drops Lidocaine Bupivicane Alcaine Trypan Blue Nevanac Ciloxan

Foreign travel The patient said that she went to US but cant recall the date..

B. History of Present Illness The patient complained of blurred, cloudy and dry eyes last September 13 so she decided to went to the hospital to have her eyes checked.

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