You have a 52- year old male patient who comes in stating, "I feel like I can't breathe." Patients' respirations are 28 breaths per minute and their heart rate is 115 beats per minute. The patient then grabs his chest and says, "My chest hurts so bad, please help!" You ask the patient to rate the pain on a scale from 0-10, 10 being the worst pain ever. The patient replies, "10, it hurts so badly!" You then ask the patient to describe what the pain feels like, the patient reports that his pain feels like pressure. Your patient then starts to become diaphoretic and pale. You take an EKG that shows Sinus Tachycardia. The pulse oximeter shows 100% on room air and the patients' blood pressure is 120/80 mmHg. Identify the Objective and Subjective Data.
You have a 52- year old male patient who comes in stating, "I feel like I can't breathe." Patients' respirations are 28 breaths per minute and their heart rate is 115 beats per minute. The patient then grabs his chest and says, "My chest hurts so bad, please help!" You ask the patient to rate the pain on a scale from 0-10, 10 being the worst pain ever. The patient replies, "10, it hurts so badly!" You then ask the patient to describe what the pain feels like, the patient reports that his pain feels like pressure. Your patient then starts to become diaphoretic and pale. You take an EKG that shows Sinus Tachycardia. The pulse oximeter shows 100% on room air and the patients' blood pressure is 120/80 mmHg. Identify the Objective and Subjective Data.
Case Studies In Health Information Management
3rd Edition
ISBN:9781337676908
Author:SCHNERING
Publisher:SCHNERING
Chapter1: Data Content, Structure, And Standards
Section: Chapter Questions
Problem 1.23.16C
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What is the objective and subjective data in the case below?
Transcribed Image Text:You have a 52- year old male patient who comes in stating, "I feel like I can't breathe."
Patients' respirations are 28 breaths per minute and their heart rate is 115 beats per minute.
The patient then grabs his chest and says, “My chest hurts so bad, please help!" You ask the
patient to rate the pain on a scale from 0-10, 10 being the worst pain ever. The patient
replies, “10, it hurts so badly!" You then ask the patient to describe what the pain feels like,
the patient reports that his pain feels like pressure. Your patient then starts to become
diaphoretic and pale. You take an EKG that shows Sinus Tachycardia. The pulse oximeter
shows 100% on room air and the patients' blood pressure is 120/80 mmHg.
Identify the Objective and Subjective Data.
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