Clinical Review
Systolic Blood Pressure that triggers a clinical review
90-100 or 180-200
What does the A stand for?
Antimicrobials
What is Hepatitis C
Hep C is a disease caused by the virus. It lives in the liver tissue and blood and can cause severe scarring and damage to the liver.
Yes
What percentage of clinical deterioration calls are related in sepsis? (in aus each year)
30%
A rapid response (red zone) is attended by
JMO + Registrar (in hours)
Registrar and CERS team (after hours)
What does the P stand for?
Potassium
What are the symptoms?
Loss of appetite
Nausea
Lethargy
abdominal pain
Jaundice
Dark urine + pale stools
This interaction is caused by nicotene
No - it is caused by cigarette smoke.
Smoking induces the activity of CYP1A2. These metabolise several clinically important drugs
if you have schizophrenia you are more likely to develop bowel cancer by what percentage?
A) 25%
B) 40%
C) 65%
D) 90%
90%
When a clinical review is called a patient should be seen within
30 mins
What does the I stand for?
Insulin
How is it spread?
Blood to blood contact
Too many nicotine lozenges will effect someone's clozapine level
No
People with a severe mental illness live approx. how many years less than the general population?
10-32 years or 80% higher mortality rate
Following a RR, how often do you need to complete vital signs and for how long?
Hourly for 4 hours
What does the N stand for?
Narcotics
How is it treated?
Tablets taken for 6-8 weeks
Resources available in inpatient for smokers
Nicotine withdrawal scale - NRT
CNC in smoking cessation at kirk place
What percentage of Hep C cases are asymptomatic?
>90%
Other than vital signs, what else can you call a clinical review for?
Increasing oxygen requirement
Poor peripheral circulation
Excess or increasing blood loss
Decrease in level of consciousness or new onset
of confusion
Low urine output
Polyuria, urine output >200mL /hr for 2 hours
(in the absence of diuretics)
Greater than expected fluid loss from a drain
New, increasing or uncontrolled pain
(including chest pain)
Blood Glucose Level <4mmol/L or >20mmol/L with
no decrease in Level of Consciousness
Ketonaemia >1.5mmol/L or Ketonuria 2+ or more
Sepsis alert
Concern by patient or family member
Concern by any staff member
What does the C and H stand for?
Chemotherapy & Heparin
Who should we be screening for Hep C?
Everyone
What percentage of people with severe mental illness smoke?
50.1%
What is the leading cause of death in people with severe mental illness?
Circulatory diseases (31.8%)
all other diseases account for 54.7%
Suicide accounts for 19.8%
World health Organisation