CCS Flashcards
1
Q
Nursing orders to order on every patient
A
UPDATE
2
Q
dysuria female orders
A
Physical exam – abdominal + genital
UPT
Repeat culture if pregnant
3
Q
pregnancy orders in general
A
Complete physical exam *STAT beta-Hcg Transvaginal ultrasound Order prenatal labs Prenatal counseling Prenatal therapy Followup in 4 weeks Pelvic Ultrasound
4
Q
UTI treatment
A
Bactrim x 3 days
5
Q
UTI in pregnancy treatment
A
nitrofurantoin x 7 days, repeat UCX
6
Q
prenatal labs for pregnant patient
A
Blood type Antibody screen (atypical antibody) Rhesus type CBC with differential BMP Pap smear ID: Rubella antibody + RPR + Hbs antigen + chlamydia + HIV (Elisa)
7
Q
prenatal counseling
A
High calorie diet
8
Q
prenatal therapy to order
A
Prenatal vitamins
Iron sulfate
Folic acid
9
Q
Ulcerative colitis orders in general
A
Order basic labs Send patient home Schedule appointment in a week Advance to obtain results Order colonoscopy Bring patient back to office Order treatment Send patient home Schedule follow-up in 2 weeks
10
Q
UC workup
A
Colonoscopy with biopsy*** ESR CBC BMP Stool ova and parasistes Stool fecal leukocytes Stool culture LFTs PT-INR PTT
11
Q
UC therapy
A
Mesalamine
Loperamide
Dicyclomine
nutrition consult
12
Q
steps in ectopic
A
Complete physical beta-HCG transvaginal US Transfer to ward STAT Other orders Admit patient Consult Ob-gyn Therapy Followup in 4 days + monitor serum Hcg
13
Q
unstable ectopic orders
A
IV access Normal saline Continuous BP monitoring PT-PTT-INR Consult Ob-gyn
14
Q
ectopic work up
A
CBC BMP vitals q1 hour Blood group and Rh type and cross PT-INR-PTT LFTs gonorrhea culture chlamydia culture
15
Q
ectopic therapy
A
MTX NPO IV access NS bed rest morphine OB gyn consult
16
Q
steps in IBS
A
Physical exam
Steps
17
Q
IBS orders
A
CBC BMP TSH FOBT ESR Stool O&P Stool leukocytes Stool culture Pap smear 72 hr stool fat
18
Q
IBS therapy
A
Lactose free diet High fiber diet Loperamide Biofeedback Patient counseling
