Latest Updated!)
Comorbidity - ANSWERSthe simultaneous presence of two chronic diseases or
conditions in a patient; complexity
etiology - ANSWERSthe cause of a disease
Systole (systolic) - ANSWERSphase of the heartbeat during which the muscle contracts
pumping blood to the body
Diastole (diastolic) - ANSWERSphase of the heartbeat during which muscle is relaxed
and the heart fills with blood
Diuretic - ANSWERSa substance that promotes the production of urine
Paresthesia - ANSWERSsensation of tingling or numbness
Polydipsia - ANSWERSExcessive thirst
Ischemia - ANSWERSloss of blood supply to tissue
Anticoagulant - ANSWERSa drug that prevents blood clotting
chronic - ANSWERSAn illness is typically classified as blank when it lasts longer than 3
months
70% - ANSWERSChronic illnesses cause about blank of deaths in the US
90%, 75% - ANSWERSApproximately blank of seniors have a chronic illness and over
blank have two or more
- the treatment of one disease may affect or contradict the treatment of the second
-adverse drug interactions
-compounding symptoms may lead to poor compliance with treatment plan
-if both illnesses affect a specific organ system, the patient is at increases risk of organ
failure - ANSWERSPatients with comorbidities are complex in a number of ways
including:
-symptoms in chronological order
-the status and progress of each illness
,-level of compliance with treatment plan - ANSWERSFor complex patients, it is
important to document:
bill - ANSWERSComplex patients often blank to higher level, so it is important to
document thoroughly and accurately
Systolic Blood pressure - ANSWERSmeasures the pressure in the arteries when the
heart contracts (beats)
Diastolic blood pressure - ANSWERSmeasures the pressure in the arteries when
relaxed (between heart beats)
90/60 to 120/80 - ANSWERSWhat is a normal systolic/ diastolic bp?
lowers blood pressure - ANSWERSdecreasing sodium intake does what?
- ANSWERSDon't forget to document "Low sodium diet encouraged" in the patients
chart when directed by provider
Diuretics - ANSWERSreduce the volume of fluid in the blood vessels by urinating
excess fluid
Beta-blocker - ANSWERSslow the heart rate and reduce the hearts workload
Ca Channel Blockers - ANSWERSdilate the arteries and reduce the force of the hearts
contractions
ACE inhibitors - ANSWERSrelax arteries and block reabsorption of water by kidneys
ARBS - ANSWERSdilate the arteries
-Severity of HTN
-Effect of the medication on comorbidities
-Cost of medication/ insurance coverage
-patient/ provider preference
-effectiveess of medication for specific patient - ANSWERSHTN treatment with a
specific medication depends on:
Type 1 DM - ANSWERSInsulin insufficiency; the pancreas is unable to produce insulin
which moves glucose from the blood into cells; only 5% of todays DM patients; can only
be IDDM; treated only with insulin; diagnosed early in life, strong FHx components
Type 2 DM - ANSWERSInsulin resistance- consistently high blood glucose levels cause
cells to become resistant to insulin; 95% of todays today; can retreated with diet
changes, non insulin meds, or insulin; May be IDDM or NIDDM; FHx component but
also SHx factors including diet and exercise
, Insulin dependent - ANSWERSBoth Type 1 and type 2 can be
HDL- High Density Lipoprotein - ANSWERSGood Cholesterol; blank is able to remove
cholesterol from artery plaques and recycle it back to the liver
LDL- Low density lipoprotein - ANSWERSBad cholesterol; blank transports cholesterol
to arterial walls and aides the formation of plaques
MI - ANSWERSCAD is the #1 biggest risk factor for
Coronary Artery Disease, Acute Coronary Syndrome, Myocardial Infarction -
ANSWERSWhat are the main concern of CAD?
- do you have a home nebulizer?
-have you bee prescribed steroids recently?
-have you previously been hospitalized for asthma?
-have you previously been intimated (breathing tube) - ANSWERSWhat questions may
a physician ask the pt when trying to assess the severity of symptoms and previous
treatment?
Peak Flow - ANSWERSAsthma Diganosis:
Peak expiratory flow or PEF
Measured w a peak flow monitor
Measure in liters/ minute
Baseline PEF must be established at the time of Dx
Inhaler - ANSWERS-pressurized device that releases a "puff" of medication fro
inhalation
-one dose at a time
Nebulizer - ANSWERS-machine that delivers continuous aerosol mist
-treatment is delivered over a period of time
Patient Problem List - ANSWERSBlank organizes the patients past medical history and
allows the doctor to identify a patients active issues quickly, it includes all active and
resolved conditions (diagnoses or symptoms) and is used to keep track of both the most
concerning issue and any recurrent events
Problem List - ANSWERSA well designed blank provides the patients current and past
health problems
Chronic illnesses, Injuries suffered by the patient, any symptom or disease that has
affected the patient - ANSWERSA problem lists includes: