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21 Cards in this Set
- Front
- Back
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1 |
Standard intro (introduce self and role, negotiate agenda) |
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2 |
Assess general appearance, LOC |
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3 |
Assess skin, lips, nails, cap refill, and radial pulses |
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4 |
Vitals (pulse, RR, BP) if not already obtained |
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5 |
Assess general respiratory effort |
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6 |
Inspect chest for assymetry and shape |
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7 |
Palpate anterior, posterior, and lateral chest walls |
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8 |
Percuss lung fields posteriorly (4 levels) and anteriorly (2 levels) |
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9 |
Auscultate lungs posteriorly (4 levels incl. midax) and anteriorly (2 levels) |
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10 |
For abnormal breath sounds: 1. Bronchophony (99; + = louder sounds) 2. Egophony (eeeee; + = e to a change) 3. Whispered pectoriloquy (99; + = clear, loud whisper) 4. Tactile fremitus (Place ball/ulnar surface of hand on posterior chest, have pt. say "toy boat"; + = lower sound transmission) |
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11 |
Have pt sit back
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12 |
Inspect JVD / HJR |
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13 |
Palpate for PMI |
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14 |
Palpate for heaves, lifts, and thrills with ball of hand |
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15 |
Auscultate 6 cardiac areas with bell and diaphragm |
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16 |
Auscultate mitral, axillary areas in L lateral decubitus with BELL |
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17 |
Have pt sit up, assist |
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18 |
Have pt lean forward, exhale completely Auscultate aortic, pulmonic areas |
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19 |
Palpate carotid pulses; Auscultate carotid arteries for bruits (have pt hold breath) |
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20 |
Palpate pulses (brachial, radial, femoral, popliteal, PT, DP, foot cap refill) |
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21 |
Closing |
