The S section of SOAP documentation is ____.
A. data that comes directly from the patient
B. the diagnosis or impression of a patient's problem
C. the plan of action
D. data that comes from the physician or test results
E. a description of treatment options
A. data that comes directly from the patient
The S section of SOAP documentation contains subjective data from the patient and includes the patient's description of his or her signs and symptoms, opinions, and comments.
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In contrast to a patient with asthma, a patient with left-sided heart failure:
A) presents with a dry, nonproductive cough and diffuse wheezing in all lung fields. B) experiences acute weight gain and takes medications such as digoxin and a diuretic. C) presents with a hyperinflated chest, use of accessory muscles, and expiratory wheezing. D) is typically a younger patient with a history of a recent upper respiratory infection.
An alert patient receiving intermittent mandatory ventilation at a rate of 8/min and VT of 600 ml has stable vital signs and satisfactory blood gases on an FiO2 of 0.45. What would you do to ini-tiate weaning for this patient?
a. Lengthen the automatic sigh interval. b. Decrease the mandatory rate to 5 to 6/min. c. Increase FiO2 to 60%. d. Decrease the VT to 500 ml.