Problem Lists, Pertinent Positive and Negatives

Question 1

3 types of plans?

Answer 1

■ Diagnostic
■ Therapeutic
■ Patient education

Question 2

Where do pertinent positives and negatives come from?

Answer 2

○ From both history and physical

Question 3

What is a diagnostic plan?

Answer 3

■ Test your hypothesis, what tests/procedures do you need to do to rule things in and out

Question 4

Reasons to admit a patient?

Answer 4

1. Rule out life threatening diagnosis
   a. Adult – MI, PE, Dissection aneurysm, GI bleed, syncope, coma, altered mental status, DKA
   b. Child – Fever, upper resp distress (croup, asthma)
2. Poor oral intake: vomiting/dehydration
3. Need IV medication – failed outpt oral meds
4. Unstable condition –unstable angina
5. Social reason
   a. Peds/DCSF – suspect abuse?
   b. No support/can’t change dressings
6. Psych - Risk to self/others – Suicidal
7. Treatment not available at home or not readily available
8. Failure to respond to appropriate outpt regimen
9. Isolation (TB)

Question 5

Components of an admitting order?

Answer 5

“ADC VAAN DISML”
Admit to
Diagnosis
Condition
Vital signs
Activity permitted 
Allergies
Nursing orders
Diet
IV fluids
Se