Shadow Health - Regina Walker - End of Life - Objective

Shadow Health - Regina Walker -
End of Life - Objective


Assessed Vitals - Answer Temperature: normothermic
Blood Pressure: normotensive
Heart Rate: no abnormal findings
Respiratory Rate: no abnormal findings
O2 Saturation: no abnormal findings

Assessed IV Bag - Answer Appropriate Fluid: bag is normal saline
Appropriate Label: name and dosage are correct
Fluid Appearance: no visible abnormal appearance

Assessed IV Pump - Answer Infusion Rate: IV pump is infusing IV fluid at the ordered
rate

Assessed IV Site - Answer Insertion Site: no visible abnormal signs
Dressing: dry and intact

Assessed Urine Quality - Answer Clarity of Urine: clear
Color of Urine: dark yellow
Odor: no noticeable odor

Inspected Eyes - Answer Eyelids: no visible abnormal findings
Conjunctiva and Lens: sclera - icterus
Pupillary Reaction: no visible abnormal findings (PERRL)
Accommodation: normal constriction and dilation

Inspected Mouth - Answer Oral Mucosa and Gums: moist and pink, no bleeding
Lips: dry appearance, chapped
Tongue: moist, pink

Inspected Skin - Answer Wounds or Sores: no abnormal findings
Signs of Skin Trauma: no abnormal findings
Color or Appearance: jaundice
Masses or Texture: no abnormal findings
Skin Characteristics and Hair Growth: no abnormal findings

Auscultated Carotids - Answer Right: no bruit
Left: no bruit