Professional Documents
Culture Documents
Introduction
Health
For
example:
Measuring
blood pressure helps to
identify one of the risks of heart disease.
Health
Benefits of health
screening
Health
The
Advantages of health
screening
Health
pressure measurement
Total blood Cholesterol measurements
Blood glucose measurement
Body mass index measurement
% Body fat measurement
Lung function test
Height & weight measurements
Health education materials
Provision of lifestyle advice and dietary advice and
advice on risk factors
Smoking cessation support
Regular support, follow up and contact with the
patient
detection/diagnosis and
prevention of disease
Reduced risk factors
Improved quality of life
Maintain good health and wellbeing
Reduce cost and future complex
problems
1.Blood Pressure
Blood
Type of monitoring
Mercury sphygmomanometer:
.
This type of monitor is the most
accurate and does not need calibration.
. The blood pressure is determined by
measuring the length of the mercury
column while listening for the Korotkoff
sounds in the stethoscope.
. Mercury monitors are usually not used as a
home device because of their large size,
the need for use of a stethoscope, and
the potential for mercury spill ..
A.
B. Finger monitors:
These detect blood pressure by
compressing the finger and
converting blood vessel movement
into blood pressure by oscillometric
technology.
Finger blood pressure monitors are
least
accurate
and
not
recommended for home monitoring.
C. Aneroid sphygmomanometer :
This
is
similar
to
a
mercury
sphygmomanometer, except that instead of a
column of mercury, it has a dial to be read.
advantage
less expensive than mercury models;
they do require regular calibration with a
mercury sphygmomanometer to ensure proper
results.
These types of monitors are portable and
lightweight , however . Most require manual
inflation of the cuff , but a separate
stethoscope is not required.
Procedure
Blood Pressure
Patients should be at rest for at least 15 minutes.
Place the arterial portion of the cuff directly over
the brachial artery with the bottom of the edge
approximately 2.5 cm above the antecubital crease
.
Blood Pressure Checklist
Make sure the patient has both feet flat and
supported on the ground.
Ask the patient if the patient knows his or her blood
pressure.
Palpate for the brachial pulse before putting the cuff
on the patients arm.
Blood Pressure
Classification
The Seventh Report of the Joint National
Committee on Prevention, Detection, Evaluation, and Treatment of
High Blood Pressure. Hypertension 42:1206-1252, 2003.
2. Cholesterol test
The cholesterol test determines a patient 's total
cholesterol (TC) , low-density lipoprotein (LDL) , highdensity lipoprotein (HDL) and/or triglycerides.
(1) Some tests provide the patient only with a TC level,
whereas others provide a full lipid profile (TC, LDL, HDL,
and/or triglycerides).
(2) Some cholesterol kits are a single-use test in which
patient applies a blood sample onto a collecting card, which
is mailed to a laboratory for evaluation. The measurement of
the amount of cholesterol is determined by a colour chart ,
which is provided with the test .
(3) Regardless of the test used, the patient places a large
drop of blood onto the test card or cassette. Some of the
tests require the patient to fastmeaning nothing to eat or
drink except water for 12-14 hr before collecting the blood.
(4) These tests can be useful for patients who want to
monitor their therapy.
PFTs
Four
By
Interventions/Implications
Pre-test
Explain to the patient the purpose of the test
and the procedure to be done.
No fasting is required prior to the test, but
the patient should not eat a heavy meal
before the test.
Instruct the patient to use no
bronchodilators for 6 hours prior to the
test, if ordered by the primary care provider.
Instruct the patient not to smoke for 6
hours prior to the test.
Measure the patients height and weight.
Procedure
Post
test
4. Blood glucose
Glucose
Conditions
sugar.
Criteria for the diagnosis of diabetes mellitus, as
developed by the American Diabetes Association
1. Symptoms of diabetes plus casual plasma glucose
concentration 200 mg/dL (11.1 mmol/L). Casual is
defined as any time of day without regard to time since last
meal. The classic symptoms of diabetes include polyuria,
polydipsia, and unexplained weight loss.
2. FPG 126 mg/dL (7.0 mmol/L). Fasting is defined as
no caloric intake for at least 8 hours.
3. 2-hour postload glucose 200 mg/dL (11.1 mmol/L)
during an oral glucose tolerance test (OGTT). The test
should be performed as described by WHO, using a glucose
load containing the equivalent of 75 g anhydrous glucose
dissolved in water.
Normal
Normal
Values
Drugs
Interventions/Implications
Pre-test
Explain
Procedure
A
Post test
Apply
Thanx