April Showers BMI: 24.6 Not a good time to instruct pt before surgery (pt nervous) Pt never been instructed on a heart healthy diet (pt wants education) • Intolerance- spicy food (chile;upsets stomach) Patient #5: April Showers; DOB 1/20/19** Admission: Mon 2/1, Today is 2/2 Referral to RDN: from PCP per CABG protocol Med Hx: 64 YOF S/P MI, HTN, non-emergent CABGx2 pending for 2/3 Anthropometrics: Ht: 5'8" Wt: 162 lbs Integument: intact Labs: Total Chol 204 LDL 127 Meds: Scheduled: Lisinopril, Atorvastatin prn meds: morphine, nitroglycerin Home meds that are being continued: lisinopril, atorvastatin Home med being held: low dose aspirin Patient #5: April Showers; DOB 1/20/19** Food Allergies: fish, peanuts Diet: No Added Salt Intake: Food: 2/1: EM-10% 2/2: Brk 75% NM - 90% Fluid: no 24-hour data available for fluid intake
April Showers BMI: 24.6 Not a good time to instruct pt before surgery (pt nervous) Pt never been instructed on a heart healthy diet (pt wants education) • Intolerance- spicy food (chile;upsets stomach) Patient #5: April Showers; DOB 1/20/19** Admission: Mon 2/1, Today is 2/2 Referral to RDN: from PCP per CABG protocol Med Hx: 64 YOF S/P MI, HTN, non-emergent CABGx2 pending for 2/3 Anthropometrics: Ht: 5'8" Wt: 162 lbs Integument: intact Labs: Total Chol 204 LDL 127 Meds: Scheduled: Lisinopril, Atorvastatin prn meds: morphine, nitroglycerin Home meds that are being continued: lisinopril, atorvastatin Home med being held: low dose aspirin Patient #5: April Showers; DOB 1/20/19** Food Allergies: fish, peanuts Diet: No Added Salt Intake: Food: 2/1: EM-10% 2/2: Brk 75% NM - 90% Fluid: no 24-hour data available for fluid intake
Chapter1: Overview Of Coding
Section: Chapter Questions
Problem 2MC
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