Measurement And Documentation Flashcards
General information
Age:
Confirm diagnosis
Rehabilitation( treatment, plan, topics)
Physical assessment
Sex:
Precaution
Susceptibility
Rehabilitation (topics)
How to calculate smoking history?
العلبه فيها ٢٠ حبه /
40/20= 2
10 year2*5 سنوات مثلا =
The primary and secondary diagnoses
Primary diagnoses: اللحظة الي خلته يجي المستشفى
Ex: exacerbation of asthma (PT note)
Secondary diagnosis: هل له صلة او علاقة بالتشخيص الاول
(relevant or not)
Other conditions which may or may not contribute to the primary diagnosis ( PT progress note)
Differences between
Acute/ subacute/chronic
Acute —-> 1 month
Subacute—-> 1-3 months (between)
Chronic——> 3 months
Why the past/ post medical history is important ?
For precautions
Cardiopulmonary Symptoms
Cardiovascular / pulmonary
Cardiopulmonary
Normally —> typically anywhere above the waist and exacerbate by exertion and relieved with rest
Dyspnea, chest pain, tightness, pressure, palpation, indigestion, burning
Dyspnea, wheeze, cough, sputum, production and increase work of breathing
Modifiable Vs non-modifiable
Modifiable—> can be changed and controlled
Ex: BP, smoking, diabetes, weight, increased LDL cholesterol, increased Triglyceride/fats, HTN.
Ex: Age, family history, sex, Ethnicity
Pregnant women more risk for heart problems
Yes
Modifiable due to :
Bad habits
Alcohol
Drugs
Women less at risk than men for heart disease
Because Estrogen has a protection mechanism for the heart wall
How to reduce risks of cardiovascular diseases (modifiable risk factors)
Physical Activity
Smoking Cessation
Healthy Diet
Clinical laboratory, ABGs and ECG are?
Objective informations
Radiological Studies
Rotation ( centered )
Ap/ PA
Penetration
CT
CT
.Excellent image of the lungs and mediastinal structures
• Good for detecting any form of ILD, bronchiectasis, certain types of carcinoma
MRI
• Best in staging lung cancer
Scintigraphic imaging
Widely used for detecting PE (pulmonary Embolusm)
Perfusion scan and ventilation/perfusion (V/Q) scan
Respiratory Treatment
• Medications • Oxygen therapy • Non-invasive/invasive ventilation • ECMO • Bronchoscopy • Surgery • Pulmonary Rehabilitation
PEFR- peak expiratory flow rate tests
-Use: Ashma
-Advantages: Portable / can be used at the bedside
-Disadvantages: Effort-dependent / Poor measure of chronic airflow limitation
Spirometry test
-Use: Assessment of airflow limitation, best sigle test
-Advantages: Reproducible / Detect restrictive and/or obstructive lung condition
-Disadvantages: Bulky equipment - but smaller portable machines available
6 MWT ( minutes walk test)
Use: practical assessment for disablility and effects of therapy
Advantages: No equipment requires
Disadvantages: Time-consuming / Learning effect / Minimum of two walks
Cardiorespiratory assessment test
Use: Early detection of lung disease/ heart disease
Fitness assessment
Advantages: Differentiates breathlessness due to lung or
heart disease
Disadvatages: Expensive and complicated equipment required
