Read CardiacFlowsheet.pdf text version

CARDIAC GUIDELINES FOR CARE FLOW SHEET

Patient Name: Date of Birth: INTERVENTIONS Blood Pressure

· < 130/85 mm Hg if heart disease · < 130/80 mm Hg if diabetes or renal insufficiency

Physician Name: Patient #: DATE DATE DATE DATE

Weight (lb or kg) Height Lipid Profile

· Total Cholesterol <200 mg/dL · HDL >40 mg/dL mg/dL · LDL <100 mg/dL · Triglycerides <150 mg/dL mg/dL mg/dL mg/dL mg/dL mg/dL mg/dL mg/dL mg/dL mg/dL mg/dL mg/dL

Goals:

mg/dL

mg/dL

mg/dL

mg/dL

Annual Fasting Glucose Screen Ejection Fraction (%) or degree of LV dysfunction ACE Inhibitor HF ACE Inhibitor Post MI Beta-Blocker HF Beta-Blocker Post MI Statin Therapy Elevated LDL or IHD ASA Therapy (if age > 40 yrs or high risk for CVD) Smoking Cessation Counseling Depression Screening Physical Activity - Frequency Flu Vaccine (Annual) Pneumococcal Vaccine

Rx Rx

Rx Rx

Rx Rx

Rx Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

Rx

© 2004 American Healthways, Inc.

(1/29/04)

Information

1 pages

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate

723965