AND ANSWERS GRADED A+
✔✔Pt says "irregular heartbeat," you write... - ✔✔atrial fibrillation (a fib) or arrhythmia
✔✔Pt says "murmur," you write... - ✔✔heart murmur
✔✔Pt says "abnormally fast/racing heartbeat," you write... - ✔✔supraventricular
tachycardia (SVT) or arrhythmia
✔✔Pt says "emphysema/chronic bronchitis," you write... - ✔✔chronic obstructive
pulmonary disease (COPD)
✔✔Pt says "blood clot in lung," you write... - ✔✔pulmonary embolism (PE)
✔✔Pt says "pneumonia," you write... - ✔✔pneumonia (PNA)
✔✔Pt says "reflux," you write... - ✔✔gastroesophageal reflux disease (GERD)
✔✔Pt says "ulcer," you write... - ✔✔gastric ulcer or peptic ulcer disease (PUD)
✔✔Pt says "kidney stones," you write... - ✔✔renal calculi
✔✔Pt says "I'm on dialysis," you write... - ✔✔chronic renal failure (CRF) or end stage
renal disease (ESRD) on dialysis; include how often and when they go
✔✔Describe what G/P/A means. - ✔✔G: how many pregnancies
P: how many live births
A: how many abortions/miscarriages
✔✔Pt says "stroke," you write... - ✔✔CVA
✔✔Pt says "mini stroke," you write... - ✔✔TIA
✔✔Pt says "brain bleed," you write... - ✔✔hemorrhagic CVA
✔✔Pt says "I drink a lot," you write... - ✔✔ETOH abuse/alcoholism
✔✔Pt says "I do drugs," you write... - ✔✔substance abuse
✔✔Pt says "blood clot in leg," you write... - ✔✔LE DVT
✔✔Pt says "bulge in my aorta/triple A," you write... - ✔✔abdominal aortic aneurysm
(AAA)
, ✔✔Pt says "tonsils removed," you write... - ✔✔tonsillectomy
✔✔Pt says "heart bypass," you write... - ✔✔coronary artery bypass graft (CABG) w/
PMHx of CAD
✔✔Pt says "breast removal," you write... - ✔✔mastectomy
✔✔Pt says "part of my lung removed," you write... - ✔✔partial lobectomy
✔✔Pt says "appendix removed," you write... - ✔✔appendectomy
✔✔Pt says "gallbladder removed," you write... - ✔✔cholecystectomy
✔✔Pt says "part of colon removed," you write... - ✔✔partial colectomy
✔✔Pt says "bag of stool," you write... - ✔✔colostomy
✔✔Pt says "stomach stapled," you write... - ✔✔gastric bypass
✔✔Pt says "kidney removed," you write... - ✔✔nephrectomy
✔✔Pt says "uterus removed," you write... - ✔✔hysterectomy (partial or total)
✔✔Pt says "tubes tied," you write... - ✔✔tubal ligation (f) or vasectomy (m)
✔✔What are the 4 signs of a true allergy? - ✔✔-rash
-itching
-swelling
-difficulty breathing
✔✔What is it called when a medication causes a non-true allergy? - ✔✔adverse
reaction
✔✔What are the 3 routes of drug administration? - ✔✔-oral
-inhaled
-injected
✔✔What are the 3 types of dispositions? - ✔✔-discharged
-admitted
-transferred to another facility/dept
✔✔The diseases being considered as the source of the symptoms - ✔✔differential
diagnoses (DDX)