Cardiovascular

Printing and PDF export are disabled for this protected preview. Continue reading inside the DiraChart reader.

Trace DC89-12

DiraChart Clinical Reference
Protected section 12 of 15
← Document menu
Nursing Home · DiraChart

1. Purpose and clinical relevance

DiraChart Clinical Reference

Section NavigationPart 12 of 15PreviousNext

Smart phrases

EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.

.CV_HF

HF recovery: weight {##} lb (vs {prior}/target {##}), edema {grade/site} (vs {prior}), lungs {findings}, BP {##}/{##} within parameters, {orthostatic sx}. Correlated with diuretic/sodium order. Skilled volume assessment required daily. Supports Section N/K; cardiac goal {###}.

.CV_RHYTHM

Rhythm: apical {##} {regular/irregular}, radial {##} (deficit {##}), BP {##}/{##}, {symptoms}. {Held dose/parameter action}. SBAR to {provider}; {ECG/rate-control orders}; anticoagulation reviewed. Reassess {when}. Supports Section N.

.CV_POSTPROC

Post-{procedure} recovery: apical {##} {regular}, BP {##}/{##}, access site {status}, no chest discomfort, activity {tolerance}. Cardiac + anticoagulant regimen monitored. Skilled observation required. Supports Section N.

Section NavigationPart 12 of 15PreviousNext