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Exam (elaborations)

Shadow Health Brian Foster - chest pain focused exam

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Auscultated abdominal and lower extremities - Right: Renal - No bruit Right: Iliac- No bruit Right: Femoral - No bruit Left: Renal - No bruit Left: Iliac - No bruit Left: Femoral - No bruit Auscultated abdominal aorta - No bruit Auscultated breath sounds - Present in all areas No adventitious sounds All areas clear Auscultated carotid arteries - Right: no bruit Left: no bruit Auscultated heart sounds - S1, S2, and S4 audible Gallops Interventions - -Inform patient that his provider will be in soon to discuss post-operative medication -Instruct patient that if chest pain develops, he should alert staff immediately -Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated -Instruct patient to begin exercise regimen after a week -Instruct patient to begin cardiac diet, including reduction of salt and red meat intake -Instruct patient to begin cardiac diet immediately -Instruct patient to monitor stent site for signs of bleeding -Instruct patient to monitor stent site for signs of infection: redness, swelling, warmth, drainage


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February 4, 2023
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