doc'ing bruit and thrill doc'ing bruit and thrill | allnurses

doc'ing bruit and thrill

  1. 0 I have a resident with a fistula in her upper L arm. I am only in my 3rd day of clinical and I need to document about the bruit and thrill. What is the appropriate way to word it? I am so lost I feel like I'm drowning. I'm going to the bookstore tonight and buying the book everyone is suggesting - "Charting Made Incredibly Easy". Maybe that will help somewhat. Thanks to anyone who can help.
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  2. 10 Comments

  3. Visit  emtb2rn profile page
    #1 0
    If it's a mature fistula, you should be hearing the bruit and feeling the thrill. If you can't, then there very well might (will) be a problem with blood flow in the fistula. An appropriate time to call the doc. As for documentation - simply record what you assessed, i.e., positive ascultation of bruit and positive palpation of thrill in L UE.
  4. Visit  KEL2BanRN profile page
    #2 0
    Quote from emtb2rn
    As for documentation - simply record what you assessed, i.e., positive ascultation of bruit and positive palpation of thrill in L UE.
    Thank you! That's what I needed.
  5. Visit  Daytonite profile page
    #3 1
    thrills are low-frequency cutaneous vibrations that you can only feel by palpation. bruits are adventitious sounds that you hear by auscultation caused by turbulent blood flow through an artery.
  6. Visit  KEL2BanRN profile page
    #4 0
    Quote from daytonite
    thrills are low-frequency cutaneous vibrations that you can only feel by palpation. bruits are adventitious sounds that you hear by auscultation caused by turbulent blood flow through an artery.

    i know all of that, but thanks... i was looking for how to word it in my charting. i got it now, though.
  7. Visit  NurseyBaby'05 profile page
    #5 0
    If I'm short on space, I just put: A-V fistula to L FA; Bruit/Thrill +/+
  8. Visit  KEL2BanRN profile page
    #6 0
    Quote from NurseyBaby'05
    If I'm short on space, I just put: A-V fistula to L FA; Bruit/Thrill +/+
    THANK YOU!!
  9. Visit  catzy5 profile page
    #7 0
    Quote from KEL2BanRN
    I have a resident with a fistula in her upper L arm. I am only in my 3rd day of clinical and I need to document about the bruit and thrill. What is the appropriate way to word it? I am so lost I feel like I'm drowning. I'm going to the bookstore tonight and buying the book everyone is suggesting - "Charting Made Incredibly Easy". Maybe that will help somewhat. Thanks to anyone who can help.


    I am sorry I can't help but I just ordered that book and was wondering if anyone knew if it was any good, someone recomended but I hadn't heard anymore about it.

    good luck!
  10. Visit  Daytonite profile page
    #8 0
    Quote from KEL2BanRN
    I know all of that, but thanks... I was looking for how to word it in my charting. I got it now, though.
    "Able to palpate thrill over fistula."
    "Able to ausculate strong/weak bruit over fistula."
  11. Visit  KEL2BanRN profile page
    #9 0
    Quote from Daytonite
    "Able to palpate thrill over fistula."
    "Able to ausculate strong/weak bruit over fistula."
    Thanks
  12. Visit  KEL2BanRN profile page
    #10 0
    Quote from catzy5
    I am sorry I can't help but I just ordered that book and was wondering if anyone knew if it was any good, someone recomended but I hadn't heard anymore about it.

    good luck!
    Well, I ended up changing my mind - I ordered one called "Chart Smart". LOL

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