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Care Map 11/10 - Coggle Diagram

- - - - Clinical Findings
        
        Physical Assessment
        
        Subjective: "My knees and ankles are really achy today, is it rainy or snowy outside?"
        
        Objective: elevated HR, warm to touch joints, swelling in lower extremities
        
        Risk Factors
        
        Modifiable: weight, exercise, diet
        
        Non modifiable: age, gender, genetics, bone deformities
        
        Treatments
        
        Non pharm: acupuncture, hot packs, elevation, message
        
        Pharm: Aspirin, Tramadol
        
        Lab and Test Results: n/a
- - - - Clinical Findings
        
        Physical Assessment
        
        Subjective: "I can't get rid of this cough - it's hard to breath"
        
        Objective: respirations 20-22, O2 sats high 80s
        
        Risk Factors
        
        Modifiable: non smoker, exposure to second hand smoke, losing weight,
        
        Non modifiable: family history, age
        
        Treatments
        
        Pharm: Flovent
        
        Non pharm: promote good physical health, healthy diet
        
        Lab and Test Results: elevated CO2 levels
- - - - Clinical Findings
        
        Physical Assessment
        
        Subjective: "I am so short of breath this morning"
        
        Objective: O2 sats in the high 80s, respirations in the 20s
        
        Risk Factors
        
        Non modifiable: asthma, COPD, CHF, diabetes
        
        Modifiable: oral hygiene, diet, weight
        
        Lab and Test Results: chest xray showed pulmonary edema
        
        Treatments
        
        Non pharm: humidifier, warm drinks, warm bath
        
        Pharm: Cefapime, Furosemide, Metopropolol
- - - - Clinical Findings
        
        Physical Assessment
        
        Subjective: "I feel dizzy when I try to switch sides in bed"
        
        Objective: BP 138/98 MAP 114
        
        Risk Factors
        
        Modifiable: weight, exercise, diet
        
        Non modifiable: family history, age, genetics
        
        Treatments
        
        Pharm: Furosemide
        
        Non pharm: exercise, diet, increase water intake
        
        Lab and Test Results: BP 138/98 MAP 114