Gastrointestinal system hourly rounds shadow health

Objective Data Collection

Assessed Vitals

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1 of 1 points

Blood Pressure (0.20/0.20 point)

– Normotensive
– Hypertensive
– Hypotensive

Heart Rate (0.20/0.20 point)

– No abnormal findings
– Bradycardic
– Tachycardic

Respiratory Rate (0.20/0.20 point)

– Normal
– Bradypnea
– Tachypnea

Temperature (0.20/0.20 point)

– Normothermic
– Hyperthermic
– Hypothermic

O2 Saturation (0.20/0.20 point)

– Normal
– Hypoxemia

Inspected Conjunctiva

1 of 1 points

Conjunctiva (0.50/0.50 point)

– Pink
– Moist appearance
– Pale
– Dry appearance
– Erythema
– Edema

Conjunctival Discharge (0.50/0.50 point)

– No discharge
– Clear, watery discharge
– Purulent discharge

Scott Becker shadow health Transcript

Gastrointestinal System Hourly Rounds Shadow Health

Objective Data Collection

Inspected Abdomen

1 of 1 points

Symmetry (0.33/0.33 point)

– Symmetric
– Asymmetric

Contour (0.33/0.33 point)

– Flat
– Rounded
– Protuberant
– Hollowed

Appearance (0.33/0.33 point)

– No visible abnormal findings
– Rash
– Bulging around umbilicus
– Distension
– Visible Masses

Rachel Adler Subjective Data Collection

Auscultated Abdomen

1 of 1 points

Bowel Sounds (No point)

– Absent
– Hypoactive
– Normoactive
– Hyperactive

Auscultated Breath Sounds

Gastrointestinal System Hourly Rounds Shadow Health

Objective Data Collection

1 of 1 points

Breath Sounds (0.50/0.50 point)

– Clear in all areas
– Diminished in some areas
– Absent in some areas

Adventitious Sounds (0.50/0.50 point)

– No adventitious sounds
– Wheezing
– Fine crackles
– Stridor
– Rhonchi
– Rales

Auscultated Heart Sounds

1 of 1 points

Heart Sounds (0.50/0.50 point)

– S1 and S2 audible
– S1, S2, and S3 audible
– S1, S2, and S4 audible
– S1, S2, S3, and S4 audible

Extra Heart Sounds (0.50/0.50 point)

– No extra sounds
– Gallops
– Murmur
– Friction rub
– Valve clicks

Palpated Abdomen (Light)

0.67 of 1 points

Tenderness (0.33/0.33 point)

– None Reported
– Tenderness Reported

Location of Tenderness (0.33/0.33 point)

– No quadrants tender
– Right upper quadrant
– Right lower quadrant
– Left upper quadrant
– Left lower quadrant

Observations (No point)

– No additional observations
– Masses
– Guarding
– Distension

Palpated Abdomen (Deep)

1 of 1 points

Presence of Unexpected Mass (0.50/0.50 point)

– No masses palpable
– Palpable mass

Location of Mass (0.50/0.50 point)

– No masses palpable
– Right upper quadrant
– Right lower quadrant
– Left upper quadrant
– Left lower quadrant
– Around umbilicus

Gastrointestinal System Hourly Rounds Shadow Health

Objective Data Collection

Scott Becker shadow health Transcript