Where There Is No Doctor 2017
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- Derrick Barber
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1 DOSAGE BLANKS for giving medicines to those who cannot read (see p. 64)
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3 DOSAGE BLANKS for giving medicines to those who cannot read (see p. 64)
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5 DOSAGE BLANKS for giving medicines to those who cannot read (see p. 64)
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7 PATIENT REPORT TO USE WHEN SENDING FOR MEDICAL HELP Name of the sick person: Age: Male Female Where is he (she)? What is the main sickness or problem right now? When did it begin? How did it begin? Has the person had the same problem before? When? Is there fever? How high? When and for how long? Pain? Where? What kind? What is wrong or different from normal in any of the following? Skin: Ears: Eyes: Mouth and throat: Genitals: Urine: Much or little? Color? Trouble urinating? Describe: Times in 24 hours: Times at night: Stools: Color? Blood or mucus? Diarrhea? Number of times a day: Cramps? Dehydration? Mild or severe? Worms? What kind? Breathing: Breaths per minute: Deep, shallow, or normal? Difficulty breathing (describe): Cough (describe): Wheezing? Mucus? With blood? Does the person have any of the SIGNS OF DANGEROUS ILLNESS listed on page 42? Which? (give details) Other signs: Is the person taking medicine? What? Has the person ever used medicine that has caused a rash, hives (or bumps) with itching, or other allergic reactions? What? The state of the sick person is: Not very serious: Serious: Very serious: On the back of this form write any other information you think may be important.
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9 PATIENT REPORT TO USE WHEN SENDING FOR MEDICAL HELP Name of the sick person: Age: Male Female Where is he (she)? What is the main sickness or problem right now? When did it begin? How did it begin? Has the person had the same problem before? When? Is there fever? How high? When and for how long? Pain? Where? What kind? What is wrong or different from normal in any of the following? Skin: Ears: Eyes: Mouth and throat: Genitals: Urine: Much or little? Color? Trouble urinating? Describe: Times in 24 hours: Times at night: Stools: Color? Blood or mucus? Diarrhea? Number of times a day: Cramps? Dehydration? Mild or severe? Worms? What kind? Breathing: _Breaths per minute: Deep, shallow, or normal? Difficulty breathing (describe): Cough (describe): Wheezing? Mucus? With blood? Does the person have any of the SIGNS OF DANGEROUS ILLNESS listed on page 42? Which? (give details) Other signs: Is the person taking medicine? What? Has the person ever used medicine that has caused a rash, hives (or bumps) with itching, or other allergic reactions? What? The state of the sick person is: Not very serious: Serious: Very serious: On the back of this form write any other information you think may be important.
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11 PATIENT REPORT TO USE WHEN SENDING FOR MEDICAL HELP Name of the sick person: Age: Male Female Where is he (she)? What is the main sickness or problem right now? When did it begin? How did it begin? Has the person had the same problem before? When? Is there fever? How high? When and for how long? Pain? Where? What kind? What is wrong or different from normal in any of the following? Skin: Ears: Eyes: Mouth and throat: Genitals: Urine: Much or little? Color? Trouble urinating? Describe: Times in 24 hours: Times at night: Stools: Color? Blood or mucus? Diarrhea? Number of times a day: Cramps? Dehydration? Mild or severe? Worms? What kind? Breathing: Breaths per minute: Deep, shallow, or normal? Difficulty breathing (describe): Cough (describe): Wheezing? Mucus? With blood? Does the person have any of the SIGNS OF DANGEROUS ILLNESS listed on page 42? Which? (give details) Other signs: Is the person taking medicine? What? Has the person ever used medicine that has caused a rash, hives (or bumps) with itching, or other allergic reactions? What? The state of the sick person is: Not very serious: Serious: Very serious: On the back of this form write any other information you think may be important.
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13 PATIENT REPORT TO USE WHEN SENDING FOR MEDICAL HELP Name of the sick person: Age: Male Female Where is he (she)? What is the main sickness or problem right now? When did it begin? How did it begin? Has the person had the same problem before? When? Is there fever? How high? When and for how long? Pain? Where? What kind? What is wrong or different from normal in any of the following? Skin: Ears: Eyes: Mouth and throat: Genitals: Urine: Much or little? Color? Trouble urinating? Describe: Times in 24 hours: Times at night: Stools: Color? Blood or mucus? Diarrhea? Number of times a day: Cramps? Dehydration? Mild or severe? Worms? What kind? Breathing: Breaths per minute: Deep, shallow, or normal? Difficulty breathing (describe): Cough (describe): Wheezing? Mucus? With blood? Does the person have any of the SIGNS OF DANGEROUS ILLNESS listed on page 42? Which? (give details) Other signs: Is the person taking medicine? What? Has the person ever used medicine that has caused a rash, hives (or bumps) with itching, or other allergic reactions? What? The state of the sick person is: Not very serious: Serious: Very serious:
Where There Is No Doctor 2011
DOSAGE BLANKS for giving medicines to those who cannot read (see p. 64) DOSAGE BLANKS for giving medicines to those who cannot read (see p. 64) DOSAGE BLANKS for giving medicines to those who cannot read
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