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Shadow health cardiovascular assignment documentation with description...

Course

Health Assessment (NSG 525)

31 Documents

Students shared 31 documents in this course

University

Rush University

Academic year: 2021/2022

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Cardiovascular Results | Turned In

Advanced Health Assessment for the APN - Fall 2021, 625

Return to Assignment (/assignments/519376/)

Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time (/site_notice_dismissals?from_flash=true&site_notic assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience!

Transcript

Started: Oct 28, 2021 | Total Time: 49 min

Gre 10/28/21 3:29 PM C

Questio 10/28/21 3:29 PM C

Empathi 10/28/21 3:30 PM C

Questio 10/28/21 3:31 PM C

Questio 10/28/21 3:32 PM C

Your Results Lab Pass (/assignment_attempts/10994394/lab_pass.

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Interview Questions (59) Statements (5) Exam Actions (88)

Hi my name is Maddie and I will be your exam today

Hey.

What brings you into the clinic today

I've been noticing my heart seems to be beating too fast every once in a while lately, and it

started to worry me. My mom said I should make an appointment. You don't want to ignore

heart stuff, I guess.

I'm sorry you're experiencing that, we will try to determine what is causing your symptoms

Thanks for saying that.

When did you start having these episodes

I try to slow down and breathe, and just relax. The feeling usually goes away after awhile.

When did you first have an episode of increased heart rate

I think the first time was about a month ago.

How often are you having increased heart rate

Yeah, I'll get these episodes where my heart feels like it's racing.

How often do these episodes happen

I guess three or four times. It's been about once a week for the past month.

How long do the episodes last

All Lines (152)

Questio 10/28/21 3:32 PM C

Questio 10/28/21 3:33 PM C

Questio 10/28/21 3:34 PM C

Not very long, maybe five to ten minutes max.

What do the palpitations feel like

Well, when my heart starts beating really fast, it just feels like a thumping in my chest. It

makes me anxious and uncomfortable.

Does anything seem to make that episodes worse (Clarified to Does anything make the

palpitations worse?.)

I don't know if anything makes it "worse" or "better." It's just happening or not. (Clarified to if

anything makes the palpitations worse.)

Do the palpitations occur more often in the morning

I've only noticed them in the mornings, usually on the way to class. Maybe like once a week.

Does drinking caffeine make the palpitations worse

I get kinda jittery. And now that we're talking about it, maybe it could be affecting my heart

rate.

What do you do to try to help the palpitations (Clarified to How do you treat your symptoms?.)

I haven't tried anything specific, other than just trying to relax and breathe deep. (Clarified to

how I treat my symptoms.)

Have you taken any medications for the palpitations

No, I haven't tried anything.. wouldn't know what to try. It just goes away on its own after a

few minutes.

Do currently take any medications

I have a daily inhaler and a rescue inhaler for my asthma.

Are you taking any new medications

Yeah, I have a daily inhaler now that I've been using.

What type of medication is an inhaler

The daily inhaler is Flovent, and the rescue inhaler is Proventil.

What is the dose that you take

I just got the regular small dose, not extra strength or anything. I take two, though.

Questio 10/28/21 3:37 PM C

Empathi 10/28/21 3:38 PM C

Questio 10/28/21 3:38 PM C

Questio 10/28/21 3:39 PM C

Not that I know of. (Clarified to if I have been told I have high cholesterol.)

Do the history of a heart murmur (Clarified to Do you have a history of heart murmurs?.)

No. (Clarified to if I have a history of heart murmur.)

Have you ever had an EKG

No, I've never had any problems with my heart before now.

Have you had increased stress recently

Yeah, I've been pretty stressed lately.

What has your stress been related to

I just get overwhelmed when work and school stuff both get really busy at the same time. I

can handle them individually but it's stressful when I can't get any relief.

It sounds like you're working really hard I'm sorry you've been dealing with so much

Thanks for understanding.

Do you ever feel anxious

I've never been diagnosed, but I do feel anxious sometimes.

What do you typically have for breakfast

I'll usually have a muffin or pumpkin bread from the cafe near my house.

What do you typically have for lunch

Lunch is the meal I usually pick up near campus because of my schedule. I go to Subway

mostly and get a turkey sandwich or something.

What do you usually have for dinner

The usual stuff... meatloaf, chicken, casseroles, pasta... stuff like that.

Do usually have a snack (Clarified to What do you have for snacks?.)

I try to eat snacks that are kind of healthy like pretzels--sometimes if I'll treat myself and get

french fries, but I try not to do that too often. (Clarified to what I usually eat for a snack.)

How often do you drink caffeine

Questio 10/28/21 3:40 PM C

Educa 10/28/21 3:40 PM C

Questio 10/28/21 3:40 PM C

Educa 10/28/21 3:41 PM C

Questio 10/28/21 3:42 PM C

Questio 10/28/21 3:43 PM C

I don't know how much caffeine is in them exactly, but I drink about four Diet Cokes a day.

Oh, and an energy drink or two in the morning.

