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Intake list

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This is the list of things an intake worker at Common Ground Health Clinic should consider with each patient.

Vital Signs: safety firstEdit

Try to obtain vital signs within the first few minutes after the patient arrives at the station.

Red flagsEdit

  1. Chest pain/ tightness/ feeling of doom= heart attack
  2. One sided weakness or numbness/ difficulty talking or swallowing= stroke
  3. Elevated blood pressure + confusion, dizziness, blurred vision= hypertensive emergency
  4. Swollen legs, shortness of breath= heart failure
  5. Blurred vision, "feels funny," increased urination= hyperglycemia

Notify provider ifEdit

Blood pressure >220/120 (either systolic or diastolic)
Blood sugar >300 regardless of last meal
Heart rate >120
Temperature >102.5
Patient is complaining of difficulty breathing or chest pain

RemindersEdit

  • To avoid inaccurate blood pressure readings, use appropriate sized cuff - cuff bladder should encircle 80% of arm
    • Using a cuff that is too small can result in abnormally high reading
  • Fever exists if temperature is >100.4, not >98.6
  • Fasting blood sugar includes previous 10 hours with only water/ black coffee

Blood pressure stagingEdit

120/80 - 139/89 ... Pre-hypertension
140/90 - 159/99 ... Stage I Hypertension
>160/100 ... Stage II Hypertension

If diabetic, BP Goal = 130/85

Diagnosis of Hypertension = two abnormal readings on two different days

Glucose stagingEdit

FastingEdit

<110 ... Normal
106 - 125 ... Pre-diabetic (IGT)
>126 ... Diabetes

Not fastingEdit

<200 ... Normal
>200 + symptoms ... Diabetes

Diagnosis of Diabetes type II = two abnormal readings on two different days

NotesEdit

See Living well with diabetes

See Heart attack, Stroke, and Rescue breathing

This material is intended as a training supplement. Reading this material is no substitute for first aid / medical training with a qualified trainer. We encourage you to pursue ongoing education, reviewing and upgrading your skills-- for the safety of both yourself and anyone you treat.

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