Physical Assessment General Upon arrival to patient room patient lying in bed

Physical assessment general upon arrival to patient

This preview shows page 2 - 3 out of 3 pages.

Physical Assessment:General: Upon arrival to patient room, patient lying in bed awake in semi fowlers position. VSS, afebrile. 22 gauge IV to RAC.Neuro: AAO x 3 to person, place, and time. Patient able to express needs and wants adequately. PERRLA, pupil size 3 mm, no visual disturbances.CV: Heart rate and rhythm regular. Rate 75 beats per minute. Cap refill <3 seconds, peripheral pulses palpable and +3. Denies chest pain.Resp: Lung sounds bilaterally clear and equal. Respirations unlabored with a rate of 12 breaths per minute. SPO2 99% room air. Patient denies SOB.GI: Abdomen soft, non-distended, and non-tender. Bowel sounds active in all four quadrants. Patient is passing flatus, no BM this shift. Patient is on a regular diet and consumed 100% of.GU: Patient is continent and has had 1 bladder movements during shift. Urine is yellow, clear, and non-odorous.MS: Able to perform ADLs with assistance. Ambulated to bathroom, standby assist, and steady gait. Moves all extremities with ROM 100% aside from LA weakness due to clavicle damage.
Background image
Image of page 3

You've reached the end of your free preview.

Want to read all 3 pages?

  • Fall '19
  • Trigraph, heart rate, pulse, Patient Room, Novolog

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes