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Approaching CCS.....continued - lastfrontier
#1
These are some tips.....hope it helps

Emergency setting

pul ox
oxy
IVa
NSS
EKG
Card monitor
BP

Unresponsive-
finger stick glu
Thiamine
Naloxone

TSH

Routine bld work

ICU/Floor

ADMIT CO
Activity
Diet
Medication -start/switch/Continue home Rx
Input/Output
Temp/Vitals
Compression stockings(DVT Prophylaxis)
Omez

Neuro/Psy
CT
MRI brain
depression index
B12
folate
RPR
TSH
Nimod- SAH
Carotid doppler
EKG

5 min screen

CVS RATED SEX

Counsel/consult
Vaccine
Screening

Reassurance
Activity/alcohol
Tobacco
Exercise
Drugs-d/c IV,Start Po,no illegal

seat belt
education
X safe sex

cardiac/chest

EKG
Cardiac enz
Troponin
Echo
CXR
Sputum
PEFR
For Kids: Add age appropriate vaxine.
Helmets when Bicycle riding.
water temp
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#2
Not able to post the rest.....
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#3
let me try again....

Dental health.
GUn safety.
smoke detector.
Teenage : DOnt drink while drive counsel.
For every one add age appropriate SCREEN.UV protection .Postexposure prophylaxis.
CANCER screen everyone gets it.
Females: think if she neeeds to be PAPed.
Chlamydia screen for a sexualy active with many.
Elderly geriatic *Mamograph if older.
*osteoporosis screen.
*pneumovax and flu vax for elderly.
*elderly fall prevention.
*Hormone replacement.
Screening :
Consider:
Self-breast exam every month after age 20.
Clinical breast exam every year after 40.
Mammography every year after 50 in normal-risk females.
Mammography every year after 40 in high-risk females.
Pap smear - every year (for 3 years) after 18 years or earlier if sexually active. Then, every 3 years until 65.
FOBT every year after 50 + Sigmoidoscopy every 3 years after 50 years.
OR
Colonoscopy every 10 years after 50 years.
Digital Rectal Exam every year after 40.
PSA every year after 50.
Vaccines :
Geriatrics :
Pneumococcal vaccine once for every person above 65. High-risk patients get earlier.
Influenza vaccine every year for every person above 65. High-risk patients get earlier.
Pediatrics :
DTaP - 2 months, 4 months, 6 months, between 15 and 18 months, between 4 and 6 years.
IPV - 2 months, 4 months, between 6 and 18 months, between 4 and 6 years.
Hepatitis B - Birth, 2 months, 4 months.
H. influenza B - 2 months, 4 months, 6 months, 12 to 15 months.
Pneumococcus - 2 months, 4 months, 6 months, 12 to 15 months.
Varicella - Between 12 and 15 months.
MMR - Between 12 and 18 months.
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#4
more ..
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#5
fantastic, thank you
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