Asthma Exacerbation Gabriel Martinez shadow health Objective Data

Asthma Exacerbation Gabriel Martinez shadow health Objective Data

Objective Data Collection: 9.6 of 11 (87.27%)

  •  Correct
  •  Partially correct
  •  Incorrect
  •  Missed
 Assessed Vitals – Pre-Intervention
0.8 of 1 point
Temperature (1/5 point)
  •  Normothermic
  •  Hyperthermic
  •  Hypothermic
Blood Pressure (1/5 point)
  •  Normotensive
  •  Hypertensive
  •  Hypotensive
Heart Rate (1/5 point)

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  •  No abnormal findings
  •  Tachycardia
  •  Bradycardia
Respiratory Rate (1/5 point)
  •  No abnormal findings
  •  Tachypnea
  •  Bradypnea
Oxygen Saturation (No point)
  •  No abnormal findings
  •  Hypoxemia
 Auscultated Breath Sounds – Pre-Intervention
1 of 1 point
Breath Sounds (1/1 point)
  •  Normal Breathing
  •  Expiratory wheezing
  •  Inspiratory wheezing
  •  Diminished breath sounds
 Inspected Chest – Pre-Intervention
1 of 1 point
Sites Of Retraction (1/1 point)
  •  No visible abnormal findings
  •  Superclavicular
  •  Supersternal
  •  Substernal
  •  Subcostal
  •  Intercostal
 Assess Dyspnea – Pre-Intervention
1 of 1 point
Speech Characteristics (1/1 point)
  •  Speaks full sentences
  •  Speaks partial sentences
  •  Speaks short phrases OR single words
 Assessed PAS – Pre-Intervention
0 of 1 point
 Assessed Vitals
0.8 of 1 point
 Auscultated Breath Sounds
1 of 1 point
 Inspected Chest
1 of 1 point
Symmetry (1/3 point)
  •  Symmetric
  •  Asymmetric
Appearance (1/3 point)
  •  No visible abnormal findings
  •  Rash
  •  Barrel chest
  •  Excessive use of accessory muscles while breathing
  •  Skin growths (freckles or moles)
  • Asthma Exacerbation Gabriel Martinez shadow health Objective Data
Sites Of Retractions (1/3 point)
  •  No visible abnormal findings
  •  Superclavicular
  •  Supersternal
  •  Substernal
  •  Subcostal
  •  Intercostal
 Assess Dyspnea
1 of 1 point
 Assessed PAS
1 of 1 point
 Assessed Growth
1 of 1 point Asthma Exacerbation Gabriel Martinez shadow health Objective Data
Gabriel Martinez Asthma Exacerbation Shadow
health Transcript
Begin by confirming the patient’s
name and date of birth. Which of
the following is the most
appropriate way to do so?
Hello. I’ll be taking care of you
tonight. Can you tell me your
name and when you were born?
Question
01/23/21
6:33 PM
PST
Hey . . . Gabriel . . . I’m 8 . . .”
His name is Gabriel Martinez.
Gabriel is 8.
You should also confirm Ms.
Martinez’s relationship with
Gabriel. Which of the following
questions is the most
appropriate way to do so?
Hello. Are you Gabriel’s
guardian?
Question
01/23/21
6:34 PM
PST
Yes. I’m his mother.
GABRIEL MARTINEZ ASTHMA EXACERBATION SHADOW HEALTH
TRANSCRIPT
Begin by confirming the
patient’s name and date of
birth. Which of the following is
the most appropriate way to
do so?
Hello. I’ll be taking care of you
tonight. What’s your name
and when were you born,
kindly?
Hey . . . Gabriel . . . I’m 8 . . .”
Question
01/23/2
1
6:33 PM
PST
His name is Gabriel Martinez. Gabriel is 8.
You should also confirm Ms.
Martinez’s relationship with
Gabriel. Which of the
following questions is the
most appropriate way to do
so?
Hello. Are you
Gabriel’s guardian?
Yes. I’m his mother.
Question
01/23/2
1
6:34 PM
PSTWhich of the following
actions should you perform
first?
I want to interview the
patient and guardian to
establish Chief Complaint.
What brings you in today?
It’s really hard to breathe . .
. I have asthma . . .
Yes, my son started having
difficulty breathing after
school today. It’s been about
4 hours or so.
What should you do next?
Question
01/23/2
1
6:37 PM
PST
Question
01/23/2
1
6:38 PM
PSTNow that I have established
Gabriel’s chief complaint, I
need to take his vitals and
conduct a pediatric asthma
severity (PAS) score to better
understand the severity of the
patient’s condition.
Perform all of the following
assesments and record the
vitals in your EHR. Use the PAS
Score tab in the EHR to
calculate Gabriel’s total score
and choose the appropriate
exacerbation severity for
Assessed PAS – PreIntervention
in the Objective Data tab.
Auscultated breath
sounds: expiratory and
inspiratory wheezing
Select your next course
of action.
Question
01/23/2
1
6:39 PM
PST
Exam
Action
01/23/2
1
6:40 PM
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