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PHYSICAL ASSESSMENT Student Name: ____________________________ Date: _______

1.

Patient Interview / Medical History

2.

Facial expression and body position

3.

Level of consciousness

Person

Place

Time

Comments:

Vital signs

4.

Respiratory rate

5.

Pulse (rate, rhythm, strength)

6.

Blood pressure

7.

Temperature

8.

Pulse oximetry

Comments:

9.

Ventilatory pattern

10.

Purse – lip breathing

11.

Accessory muscle usage

12.

Retractions

13.

Cough

Sputum production

o

Color

o

Amount

o

Thickness

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