List should include
- environmental factors (e.g., smoking, workplace exposure, irritants)
- laboratory data (e.g., CBC, electrolytes)
- pulmonary function tests
- blood gas results
- imaging studies (e.g., radiograph, CT, MRI)
- monitoring data
- cardiac monitoring
- maternal and perinatal/neonatal history and data.
Process/Skill Questions:
- What four items in the patient record pertain to a respiratory therapist’s assessment?
- Why is it important to ask questions about the pulmonary patient’s environment?
- Why do practitioners need to gather information from various parts of the chart?