Save Groups
Practice questions for this set
Learn 1 /7 Study using Learn
Chest pressure with diaphoresis, N/V, SOB
Dx by EKG (STEM), Troponin (Non-STEM)
Meds: ASA, NTG, B blocker, Heparin
*Document location of infarction and the specific artery involved if known
Choose an answer
1 H&P Template 2 Irritable bowel
3 MI 4 heart failure
Don't know?
Terms in this set (74)
H&P Template Day 1 admission note
, General progress note Rounding note
-Subjective summary (Update on pt's status, feeling
better or worse, any new complaints, able to
ambulate, appetite, urinating and defecating
normally)
-PE
-Any new results (labs, imaging, consults, Re-evals,
procedures)
-A&P (List of all DDx, comoborties, treatment plan)
Discharge summary note Admitting diagnosis (CC), Discharge Dx (List of all Dx
& CC), Hospital Course (All objective findings
procedures, consults, treatments), discharge plan,
Medication reconciliation
Heart disease Coronary Artery Disease (CAD)
heart failure Congestive Heart Failure
Irregular heartbeat A-fib
episodes of fast heart beat Supraventricular tachycardia (SVT)
Emphysema/Chronic Bronchitis COPD
Blood clot in lung PE
Pneumonia same (PNA)
Ulver Gastric ulcer
Chohn's/UC Crohn's Disease/Ulcerative colitis
Irritable bowel IBS
Kidney stones Renal calculi