Pharm Comm Med Abrev

NCAT

Normocephalic Atraumatic (normal head, no trauma)

PERRLA

Pupils equal, round, reactive to light and accommodation

EOMI

Extraocular muscles intact

EEG

Electroencephalogram- measures electrical activity of brain

RRR

Regular rate and rhythm (heart)

CXR

Chest xray

Consolidation

area of lungs where air should be but ISN’T (fluid, blood, pus)

Infiltrate

dead cell, debris, pus commonly seen with pneumonia (lungs)

Atelectasis

partially or fully collapsed lung

Pleural Effusion

fluid in the space between chest wall and lungs

Aspiration

inhalation of food particles or stomach contents

CT Scan

Computed Tomography scan

• - Assesses pulmonary embolism, lung masses, internal bleeding, edema

Echo

Echocardiogram- ultrasound of heart

EKG or ECG

Electrocardiogram- measures electrical activity of the heart

Cardio Catheterization

Look for disease of heart muscle, valves, or coronary arteries

Coronary Angiography

contrast dye used to visualize movement through arteries

■ Detects blocked arteries

PFT

Pulmonary function test- measure of lung volume

1. FEV1= forced expiratory volume in one second

2. FVC= forced vital capacity

EGD

Esophagogastroduodenoscopy- Endoscopic procedure that examines the esophagus, stomach, and duodenum

Doppler Ultrasound

Detects blood flow issues (like DVT)

Abx

Antibiotics

Empiric Coverage

Abx started before bacteria identified

○ Sample culture grown in lab

■ ID bacteria

■ ID effective and resistant ABX options

S vs R meaning on microbiology reports

S= sensitive (bacteria killed by Abx)

R= resistant (bacteria immune to Abx)

SOAP

1. Subjective- observed/what pt tells us (SH, FH, PMH, HPI, meds, allergies, vaccines)

2. Objective- things that can be measured (vitals, lab tests, serum drug conc)

3. Assessment (disease assessment and goals, as evidenced by secondary to)

4. Plan (pharm, nonpharm, education, follow up)

CC

Cheif complaint

HPI

History of present illness (what’s going on right now)

PMH

Past medical history- full list

FH

family history

SH

social history- what pt is doing to themselves, like smoking

ROS

Review of symptoms

NKDA

No known drug allergies

EMR/EHR

Electronic health/medical record

BP

Blood pressure

HR

Heart rate

RR

respiratory rate

BMP

Basic metabolic panel

CBC

Complete blood count

BG

blood glucose

A1c/HbA1c

Hemoglobin A1c

WNL

within normal limits

Palpation

The use of sense of touch in evaluation of the patient

Percussion

Used to produce sounds, elicit tenderness, or assess reflexes in a patient

Auscultation

Listening for normal and abnormal sounds with a stethoscope

Electrocardiogram vs Echocardiogram

electro= electrical activity of heart

echo= ultrasound of heart

CV vs resume

CV= no page limit, professional accomplishments,

Resume= 1-2 pages, skills/experiences,

Journal club and the purpose

A group of interested individuals that meet to discuss the strengths, weaknesses, and clinical application of selected articles from scientific literature

1. Background

2. Methods- determine study design

Listening process

Will= consciously decide I’m going to listen

Attention= complete and undivided

Bracketing= not judging

listening= don’t focus on correctness of an idea

Empathetic responding= see the idea from the other persons perspective

trust= feeling understood over time

Sympathy vs empathy

Sympathy= feeling sorry for someone

Empathy= putting myself in someone else’s shoes

What to avoid when counseling

Judging, advising, placating (fake cheerfulness), generalizing, quizzing, and ignoring it

PPCP wheel

Collect, assess, plan, implement, follow up

How to elaborate on chief complaint?

Ask SCHOLAR-MAC, done in the HPI section of a SOAP note

What does a problem list contain?

includes all patient problems, even if controlled

SBAR documentation

Situation, background, assessment, and recommendation

What is a brown bag event?

An individual pulls together all current RXs, vitamins/herbals, and OTCs then puts into a bag to be reviewed by a RPh or student RPh

What are the three main questions to ask a patient when reviewing their medications?

·      What did your doctor tell you this medication is for?

·      How did your doctor tell you to take this medication?

·      What did your doctor tell you to expect?

Admission vs Discharge Hospital counseling

Admission= make a list of meds taken by patient BEFORE admitted

Discharge= review/update med list

• discharge counseling by a pharmacist reduced rate of readmission