Vitals, Interview, History and Documentation Flashcards
1
Q
Describe the components of an effective patient interview
A
- Gather information to make an accurate assessment
- Involve the patient in determining a suitable course of therapy
- Identify, resolve, and prevent drug therapy problems
- Ensure patient gets correct, practical information and understands it in the context of the ailment being treated
2
Q
List 8 attributes of a symptom
A
- Location: Where is it located?
- Quality: Describe it to me.
- Severity: How bad is it?
- Modifying factors: What seems to make it better? Worse?
- Associated Symptoms: What else seems to be going on?
- Onset/Setting: When it started?
- History: What worked, what doesn’t work?
- Meaning to patient: What do you think it is?
3
Q
What does SOAP stand for?
What is it for?
A
Subjective, Objective, Assesment, and Plan
An organized way of documenting patient encounters
4
Q
Identify normal ranges for blood pressure.
A
Blood Pressure: Normal 120/80 mmHg
5
Q
Respiratory Rate normal range
A
12-20 breathes per minute
6
Q
Normal Heart Rate?
Tachycardia
bradycardia
What can influence/create an inaccurate reading?
A
60-80 beats per minute
100
60
-Medication and Smoking
