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  • Zachery Olsen - Head Toes Assessment 2 - Respiration

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    Zack Olsen
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    Zachery Olsen was admitted to the hospital on 1/26/2022. His vital signs were stable with a blood pressure of 122/80, pulse of 70, temperature of 98.7F, and oxygen saturation of 99%. His neurological, respiratory, cardiovascular, abdominal, extremity, and skin assessments were normal or showed no abnormalities. A follow up assessment on 2/1/2022 showed similar stable vital signs and normal findings on examination.

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    Zachery Olsen was admitted to the hospital on 1/26/2022. His vital signs were stable with a blood pressure of 122/80, pulse of 70, temperature of 98.7F, and oxygen saturation of 99%. His neurological, respiratory, cardiovascular, abdominal, extremity, and skin assessments were normal or showed no abnormalities. A follow up assessment on 2/1/2022 showed similar stable vital signs and normal findings on examination.

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    8 views1 page

    Zachery Olsen - Head Toes Assessment 2 - Respiration

    Uploaded by

    Zack Olsen
    Zachery Olsen was admitted to the hospital on 1/26/2022. His vital signs were stable with a blood pressure of 122/80, pulse of 70, temperature of 98.7F, and oxygen saturation of 99%. His neurological, respiratory, cardiovascular, abdominal, extremity, and skin assessments were normal or showed no abnormalities. A follow up assessment on 2/1/2022 showed similar stable vital signs and normal findings on examination.

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    Narrative Nursing Note Name: Zachery Olsen

    Date: 1/26/2022 Time: 14:00 Lab Partner


    V/S BP:122/80, P:70, Temp:98.7F, SaO2: 99%, Pain-0/10
    Neuro A/Ox4, Makes eye contact, hearing intact, speech clear, calm affect
    Resp S: denies SOB, Cough or specific Position for breathing
    O: Lungs clear A/P +L. Sitting upright, no SOB, Resp unlabor, chestexpan=AP.L 2-1
    CV Apical: 70, Hr reg.
    Abd BTx4, abd soft non-tender and flat
    UE Grip equal strong, Radial Pulse equal strong, cap refill <3 second
    LE strength equal strong, DP equal strong, Cap.Refill < 3secs, no edema, no calf tenderness
    Skin W/D/P
    ZROlsen (SN)

    Date: 2/1/2022 Time: 07:00 Person A


    V/S BP:128/78, P:72, Temp:98.3F, SaO2: 98%, Pain-0/10
    Neuro A/Ox4, Makes eye contact, hearing intact, speech clear, calm affect
    Resp S: denies SOB, Cough or specific Position for breathing
    O: Lungs clear A/P +L. Sitting upright, no SOB, Resp unlabor, chestexpan=AP.L 2-1
    CV Apical: 74, Hr reg.
    Abd BTx4, abd soft non-tender and flat
    UE Grip equal strong, Radial Pulse equal strong, cap refill <3 second
    LE strength equal strong, DP equal strong, Cap.Refill < 3secs, no edema, no calf tenderness
    Skin W/D/P
    ZROlsen (SN)

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