Below is a summary of Maya’s electronic health record during her four hours in the emergency room. As her ED physician, you are responsible for examining Maya and ordering tests. These tests will help diagnose her condition. Answer the following questions and be prepared to discuss the responses with the rest of Maya’s healthcare team.
A. LOC question: Month and age. |
B. LOC question: Open and close eyes |
C. Gaze |
D. Visual field |
D. Facial palsy |
____ Ischemic | A. A weakened blood vessel ruptures. |
____ Hemorrhagic | B. A temporary clot. |
____ Transient Ischemic Attack | C. An obstruction within a blood vessel. |
A. Transient Ischemic Attack (TIA) |
B. Hemorrhagic stroke |
C. Ischemic stroke |
D. Both B and C |
A. Determine if there is insufficient blood flow to the heart. |
B. Determine if there is blockage of the brain’s blood vessels. |
C. Determine if there is blockage of the carotid arteries. |
A. Slurred, unrecognizable speech. |
B. Loss of mobility in both right arm and leg. |
C. Diffused region of hypodensity, left ventricle. |
D. All the above |
A. Cardiovascular procedure |
B. Surgical treatment |
C. tPA injection |
D. Both A and B |
Below is a summary of Maya’s EHR activity during her four hours in the ED. As a nurse you are responsible for obtaining and monitoring her vital signs. Answer the following questions and be prepared to discuss the responses with the rest of Maya’s healthcare team.
A. Temperature |
B. Blood pressure (SBP/DBP) |
C. Peripheral Pulse rate (bpm) |
D. SpO2 (oxygen level) |
D. Respiratory rate |
Temperature _______ | Respiration _______ |
Pulse / Heart rate ______ | Blood pressure ______ |
A. Remove the blood clot that is blocking the blood vessel to the brain. |
B. Use tPA to dissolve the blood clot to improve the blood flow. |
C. Use surgery treatment to stop the bleeding within the brain. |
D. Both B and C |
A. No information can be shared with Maya’s daughter. |
B. Using professional judgment, you can only confirm that Maya is in the hospital. |
C. Using professional judgment, you can discuss information about Maya concerning her care. |
Below is a summary of Maya’s EHR activity during her four hours in the ED. As a technologist, you are responsible for obtaining and providing test results. This will assist the physician in diagnosing Maya’s condition. Answer the following questions and be prepared to discuss the responses with the rest of Maya’s healthcare team.
______ Detects enlarged blood vessels in the brain |
______ Evaluate a tumor formed by blood vessels |
______ Test to find abnormal vessels in the brain |
______ To find blood clots formed in your leg and traveled to the stomach |
______ Coagulation | A. A high WBC and ow platelet value indicates a possible infection. |
______ Lipid panel | B. High glucose levels could be a factor in her stroke. High potassium levels show an imbalance inside her body. |
______ Complete blood count | C. Elevated levels of PT, PTT and INR suggest that her blood is not clotting as it should. |
______ Basic metabolic panel | D. High level of total cholesterol and triglycerides can cause plaque to build up in arteries which can cause an ischemic stroke. |
______ SBP/DBP | ______ Trigylcerides |
______ SP02% | ______ White blood count (WBC) |
______ NIH stroke scale | ______ Platlets |
______ Coagulation | ______ Glucose |
______ C-reactive protein | ______ Potassium |
______ Total cholesterol |
Below is a summary of Maya’s EHR activity during her four hours in the ED. As a pharmacist, you are responsible for making sure that Maya receives her medications. You are also responsible for reviewing possible side effects Maya might have with her medications. Answer the following questions and be prepared to discuss the responses with the rest of Maya’s healthcare team.
A. Altace |
B. Lipitor |
C. Toprol-XL |
D. Codeine |
A. Her drug reaction could go away with time so there would be no issue. |
B. She could have a life-threatening reaction to the medicine. |
C. Her body would fight back by setting off an allergic reaction. |
D. Both B and C |
______ Altace | A. Beta blocker used to reduce heart rate. |
______ Zaroxolyn | B. ACE inhibitor used to relax blood vessels and treat high blood pressure. |
______ Toprol-XL | C. Diuretic used to treat salt and water retention. |
Below is a summary of Maya’s electronic health record (EHR) activity during the four hours she is in the ED. As a medical and health services manager, you are responsible for making sure that Maya receives excellent care. You will also figure Maya’s bills, consisting of her tests, procedures, room charges, supplies and medications. Using her EHRs, Virtual Physical Exam (VPE) and Internet research, fill out the billing statements and be prepared to share this information with the rest of Maya’s healthcare team.
To determine the cost of Maya’s ED visit and hospital inpatient stay, you will need the following:Below is a summary of Maya’s EHR activity during her four hours in the ED. As a health coach, your job is to recommend changes to decrease the need for future emergency care or hospitalization. You will also provide the resources she needs to understand her diagnosis and what may have caused her condition. Answer the questions and be prepared to discuss the responses with the rest of Maya’s healthcare team.
______ “pins and needles” sensation | ______ face drooping |
______ blurred vision | ______ arm weakness |
______ severe headache | ______ paralysis |
______ speech difficulty | ______ time to call 9-1-1 |
A. LOC question: Month and age |
B. LOC question: Open and close eyes |
C. Gaze |
D. Visual field |
E. Facial palsy |
A. Stroke rehabilitation facility or in-home care |
B. Speaking and communicating |
C. Thinking and memory |
D. Bladder and bowel problems |
E. Swallowing and eating |
A. Decrease her salt intake |
B. Lower her blood pressure |
C. Decrease her total calorie intake |
D. Choose better options for snacking |
E. Lower her cholesterol levels |
F. Begin a walking / exercise program |