Have you been drinking more caffeine than normal

Yeah, I started having energy drinks in the mornings before class. I don't like coffee.

Contain high levels of caffeine can increase your stress and anxiety and cause dehydration

over time.

OK, I understand.

Do you exercise

I'm pretty exhausted by the end of the day, so I don't have the energy to do any extra

exercise. But I'm on my feet all the time at work so I feel like that's a little bit of exercise most

days at least.

I understand being busy and having little free time however exercise is important for your

health and can decrease your stress.

That makes sense.

Do you drink alcohol

I do sometimes, yeah, when I go out with my friends.

When was your last drink of alcohol

Maybe two weeks ago.

Do you use tobacco

No. I think it's gross.

Do you use illicit drugs

No.

Do you have a fever

No. I haven't had a fever. [AUDIO COMING SOON]

Do you have nausea or vomiting

I haven't had thrown up, or even had an upset stomach, in a long time.

Questio 10/28/21 3:45 PM C

Questio 10/28/21 3:46 PM C

Exam Actio 10/28/21 3:46 PM C

Exam Actio 10/28/21 3:47 PM C

Exam Actio 10/28/21 3:48 PM C

Do you have a family history of hypertension

We've got high blood pressure in our family for sure. Granny, Mom, and Dad had it..

honestly I think my other three grandparents might've had issues with that, too.

Sheila family history of myocardial infarction

Um, none that I know of. Wait, my Poppa--that's Mom's dad--died of a heart attack.

Do you have a family history of stroke

Yeah, that's how my Nana died.

Do you have a family history of obesity

No, I don't think so. My brother and my dad are kind of big, but I wouldn't say they were

obese or anything.

Inspected anterior chest wall

Inspected left side chest wall

Inspected posterior chest wall

Inspected right side chest wall

Inspected anterior chest wall

Inspected for jugular venous distention: JVP 1 cm above sternal angle

Inspected fingernails of right hand

Checked capillary refill in fingernails

Exam Actio 10/28/21 3:49 PM C

Exam Actio 10/28/21 3:50 PM C

Exam Actio 10/28/21 3:51 PM C

Exam Actio 10/28/21 3:52 PM C

Inspected legs

Inspected right leg for edema: No edema

Inspected left leg for edema: No edema

Inspected toenails

Checked capillary refill in toenails

Inspected legs

Inspected left leg for edema: No edema

Inspected legs

Inspected right leg for edema: No edema

Inspected left leg for edema: No edema

Inspected toenails

Inspected legs

Inspected left leg

Inspected legs

Inspected right leg

Inspected legs

Inspected right leg for edema: No edema

Inspected left leg for edema: No edema

Palpated temporal arteries: No thrill on either side, 2+ on both sides

Exam Actio 10/28/21 3:57 PM C

Exam Actio 10/28/21 3:58 PM C

Exam Actio 10/28/21 3:59 PM C

Auscultated breath sounds in anterior right lower lobe

Auscultated breath sounds in anterior left lower lobe

Auscultated breath sounds in anterior left mid-chest (upper lobe)

Auscultated breath sounds in anterior left upper lobe

Auscultated breath sounds in posterior left upper lobe

Auscultated breath sounds in posterior left mid-back (lower lobe)

Auscultated breath sounds in posterior left lower lobe

Auscultated breath sounds in posterior left lower lobe on side

Auscultated breath sounds in posterior left lower lobe near spine

Auscultated breath sounds in posterior right lower lobe near spine

Auscultated breath sounds in posterior right lower lobe on side

Auscultated breath sounds in posterior right lower lobe

Auscultated breath sounds in posterior right mid-back (lower lobe)

Auscultated breath sounds in posterior right upper lobe

Auscultated aortic area with the bell

Auscultated aortic area with the diaphragm

Auscultated pulmonic area with the diaphragm

Auscultated pulmonic area with the bell

Auscultated Erb's point with the bell

Auscultated Erb's point with the diaphragm

Auscultated tricuspid area with the diaphragm

Exam Actio 10/28/21 3:59 PM C

Exam Actio 10/28/21 4:00 PM C

Exam Actio 10/28/21 4:02 PM C

Auscultated tricuspid area with the bell

Auscultated mitral area with the bell

Auscultated mitral area with the diaphragm

Auscultated aorta in abdomen

Auscultated right renal pulse

Auscultated left renal pulse

Auscultated right iliac pulse

Auscultated left iliac pulse

Auscultated right femoral pulse

Auscultated left femoral pulse

Tested ABI: 141/145 = 0.

Performed EKG: Regular sinus rhythm, no ST changes

Comments

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Cardiovascular transcript Shadow Health

Course: Health Assessment (NSG 525)

31 Documents

Students shared 31 documents in this course

University: Rush University

Was this document helpful?

11/2/21, 9:57 PM

Cardiovascular | Completed | Shadow Health

https://app.shadowhealth.com/assignment_attempts/10994394

1/11

Cardiovascular Results | Turned In

Advanced Health Assessment for the APN - Fall 2021, 625

Return to Assignment (/assignments/519376/)

(/site_notice_dismissals?from_ﬂash=true&site_noticShadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time

assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience!

