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Colin CSA > Lower Pulmonary Documentation > Flashcards

Lower Pulmonary Documentation Flashcards

1
Q

What should be the first thing documented in the Objective section?

A

General: Pt appears to be conscious, alert, and experiencing some pain

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2
Q

What should be the second thing documented in the objective section?

A

VITALS

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3
Q

How do you document normal pulmonary findings?

A

Lungs clear to auscultation bilaterally (CTAB), resonant to percussion, no tactile fremitus

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Colin CSA (8 decks)

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