ECG & BP
Family history, age, gender, Race, Smoking, Sleep Apnea, Stress, overweight, and obesity
What are factors affecting blood pressure?
Adherence, safety, Risk
What are the importance of Med Rec
5 lifesavers, 4oz fruit juice, glucose tablets 3 tables 5gram tablets, frosting packets
What is 15g of carbs
Medication refills, immunizations, labs, imaging, medication injections
What are orders only LPN's and RN's can sign with a verbal order readback?
Get rid of the Fluff
What is Rule #1 when working dosage calculations
Correct cuff size, feet flat, arm at heart level, empty bladder, no talking, cuff on bare arm
What to consider when taking a blood pressure
Last Appt, Last labs, Follow up appointment
What is the proper way to pend a medication refill request?
High Alert Medication “HAM”, Sound Alike Look Alike Drug “SALAD”
What are some Regulatory Compliance signs
Abrupt onset of symptom short term
What is Acute
What is was ordered divided by what is on hand multiplied by volume
What is the universal formula for safe dosage?
Electrocardiogram
What is ECG
Taking, not taking, unknown
What is the process of Med Rec.
15 grams of carbs, recheck glucose 15 minutes later
What is the rule of 15
A1c, Microalbumin, Referral, immunizations, imaging
What are types of orders
Remove trailing zeros and add a zero before a decimal point
What is when calculating medication dosage
Clearing way any hair, removing lotions, powders and oils, Women to undress from the waist up including Bra
What is ECG Preparation
Medication name, Dosage, Route and frequency
What is medication verification?
Polyuria, polydipsia, polyphagia, weight loss, vision change
What are signs of Hyperglycemia
conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both
What is Chronic Illness
lbs to kg divide by 2.2, kg to lbs multiply by 2.2
what is the conversion formula when going from lbs to kg and vice versa
chest pain, pressure, discomfort, tightness, squeezing, burning or indigestion; shortness of breath/dyspnea; weakness; syncope; nausea & vomiting
Who should get an ECG?
True Duplicates, Therapy completed
What medications CMA's and LPNS can delete only!!!!!
copd, asthma, chf, HLD, HTN, DM
What types of chronic illness
amb poc A1c, amb poc strep, amb poc hcg, amb poc urinanalysis
What type of orders CMA can only sign
Hyperbilirubinemic neonates - should not be treated with
What is Rocephin