Lecture with professor

Question 1

Measure the widest part of the arm

Question 2

What happens if the cuff is too big what does that do to the blood pressure reading? It’s falsely _______

Answer 2

low

Question 3

What if cuff is too small what happens to the blood pressure? It’s falsely ________

Answer 3

high

Question 4

Measuring circumference of arm is critical to make sure you have the right size cuff

Question 5

Part of cuff aligns with the brachial artery which is an important step in blood pressure check list…if its not aligned its not proper placement and you will get points taken off for that

Question 6

To align with brachial artery is proper inflation

Question 7

Point of maximal inflation this is American heart association accurate way to take a blood pressure and what it does is you inflate the cuff and your palpating because your trying to estimate the systolic

Question 8

So palpating and inflating…no stethoscope yet

Question 9

The point at which the pulse disappears as your palpating it so your occluding the pulse is going to disappear its that number on the sphygmomanometer meaning it will disappear at 140 so I know that I need to inflate the cuff to 160 or 170 you add 20 to 30 points to it so that when your measuring the blood pressure you don’t miss the systolic coming down

Question 10

Point of maximal inflation (PMI)

Question 11

When measuring orthostatic which is performing a blood pressure measurement in the standing position, seated position, and then laying down flat its important to wait a minimum of three minutes in between position changes so that the body has time to compensate for the change in position and then measure a blood pressure and a pulse in each of those individual positions

Question 12

It’s what you hear coordinated with what you see

Question 13

Blood pressure is 126 over 88 (these are even numbers…if you give odd numbers you get points off..odd numbers CANNOT BE GIVEN BECAUSE ITS NOT ACCURATE

Question 14

Ticks sphygmomanometer are even numbers

Question 15

Lets say the first two consecutive beats were at 160 and then they went away and they came back at like 138 you would be wrong if you say the systolic is 138 it was the 160 of those two consecutive beats…a patient could come in immersive week that has an auscultatory gap and it typically happens in older adults…this is why its important to point of maximal inflation

Question 16

Follow up when for high blood pressure?

Answer 16

in a week or 2

Question 17

Sources of information helps to determine where in that note the information is going to be
The best source is ideally the patient if the pt can’t communicate for whatever reason perhaps it’s the family member maybe you have a pt that is the ICU and is intubated and can’t talk and then information is coming from the medical record so depending on what that source of information is…it could be from a variety of different sources

Question 18

Clinical interview…scholarmac where you interviewing and counseling and putting all those pieces together
Standardized format like ScholarMac so you had a systematic approach

Question 19

Review of Systems (ROS)

Question 20

Review of Systems is a head to interview with the patient

Question 21

Review of Systems is always in subjective part of a note. The subjective part of a note is the information that’s coming from the patient or the family member or the caregiver

Question 22

Subjective is what the patient is telling you

Question 23

SOAP notes is piece of communication btwn one healthcare provider to another as the drug expert we are communicating what we think the drug therapy should be or how it should be adjusted, stopped, or started

Question 24

The _____________part is anything an everything that the patient tells you

Answer 24

subjective

Question 25

The____________ part of a note is things that you perform as physical exam or their labs or tests or their calculations

Answer 25

objective

Question 26

Medications and allergies should be listed in the subjective or objective depending on the source of information

Question 27

Let’s say Ron is my patient…Ron what allergies do you have? Pt says penicillin…you ask ron what happens when you take penicillin? Rash… Ron is my patient and told you that…what section does that go in…the ___________

Answer 27

subjective