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28 Cards in this Set
- Front
- Back
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What do you mean by home monitoring devices?
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Designed to monitor diseases or to detect the presence or absence of a condition
Allow patients to test themselves at home Encourages active participation in patient’s own health Home tests are required to perform as well as the professional-use equivalent by the FDA Must be used properly |
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What are home monitoring devices used for?
FUMMP HHAD BAG 'C' |
Female/Male fertility
UTI Menopause, Middle Ear infection Pregnancy Hep C, HIV-1 Alzheimer Drug abuse Blood pressure allergy glucose cholesterol |
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What are the causes of elevated cholesterol level?
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1. excess production of cholesterol by the liver.
2. increase dietary intake of cholesterol |
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What is treatment of high cholesterol?
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lifestyle modification
medications Blood tests determine the efficacy and adherence to diet, exercise and medication. |
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How do you calculate LDL?
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friedwald formula
LDL = TC - HDL - (TG/5) TG < 400 only |
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What is the TC and HDL level for fasting lipid profile?
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TC > 200
HDL < 40 |
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Fate of fat? (A&P review)
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Dietary fat is incorporated into chylomicrons in SI.
Chylomicrons appear in plasma 2 hours after meal, reach to maximum at 4-6 hours, and last till 14 hours. |
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How long do we have to fast to obtain accurate results
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10-12 hours.
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What are home cholesterol tests?
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1. Total cholesterol tests
2. TC,LDL, HDL, TG 3. Finger stick technique (lab) |
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what are the devices that test cholesterol only?
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CholesTrak AccuMeter
Home Access Personal Cholesterol Monitor |
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TC, LDL, HDL, and TG level is done by?
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CardioChek
Measures glucose and ketones BIOSAFE Mail sample to laboratory |
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What's finger stick technique?
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2-3 hanging drops of blood are needed
Collect blood in ≤ 5 minutes Do not excessively squeeze or milk the finger |
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What amount of vitamin C should be avoided for finger stick technique?
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500 mg or more.
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blood pressure monitors.....
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hypertension (asymptomatic disease)
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Uses of blood pressure?
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White-coat hypertension”
Assess response to antihypertensive medication Improve adherence |
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types of blood pressure monitors?
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1. Auscultatory
Mercury Aneroid 2. Oscillometric Digital |
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Bllod pressure monitors
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Arm cuff
Semiautomatic and automatic Larger and smaller cuffs are available Width of cuff should span at least 40% of the length of the upper arm Bladder (inflatable portion) should encircle at least 75-80% of arm Wrist Less consistent Arm circumference >40-45 cm Finger Display |
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procedure of blood pressure measurement?
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Use appropriate sized cuff
Sit quietly for 5 minutes Sit up straight with feet flat on the floor Remove restrictive clothing from the arm Place upper arm/wrist at heart level Rest arm on table with palm facing upwards |
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why do we have falsely low bp?
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if the cuff is too big
eating hot baths |
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What are glucometers?
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Self-monitoring of blood glucose (SMBG) provides immediate feedback
Recognize glucose patterns Food Physical Activity Medications Meet daily goals Detect hypoglycemia |
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What are testing sites for glucometer?
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Fingers
Palm Forearm Upper arm Thigh Calf Blood flow to the finger is fastest Alternate testing sites are only for fasting state |
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How do you chose glucometer?
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Fingers
Palm Forearm Upper arm Thigh Calf Blood flow to the finger is fastest Alternate testing sites are only for fasting state Whole blood versus plasma glucose concentration Memory/ability to download Cost of meter and strips Cost/ease of replacement batteries Ability to use alternate site testing Effect of altitude |
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Selection of device?
(CITE) |
cost
interference with results test complexity ease of reading results |
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what resources can we use?
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FDA website
Manufacturer's website Pharmacist's letter |
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What are testing sites for glucometer?
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Fingers
Palm Forearm Upper arm Thigh Calf Blood flow to the finger is fastest Alternate testing sites are only for fasting state |
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How do you chose glucometer?
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Fingers
Palm Forearm Upper arm Thigh Calf Blood flow to the finger is fastest Alternate testing sites are only for fasting state Whole blood versus plasma glucose concentration Memory/ability to download Cost of meter and strips Cost/ease of replacement batteries Ability to use alternate site testing Effect of altitude |
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Selection of device?
(CITE) |
cost
interference with results test complexity ease of reading results |
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what resources can we use?
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FDA website
Manufacturer's website Pharmacist's letter |
