doc'ing bruit and thrill

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    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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  3. 10 Comments so far...

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    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.
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    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.
  6. 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.
    txspadequeenRN likes this.
  7. 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.
  8. 0
    If I'm short on space, I just put: A-V fistula to L FA; Bruit/Thrill +/+
  9. 0
    Quote from NurseyBaby'05
    If I'm short on space, I just put: A-V fistula to L FA; Bruit/Thrill +/+
    THANK YOU!!
  10. 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!
  11. 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."
  12. 0
    Quote from Daytonite
    "Able to palpate thrill over fistula."
    "Able to ausculate strong/weak bruit over fistula."
    Thanks


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