Medical Abnormality Identification: PIPER N ABCDE Mnemonic

• o History and physical examination in conjunction with pulse oximetry, ABG analysis, and chest X-ray are the initial diagnostic

There's also other scans such as a ventilation perfusion scan, this looks for blood clots along the pathway to the lungs. Other

2. The most common X-ray done is a chest X- ray. Most doctors order chest X-rays to diagnose conditions such as broken ribs, heart failure, lung cancer, and pneumonia.

Improve the accuracy of patient identification. The recommendation is for all healthcare providers to institute a policy of using at least two patient identifiers when providing care, treatment, and services. This goal has two objectives, one to verify the individual as the person for whom the service or treatment for and to match the service or treatment to that individual.

The very first stage of a patient's appointment should include the notation of the patient's demographic information as well as information about his/her insurance, such as the insurance payer and policy number. Any information that will be useful and/or necessary in a claim situation should be detailed at patient check-in.

You will have to record the patient's medical history and examine them to help you identify their past illnesses. You will need to make sure you guide your patients and tell them the information they need to

Cook County was having more patients than it could handle complaining about chest pain. Also, determining if the pain could be a heart attack was a very inefficient and a long process with too much information. So they streamlined the process, mainly considering 4 things which were the EGG, fluid in lungs, systolic pressure, and unstable angina. The results were more accurate and saved time. This showed that, sometimes with too much information, there is too much of the complicaticated information and an answer can’t be reached and with less information a correct answer can be reached quickly.

In 2003, The Joint Commission made one of their first goals to improve the accuracy of identifying patients to reduce or eliminate patient identification errors. This continues to be an accreditation requirement. Their recommendations to do this are to use at least two patient identifiers when administering medications, and when providing treatments or procedures. Acceptable identifiers may be the individual’s name, an assigned identification number, telephone number, or other person-specific identifier. Patient room number or physical location may not be used as an appropriate identifier. Healthcare provides should re-identify the patient with each encounter, each medication pass, and each procedure. There have been procedures and protocols throughout the country have been put into place to make the care provided to patients safer. Another element of this requirement is that all containers should be labeled in the patients presences after using the patient identifiers

X-rays are used to guide tubes or cameras through the body. It is used to look at the heart, lungs, and chest walls. They can also be used to rule out any other conditions that might be causing the weaknesses.

Heart: has regular rhythm and rate, with no clubbing, cyanosis, or edema of the extremities.

-Identifying each patient correctly is very important in order to avoid mistakes when delivering medications or performing each therapy.

O: A & O X 3, in no acute distress, no edema of left lateral rib cage, some redness to 1 inch below clavicle. Full ROM, bilateral lung sounds clear, full lung expansion, full active and passive ROM of left arm. Able to deep breath and cough with

D. CT scan (Cardiac Computerized Tomography): Is used to check for heart failure, as you lie down on a table that looks like a doughnut a rotating machine take images of your heart.(Mayo Clinic 2012)

tissue can be removed and examined, or an x-ray to examine for pulmonary edema, fluid

Ans :-Normal landmarks of lateral chest X-RAY :- The fissures are important landmarks on a lateral CXR, becoming visible when the X-ray beam passes parallel to them. The oblique fissure begins posteriorly at T4/5 level, passing through the hilum. The left is steeper and finishes 5 cm behind the costophrenic angle whereas the right ends just behind the angle. The horizontal fissure runs anteriorly from the hilum separating the right upper lobe from the middle lobe. On the left there is no horizontal