Scribeamerica ( Questions And Answers) Verified 100% Correct!!

What pt info is gained during triage? - 1) Chief Complaint 2) Vital Signs 3) Level of Acuity What are the 5 vital signs? - 1) Heart Rate 2) Blood Pressure 3) Respiratory Rate 4) Temperature 5) O2 Sat What are some SHx elements? - - Occupation - Living circumstances - Drug use - Alcohol use - Tobacco use Pt says "High blood pressure," but scribe writes _____? - Hypertension HTN Pt says "High Cholesterol," but scribe writes _____? - Hyperlipidemia HLD Pt says "Thyroid problems," but scribe writes _____? - Hyper or Hypothyroidism Pt says "Diabetes," but scribe writes _____? - Diabetes Mellitus DM Pt says "I only take pills for my diabetes," but scribe writes _____? - Non-Insulin dependent diabetes mellitus NIDDMaka type 1 Pt says "I take shots for my diabetes," but scribe writes _____? - Insulin dependent diabetes mellitus IDDM Type 1 or 2 Pt says "Chronic Bronchitis," but scribe writes _____? - COPD Pt says "Blood clot in lungs," but scribe writes _____? - Pulmonary Embolism PE Pt says "Heart Disease," but scribe writes _____? - Coronary Artery Disease CAD Pt says "Heart Attack," but scribe writes _____? - Myocardial Infarction MI and CAD Pt says "Irregular Heartbeat," but scribe writes _____? - Atrial Fibrillation A-Fib Pt says "Episodes of abnormally fast heartbeat," but scribe writes _____? - Supraventricular Tachycardia SVT Pt says "Reflux," but scribe writes _____? - GERD Pt says "Bladder infection," but scribe writes _____? -UTI Pt says "Kidney Infection," but scribe writes _____? - Pyelonephritis Pt says "Kidney stones," but scribe writes _____? - renal calculi or nephrolithiasis Pt says "I'm on dialysis," but scribe writes _____? - Chronic Renal Failure CRF