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CSE Tips
Question | Answer |
---|---|
12 Lead is indicated when they present with... | Chest pain Heart Problems Rule out M.I Hemodynamic unstable Sudden onset of pain Arrythmias- PVCs |
Chest Xray is indicated when they present with... | ETT Tube Diagnostic Post trauma (MVC/MVA) Broken ribs Pulmonary issues Pt has cough with fever, Increased WBC V/O2 issues Decreased SpO2 |
HFCWO is indicated with patients with... | CF Weak cough |
Urine Culture is indicated with patients with... | Fever / SNF Patient with fever UTI History of kidney issues |
Pupillary Response is indicated with patients with... | TBI/head trauma Suspected of drug overdose Stroke N |
Sputum Culture is indicated with patients with... | PNA Increased WBC Fever |
Toxically Screening is indicated with patients with... | Overdose Alcohol use Pt. found down Pt. agitated/combative Hx of drug use |
Blood Culture is indicated with patients with... | Heart issues |
CT | PE |
APAGAR | Normal 7-10 (10 mins max) |
Ballard Score | Gestational Age |
Capillary | Neonates Ventilation ONLY |
CPR (infant) | HR <60? |
Auscultation of the chest | Safe Don't auscultate if its an emergent situation with no pulse Post Intubation SOB, Increased RR and WOB Assessing for ventilation issues |
Integrity of the tube/Cuff | Assess for leaks Increased PIP Decreased VT Obstruction of kinks |
Patency of the vent circuit | Kink Condensation (rainout) |
Vibratory PEP Therapy | Ex acapellea Mobilize secretion Weak/non Prod. cough |
Environmental issues | Asthmas Allergies Smoking inhalation Exercise induced asthma |
AC | Unconscious patient Pt. still needs full support |
Mental Status | Airway protection SBT/Weaning |
GCS/LOC | Sensorium Alert, Awake |
CO-Oximetry | <20 CO poisoning Pt. found down in house fire Occupation (firefighter) |
Cardiovert | V. Fib V. Trach with Pulse SVT |
Defib | No Pulse V. Fib |
Babinski Reflex | Babies Only Foot Reflex Done in the NICU |
Corneal Reflex | Blink reflex For Neuro issues |
Muscle Tone (BABY) | APGAR |
Skin Color | Cyanotic |
Extremities | Edema Clubbing Perfusion |
CBC | HB/HCT Platelets WBC/RBC |
Physical Appearance | Accessory muscle use Malnourish Diaphoretic Cyanotic Digital Clubbing (COPD,CHF, CF) |
6MWT | Distance COPD Smokers |
FeNO | NOT for distressed patients For Asthma Pts index of inflammation |
DLCO | NOT for emergent patients/ICU PFT patients for pul. Rehab |
Spirometry Pre/Post | "Bronchodilator test"= reversible 12% Fev1 200 ml FVC |
Bronchial Provocation Test | Methacholine challenge Inhalation challenge Asses for hyperreactive airways |