Clinical Flashcards

0
Q

New admit

A

Head to toe assessment

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1
Q

Computer what to check prior to seeing patient

A

Cardex: SBAR

LAB: 
electrolytes
WBC
RBC
Hgb
Hct
BUN
Creatinine
Glucose
Liver:
ALT
AST
TSH: high means thyroid is low
Meds w/ narrow therapeutic range
Toxicology
MAR
Report notes
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2
Q

Assessment

A
Follows Maslow's H and SBAR
Medical issues
Safety
Relationships (interventions I did)
Self esteem
Discharge readiness
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3
Q

Axis 1

A

Clinical diagnosis

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4
Q

Axis 2

A

Mental disorders

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5
Q

Axis 3

A

General medical condition

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6
Q

Axis 4

A

Psychosocial environmental problems

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7
Q

Axis 5

A

Global assess functioning

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