Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with ...
Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with ...
Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with ...
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<strong>Nurs<strong>in</strong>g</strong> <strong>Care</strong> <strong>of</strong> <strong>Dyspnea</strong>: <strong>The</strong> <strong>6th</strong> <strong>Vital</strong> <strong>Sign</strong> <strong>in</strong> <strong>Individuals</strong> <strong>with</strong> Chronic Obstructive Pulmonary Disease (COPD)Appendix G: Sample COPD Assessment FormCHRONIC OBSTRUCTIVE PULMONARY DISEASE CLINICRETURN VISITNAME _____________________________________ Cr# _____________ Date _________________ALLERGIESMedication:Environmental:CLINICAL EXAMINATIONBP ____ Rest<strong>in</strong>g HR ____ Weight ____ Recent Weight Loss ____ O 2 Sat______Home O 2 : ____ L/m<strong>in</strong> at rest; ____ L/m<strong>in</strong> <strong>with</strong> activity; Hrs/Day ____General Appearance: ___________________________________________________________Breath Sounds: ________________________________________________________________Accessory muscles: ___ Air gulp<strong>in</strong>g:___ Apical breath<strong>in</strong>g:___ Diaphragmatic: ___Intercostal <strong>in</strong>draw<strong>in</strong>g:___ Lateral costal:___ Paradoxical:___ Pursed lip:___Chest wall appearance/Chest wall mobility: ______________________________________________________Heart Sounds:_________________________________________________________________________________JVP:__________________________________________________________________________________________Central cyanosis: ______________________________________________________________________________Peripheral cyanosis:____________________________________________________________________________Peripheral edema: _____________________________________________________________________________Clubb<strong>in</strong>g <strong>of</strong> f<strong>in</strong>gernails: ________________________________________________________________________PULMONARY FUNCTION TESTSPre-bronchodilatorPost-bronchodilatorFEV 1 (%) predicted <strong>of</strong> normal valueSeverity <strong>of</strong> Disease: (Gold, 2001)% Predicted FEV 1Stage I ( mild- > 80%)Stage II ( moderate- 30-80%)Stage III (severe-
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