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Documentation of Respiratory Assessment undefined Reason for

Documentation of Respiratory Assessment undefined Reason for Visit: undefined Health History undefined Do you have any cough? Do you have any shortness of breath? Do you experience any chest pain with breathing? Do you have any history of lung diseases? Do you or have you ever smoked cigarettes? When did you start? How many per day? Have you tried to quit? Do you have any living or work conditions that affect your breathing? When was your last TB skin test and flu vaccine? undefined Physical Assessment undefined Inspection Inspect thoracic cage for symmetry and deformities Inspect respiratory rate and pattern Inspect skin and nails (any clubbing?) Inspect position and facial expression. Assess level of consciousness. Palpation Confirm symtetric chest expansion. Palpate for tactile fremitus. Palpate skin temp and moisture. Palpate for any lumps masses or tenderness in the thorax area. Percussion Percuss over lung fields and note any differences. Auscultation Anterior lung sounds (at least 8 places) Posterior lung sounds (at least 8 places) Axillary (two on each side) Bronchophony/egophony Note any adventitious lung sounds. undefined Regional Write-up undefined Subjective Objective Assessment of risks and plan (at least two risks)

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