ED Course 5: The ED Course

Define anemia

Low red blood cell count

Define leukocytosis

High white blood cell count

Define thrombocytopenia

Low platelet count

Name 3 components of the 'ED Course'

1. Lab/Imaging results

2. Procedures

3. Meds/treatments given

4. Consultations

5. Reevaluations

What is a reevaluation?

When the provider checks on the patient after their initial evaluation.

Ex of things we may document in this section: How is the patient feeling? Are they better/worse/unchaged? Did a certain treatment help? Updates on the plan of care.

What is a consultation?

When the provider has a conversation with another professional about the patient.

Ex. Specialty doctor, admitting physician, primary care provider, pharmacist, etc.

How do we diagnose anemia?

Low hemoglobin/hematocrit in the CBC

How do we diagnose leukocytosis?

High WBC in the CBC

How do we diagnose thrombocytopenia?

Low platelet count in the CBC

True or false: Leukocytosis in the CBC tells us the source of the infection.

False, an elevated WBC count only increases our provider's suspicion for an infeciton. They will have to correlate based on symptoms, physical exam findings, and other tests to determine source of the infection.

Define hypernatremia

high sodium

Define hyponatremia

low sodium

Define hypokalemia

low potassium

Define hyperkalemia

high potassium

Define hyperglycemia

high blood glucose level

Define hypoglycemia

low blood glucose level

BUN and creatinine can diagnose _____ failure.

kidney/renal

How do the BMP and CMP Differ?

The CMP has liver function tests.

List 2 or more components of the cardiac order set

1. EKG

2. Troponin

3. Chest X-Ray

4. CBC

5. BMP

Abnormal sodium levels make our provider concerned for possible _______.

dehydration

The patient's D-Dimer is negative. Do they have a PE?

No

The patient's D-Dimer is elevated. Do they definitievly have a PE?

No - we won't know for sure until we do a CTA of the chest.

BNP and BMP can be easily confused. What is the difference between the two?

BNP helps diagnose CHF while BMP tests basic chemistry in the body (kidney function, electrolytes, and blood glucose)

Low pH means

acidosis

High pH means

alkalosis

INR is mostly ordered for patients who take _______.

Coumadin / warfarin

True or false: The Beta HCG qualitative test can tell the provider how far along the patient's pregnancy is?

False - the qualitative test only gives a positive/negative response.

The patient has a leukocytosis, elevated lactic acid, temperature of 102.3 rectally, and a blood pressure of 90/40. Blood cultures have been ordered. What condition does the patient likely have?

Sepsis

What must be documented for all patients needed genital cultures or exams in senstive areas (genitals, breast, etc)?

That a chaperone was present for the exam.

Positive urine culture definitively diagnoses a ________

urinary tract infection

High WBC and bacteria in the urinalysis likely means _______

urinary tract infection

True or false: X-rays can be used to evaluate blood flow.

False

What does CXR stand for?

Chest X-ray

What does NSR stand for?

Normal sinus rhythm

13:24. Patient is feeling better after analgesics. Resting comfortably at this time, tolerating PO. Will continue to monitor pending admission.'

Is an example of what?

A reevaluation

22:01. Discussed case with Dr. Syed with cardiology who recommends starting patient on a heparin drip. He is en route to the ED now to evaluate the patient."

Is an example of what?

A consultation

What is a disposition?

Where the patient goes AFTER their ED evaluation

List 3 possible dispositions

Admit, Discharge, Transfer, AMA, Deceased

What does DKA stand for?

diabetic acidosis