NU653's Unit 2 notes follow one composite patient from presumed bacterial meningitis to confirmed herpes encephalitis, each opening on what changed overnight and naming every drug stopped beside every drug begun. Searches like "nu 653 unit 2 assignment example", "nu653 unit 2 sample" and "nu653 unit 2 example" land here.
What a finished NU653 Unit 2 serial progress notes looks like
Three notes of roughly a page each, dated hospital days one, two and three in problem-oriented format. Day one leads with suspected bacterial meningitis: fever of [102.4] F, headache, neck stiffness, a normal head CT, an opening pressure of [24] cm H2O, and [dexamethasone] given before [vancomycin], [ceftriaxone] and [ampicillin]. Day two opens with an interval line recording word-finding trouble and a focal seizure at [02:15], then the fluid results: [180] white cells with [85] percent lymphocytes, [420] red cells, glucose [62] against a serum [110], protein [96]. It names herpes simplex encephalitis as the leading diagnosis, adds [acyclovir] dosed to kidney function and [levetiracetam], and orders an MRI. Day three records a positive HSV-1 PCR and left temporal signal on MRI, stops the three antibacterials and [dexamethasone], and sets a course of [14] to [21] days.
How a NU653 Unit 2 example is structured
Each note stands alone, since a covering clinician may read only one. Diagnosis, drugs and pending tests are restated daily in brief rather than referenced back. After the first note, an interval line comes before any subjective or objective data, so the overnight seizure leads the day two note. The revision is written out, not implied. Herpes encephalitis takes first place on the problem list, and the paragraph beneath it pairs the fluid pattern and the new focal deficit with the IDSA encephalitis guideline (Tunkel and colleagues, 2008). Day three is organized around discontinuation. Each stopped drug is listed separately with the reason it is no longer needed, because the note that ends therapy carries as much weight as the one that begins it. Kidney monitoring on [acyclovir] is written as a dated task.
Notes that stand alone
Diagnosis, drugs and pending tests are restated in every note. A night clinician who opens only day two should not need day one to understand what is being treated and why.
The seizure on the first line
Day two begins with events since the last note, and the focal seizure at [02:15] leads them. A reader meets the reason for the revision before any vital sign.
A fluid pattern read aloud
Lymphocytes, red cells, a preserved glucose ratio and raised protein are each named and interpreted. Together they point away from bacteria and toward a virus, and the note says which way.
Stopping written as carefully as starting
On day three, [vancomycin], [ceftriaxone], [ampicillin] and [dexamethasone] each get a line and a reason. Nobody reading later has to wonder whether a missing drug was an oversight.
A kidney check with a date
[Acyclovir] can crystallize in the renal tubules, so the note sets creatinine checks and a fluid target on specific days rather than writing monitor renal function.
Where marks go in NU653 Unit 2
Serial notes are judged as a set. The sharpest losses come when day two adds [acyclovir] without saying the leading diagnosis has changed, since a reader then cannot tell whether bacterial meningitis is still the working problem. Copying day one forward with new values inserted is easy to spot and penalized; so is a problem list that grows at the bottom while the old leader stays on top. Stating herpes encephalitis without the fluid pattern and the focal finding that support it weakens the revision. Day three draws particular attention: antibacterials or [dexamethasone] left running with no comment, or stopped with no reason recorded, count against the note. The pending-items footer earns credit many notes forgo. Minor deductions cover undefined abbreviations, vital signs without times and monitoring tasks with no date attached.
Get a NU653 Unit 2 example written to your instructions
Formats for these notes vary: SOAP, problem-oriented or the template a rotation site uses. Say which one applies, describe the composite course over [three] days, and include the rubric. Free on a first request and ready within 24-48h, the set opens each note on the interval events and gives every discontinued drug its own line.
NU653 Unit 2 questions, answered
Can the sample use my real patient's course?
Only as a pattern. The notes you write in a patient's actual chart during the rotation are your own clinical work and stay that way. The sample is a written exercise on a composite: the clinical arc can resemble what you saw, but ages, dates and identifying details are invented, under whatever privacy rules the program applies.
Why does each note repeat information from the one before?
Because notes are read singly. A covering clinician at night, a consultant or a coder may open only one of them, and each has to explain the current diagnosis and plan on its own. The sample restates essentials concisely rather than copying text forward, which is the balance most instructors reward.
Should acyclovir have started on day one?
Many clinicians start it at once when encephalitis is possible, and some sections would expect that. The sample's patient had no confusion or focal signs on arrival, which is why day one covered bacteria alone, and the note says so. If your case presents differently, the sample reflects that timing and cites the guideline's advice on empiric therapy.