Transcript

Started: Oct 28, 2021 | Total Time: 49 min

Gre

10/28/21 3:29 PM C

Questio

10/28/21 3:29 PM C

Empathi

10/28/21 3:30 PM C

Questio

10/28/21 3:31 PM C

Questio

10/28/21 3:31 PM C

Questio

10/28/21 3:31 PM C

Questio

10/28/21 3:32 PM C

Questio

10/28/21 3:32 PM C

Your Results Lab Pass (/assignment_attempts/10994394/lab_pass.

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Interview Questions (59) Statements (5) Exam Actions (88)

Hi my name is Maddie and I will be your exam today

Hey.

What brings you into the clinic today

I've been noticing my heart seems to be beating too fast every once in a while lately, and it

started to worry me. My mom said I should make an appointment. You don't want to ignore

heart stuﬀ, I guess.

I'm sorry you're experiencing that, we will try to determine what is causing your symptoms

Thanks for saying that.

When did you start having these episodes

I try to slow down and breathe, and just relax. The feeling usually goes away after awhile.

When did you ﬁrst have an episode of increased heart rate

I think the ﬁrst time was about a month ago.

How often are you having increased heart rate

Yeah, I'll get these episodes where my heart feels like it's racing.

How often do these episodes happen

I guess three or four times. It's been about once a week for the past month.

How long do the episodes last

All Lines (152)

Cardiovascular transcript Shadow Health

Health Assessment (NSG 525)

Rush University

Recommended for you

Comments

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Related Studylists

Preview text

Cardiovascular Results | Turned In

Advanced Health Assessment for the APN - Fall 2021, 625

Transcript

Your Results Lab Pass (/assignment_attempts/10994394/lab_pass.

Hi my name is Maddie and I will be your exam today

Hey.

What brings you into the clinic today

I've been noticing my heart seems to be beating too fast every once in a while lately, and it

started to worry me. My mom said I should make an appointment. You don't want to ignore

heart stuff, I guess.

I'm sorry you're experiencing that, we will try to determine what is causing your symptoms

Thanks for saying that.

When did you start having these episodes

I try to slow down and breathe, and just relax. The feeling usually goes away after awhile.

When did you first have an episode of increased heart rate

I think the first time was about a month ago.

How often are you having increased heart rate

Yeah, I'll get these episodes where my heart feels like it's racing.

How often do these episodes happen

I guess three or four times. It's been about once a week for the past month.

How long do the episodes last

Not very long, maybe five to ten minutes max.

What do the palpitations feel like

Well, when my heart starts beating really fast, it just feels like a thumping in my chest. It

makes me anxious and uncomfortable.

Does anything seem to make that episodes worse (Clarified to Does anything make the

palpitations worse?.)

I don't know if anything makes it "worse" or "better." It's just happening or not. (Clarified to if

anything makes the palpitations worse.)

Do the palpitations occur more often in the morning

I've only noticed them in the mornings, usually on the way to class. Maybe like once a week.

Does drinking caffeine make the palpitations worse

I get kinda jittery. And now that we're talking about it, maybe it could be affecting my heart

rate.

What do you do to try to help the palpitations (Clarified to How do you treat your symptoms?.)

I haven't tried anything specific, other than just trying to relax and breathe deep. (Clarified to

how I treat my symptoms.)

Have you taken any medications for the palpitations

No, I haven't tried anything.. wouldn't know what to try. It just goes away on its own after a

few minutes.

Do currently take any medications

I have a daily inhaler and a rescue inhaler for my asthma.

Are you taking any new medications

Yeah, I have a daily inhaler now that I've been using.

What type of medication is an inhaler

The daily inhaler is Flovent, and the rescue inhaler is Proventil.

What is the dose that you take

I just got the regular small dose, not extra strength or anything. I take two, though.

Not that I know of. (Clarified to if I have been told I have high cholesterol.)

Do the history of a heart murmur (Clarified to Do you have a history of heart murmurs?.)

No. (Clarified to if I have a history of heart murmur.)

Have you ever had an EKG

No, I've never had any problems with my heart before now.

Have you had increased stress recently

Yeah, I've been pretty stressed lately.

What has your stress been related to

I just get overwhelmed when work and school stuff both get really busy at the same time. I

can handle them individually but it's stressful when I can't get any relief.

It sounds like you're working really hard I'm sorry you've been dealing with so much

Thanks for understanding.

Do you ever feel anxious

I've never been diagnosed, but I do feel anxious sometimes.

What do you typically have for breakfast

I'll usually have a muffin or pumpkin bread from the cafe near my house.

What do you typically have for lunch

Lunch is the meal I usually pick up near campus because of my schedule. I go to Subway

mostly and get a turkey sandwich or something.

What do you usually have for dinner

The usual stuff... meatloaf, chicken, casseroles, pasta... stuff like that.

Do usually have a snack (Clarified to What do you have for snacks?.)

I try to eat snacks that are kind of healthy like pretzels--sometimes if I'll treat myself and get