DOCUMENTATION
A one-page summary of important information about a patient
What is a face sheet?
Acronym for Hypertension
What is HTN?
This temperature is measured by a probe inside of the ear canal
What is tympanic?
A pulse rate that is above normal
What is tachycardia?
The Lady with the Lamp is AKA
Who is Florence Nightingale?
A document used to record health and activity information about a resident over a period of time
What is a flow sheet?
Acronym for Blood pressure
What is BP?
Measure of heart rate taken by feeling the expansion of an artery as blood is pushed through when the heart contracts
What is a Pulse?
A pulse rate that is below normal
What is Bradycardia?
Factual information gathered through observation
What is objective information?
A patient history combined with a physical exam
What is a H&P (history & physical)?
Acronym for vital signs
What is V/S?
Pulse measurement taken by feeling the radial artery at the wrist
What is a radial pulse?
Breathing faster than normal
What is tachypnea?
Information based on an assumption, opinion or on what the resident says about how they feel
What is subjective Information?
Information based on an assumption, opinion or on what the resident says about how they feel
What is subjective Information?
Acronyms for diastolic and systolic blood pressure
What is DBP & SBP?
Using a stethoscope to hear sounds produced by internal organs such as the heart, lungs or bowels
What is auscultation?
Breathing slower than normal
What is bradypnea?
Medical term for under the tongue
What is sublingual?
Factual information gathered through observation
What is objective information?
Acronym for respiratory rate
What is RR?
Physical examination conducted by touching the patient's body with the fingers and or hands
What is Palpation?
Difficult or labored breathing
What is dyspnea?
Medical term for under arm
What is axillary?