gv5
Forum Senior
Topics: 28
Posts: 178
|
I had a doubt withh ccs and would be grateful if u could help me.
1. to discontinue any treatment what should u do...is there any commmand for that or u just go and cancel the order from treatment list....such as a patient on antibiotics for giardia has become alright and u come to the 5 min screen,do u then cancel out the antibiotics from the list or let it be there.?
2. Also what shld be done when the 5 min screen appears,when they ask u to review orders.it would be great if u could tell me for the case of tension pneumothorax and giardiasis as i can atleast practice that....in that particular case 5 min screen comes very fast once u have done the right thngs
3. pt has stabilised and is better....do u cancel out all the orders of actiuive management such as oxygen,iv fluidsetc....plz advise
any other tips would be useful
thanks
|
| just do it
Forum Senior
Topics: 24
Posts: 139
|
Dear gv5
1. To discontinue any treatment, just click on that order and it'l ask if you want to cancel--say yes. For giardiasis case, if he finished the course of metronidazole, you can stop that- but i guess the 5 min screen will come by then. but, make sure u say -counsel-patient/mediaction compliance/sideeffects/ no alcohol and stuff.....
If a case is accepted for surgery, u'll let the previous ordrs stay in there, unlike in a giardiasis ccs where you may want to stop metro, if you go that far as 7 days of metronidazole and you can just do routine counselling.. Hope i am clear here.
2. In real exam, the 5 min screen won't come in so fast, (it won't come in say 4-6 min) bcoz in the practice cd , we usually don't read the entire history, physical and stuff. But in real exam , u'll read them and will be noting down all points relevant to your case, say for eg, in ABDOMINAL aortic aneuysm rupture - they'll say the pt is long term HTN pt & non-compliant with med's. So, u need to note down- non-compliance--as in counseling in last 5 min you want to counsel--medication compliance.
in last 5 min :i am pasting the mnemonic i used and i already posted previously in some other forum
"rated sex misc (miscellaneous)---choose only relevant for each ccs. everything is not needed in every ccs.
reassurance
no alcohol
no tobacco (smoking)
pt education/counselling
diet, regular/npo/high protein/low salt/ etc....
seat belt use
exercise, regular
x--safe sex
m--medication counselling/compliance/side-effects
i-no illegal drug use
s--suicide contract/ suicide precautions/ safety plan
c---contraception counselling"
3. pt is better - if u mean completely better-u can stop.
but, if u mean stabilized vitals (by ur pt is better)-in that case-- iv fluids will go.
above all, imagine as if you are actively treating a patient that moment--this will avoid a lot of mistakes
GL
Edited by just do it on 09/07/07 - 12:35 PM
|
| gv5
Forum Senior
Topics: 28
Posts: 178
|
thank u very much .
|
|
| |
| | | |
Similar forum topics