Chart review with a purpose
The exam rewards therapists who look for the specific data that changes the next action.
- Advance directives and code status precede any escalation decision.
- Home oxygen liter flow, baseline gases, and prior intubations define what 'normal' means for this patient.
- Medication list: beta blockers blunt tachycardia, opioids and benzodiazepines depress drive, diuretics cause the hypokalemic metabolic alkalosis you will see on the gas.
- Fluid balance and weight trend explain a compliance change faster than any imaging.