1st Flashcards
TIA Minimum Waiting periods
1 year if not at risk of seizures (cerebellum or brainstem vascular lesions)
5 years if risk for seiners (cortical or subcortical deficits)
Max cert for TIA (embolic thrombotic strokes, intracerebral and subarachnoid hemorrhage)
1 year
DQ TIA (embolic thrombotic strokes, intracerebral and subarachnoid hemorrhage)
- Not completed appropriate waiting periods
- Use of oral anticoagulant therapy
- Other high risk drug combination like CNS depressents
- Residual intellectual physical impairments
- Does not have clearance from a neurologist
Nerve root of L4 is what refelx
Patellar
Nerve root of s2 is what reflex
s2
Do NOT certify pt with AAA if
4.0-<5.0 symptomatic, surgery recommended
>5.0 cm without repair and clarance
Clear AAA if
<4.0 cm asx
4.0-<5.0 cm and asx with vascular specialist clearance
>5.0 cm if 3 month post-repair and clearance
What is the waiting period for AAA post surgical repair
3 months
AAA max cert
1 years
Thoracic Aortic Aneurysm
Certify <3.5 cm and asx
DO NOT certify >3.5cm
Wait 3 months post repair and cleared by cardio
Stage 1 HTN is
140/90-159/99
Stage 2 HTN is
160/100-179/109
Stage 3 hTN is equal to or greater than
180/110
Stage 1 HTN with >140/90 certify for ?
1 year if they have no prior history of hon and no use of antihypertensive tx
Stage 1 HTN already had a 1 year cert and still have bp >140/90 how long do you certify them for?
One time 3 months cert - if they have untreated hen and has not been prescribed antihypertensives
- possibly require a stress test