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    This document presents a respiratory kinesic evaluation sheet for a patient. It contains sections to record personal information about the patient, their current health situation, remote and risk medical history, a physical examination that includes vital signs and lung auscultation, and a score to evaluate the severity of bronchial obstruction. The purpose is to collect data to evaluate the patient's respiratory status.

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    This document presents a respiratory kinesic evaluation sheet for a patient. It contains sections to record personal information about the patient, their current health situation, remote and risk medical history, a physical examination that includes vital signs and lung auscultation, and a score to evaluate the severity of bronchial obstruction. The purpose is to collect data to evaluate the patient's respiratory status.

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    This document presents a respiratory kinesic evaluation sheet for a patient. It contains sections to record personal information about the patient, their current health situation, remote and risk medical history, a physical examination that includes vital signs and lung auscultation, and a score to evaluate the severity of bronchial obstruction. The purpose is to collect data to evaluate the patient's respiratory status.

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    © All Rights Reserved
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    1 views4 pages

    Respiratory Kinesic Evaluation Sheet

    Uploaded by

    ScribdTranslations
    This document presents a respiratory kinesic evaluation sheet for a patient. It contains sections to record personal information about the patient, their current health situation, remote and risk medical history, a physical examination that includes vital signs and lung auscultation, and a score to evaluate the severity of bronchial obstruction. The purpose is to collect data to evaluate the patient's respiratory status.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 4

    Respiratory Kinesics evaluation sheet

    Name: ____________________________ RUT: ___________________

    Birthdate: Age: _________ Sex: _____________

    Occupation: _________________________ Dg. Doctor: ________________________

    Next anamnesis:

    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _________

    CURRENT HEALTH SITUATION OF THE MINOR:


    FR FEEDING
    SAT 02 T° GOOD SLEEP
    COUGH FAMILIAR ASTHMA
    SECRETIONS ALLERGIES
    FEVER PETS
    OVERALL STATUS LACTATION
    N° RESPIRATORY PREVIOUS HOSP
    PICTURES
    VOMITING TOBACCO
    DIARRHEA GESTATION
    DRUGS IMMUNIZATIONS
    CYANOSIS HOUSING TYPE
    ACTV DAILY LIFE WHO DO YOU SLEEP
    WITH?
    ACTV PHYSICS PRESENCE PLUSH
    PLUSHES

    Remote anamnesis

    RISK FACTORS OF DEATH FROM NMN:


    Congenital malformation (11) - Maternal smoking (6) - Previous hospitalization (6) -
    Malnutrition (5) - Low education (4) Low birth weight (3) - Insufficient breastfeeding (3) -
    Adolescent mother (2) - SBOR (2)

    PROTECTIVE FACTORS :
    EXCLUSIVE BREASTFEEDING
    PARENT SCHOOLING
    FOOD (NUTRITION)
    IMMUNIZATIONS PER DAY
    HOUSING TYPE
    ENVIRONMENTAL POLLUTION
    PRESENCE OF TOBACCO

    Ex. Physical

    CF:
    Pulmonary Murmur:
    Added Noises:
    Cough:
    Expectoration
    Sat O2:
    Secretions:

    BREATHING TYPE: MOUTH ____ NASAL____


    RESPIRATORY PATTERN: COUNTRY_____ ABDOMINAL _____
    SKIN CONDITION:
    MUCOUS STATUS:

    PALPATION:
    GANGLIA:
    ELASTICITY:
    FREMITOS:
    ABDOMEN:

    AUSCULTATION:
    PULMONARY MURMUR
    RONCUS
    Rattles
    CREEPITS
    WHEEZING
    POST KTR:

    Observations:

    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _________
    Signature

    ____________________________

    Score less than or equal to 5 = Mild bronchial obstruction


    Score of 6 to 8 = Moderate bronchial obstruction
    Score greater than or equal to 9 = Severe bronchial obstruction

    ABBREVIATED HOSPITALIZATION MAP

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