Central Case Project Handout Sp 2022.pdf - 1 1 Central...

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Central Case for Lectures
An 18-y/o male freshman at KU
arrived home from college not feeling
well. He had a low grade fever,
shortness of breath, & was lethargic,
sleeping 14 – 16 hours each day.
A nose bleed that would not stop
prompted the parents to insist on a
trip to the Emergency Department
(ED).
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Central Case for Lectures
On admission to the ED, it was noted that the
patient was pale, had a rapid heartbeat and
breath rate, petechiae, slight yellowing of the
sclera, and hepatomegaly.
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Petechiae
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Yellowing of the Sclera
Hepatomegaly
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Central Case for Lectures
An 18-y/o male freshman at KU arrived home from college not feeling
well. He had a low grade fever, shortness of breath, & was lethargic,
sleeping 14 – 16 hours each day. A nose bleed that would not stop
prompted the parents to insist on a trip to the Emergency Department
(ED).
On admission to the ED, it was noted that the patient was pale, had a
rapid heartbeat and breath rate, petechiae, slight yellowing of the
sclera, and hepatomegaly.
Point of care testing (POCT) was performed for a Hemoglobin (HB)
and Hematocrit (HCT), troponin, chest x-ray, and prothrombin time
(pro-time/PT).
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POCT
“Point ‐ of ‐ care testing (POCT) is defined
as medical testing at or near the site of
patient care. The driving notion behind
POCT is to bring the test conveniently
and immediately to the patient. This
increases the likelihood that the patient,
physician, and care team will receive the
results quicker, which allows for
immediate clinical management decisions
to be made.” [Wikipedia]
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testing.jpg
POCT
• Improved turnaround time
• Reduction in length of stay (LOS)
• Reducing emergency department (ED)
overcrowding
• Improved ED efficiency
• Increased patient satisfaction
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Testing/#sthash.jN9zrZTZ.dpuf
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POCT “Device/Cartridge”
i- STAT “system”
I-Stat
Central Case for Lectures
An 18-y/o male freshman at KU arrived home from college not feeling
well. He had a low grade fever, shortness of breath, & was lethargic,
sleeping 14 – 16 hours each day. A nose bleed that would not stop
prompted the parents to insist on a trip to the Emergency Department
(ED).