Technology for performing a simple medical service

PREPARATION FOR BICYCLE ERGOMETRY (VEM) AND TREADMILL TEST (treadmill)

Purpose: Diagnostic

Indications:

1. Identification of hidden ischemia of the heart;

2. Determination of the functional class of angina pectoris;

3. Assessment of tolerance to physical activity;

4. Evaluation of the effectiveness of the therapy

Contraindications:

1. Diseases of the musculoskeletal system;

2. Respiratory failure, etc.

Equipment:

1. Bicycle ergometer (or treadmill)

2. Tonometer

3. Phonendoscope

4. Electrocardiograph with basic set (electrodes, gel, etc.)

Algorithm for preparing a patient for a VEM (treadmill test)

1. Preparation for the procedure:

1. Introduce yourself to the patient, explain the course and purpose of the procedure. Ensure that the patient has informed consent for the procedure to be performed.

2. Inform the patient that:

– on the evening before the study and in the morning on the day of the study, he should not take medications.

– that he is allowed to take a light breakfast in the morning.

– that he should have a towel with him.

2.Performing the procedure:

3. Escort the patient to the functional diagnostics room.

4. Deliver the medical record to the functional diagnostics room.

3. End of the procedure:

5. Ensure the return of the medical card to the department after the study.

Technology for performing a simple medical service

PREPARATION FOR TEPP (transesophageal electrical stimulation of the heart)

Purpose: Diagnostic

Indications: Identification of latent ischemia in the presence of contraindications to VEM.

Contraindications: set individually.

Equipment: Stimulation electrode

Algorithm for preparing a patient for CPES.

I. Preparation for the procedure:

1. Introduce yourself to the patient, explain the course and purpose of the procedure. Ensure that the patient has informed consent for the procedure to be performed.

2. Inform the patient that 10 days before the study, you should stop taking the antiarrhythmic drug cordarone, and 2 days before the study – all other drugs.

3. Warn the patient that the study is carried out on an empty stomach, he must have a towel with him.

2.Performing the procedure:

4. Escort the patient to the functional diagnostics room.

5. Deliver the medical record to the functional diagnostics room.

3. End of the procedure:

6. Ensure the return of the medical card to the department after the study.

Technology for performing a simple medical service

PREPARATION FOR 24-HOUR HOLTER MONITORING

Purpose: Diagnostic

Indications:

1. Detection of ECG changes during episodes of pain.

2. For the diagnosis of painless myocardial ischemia

3. Detection of cardiac rhythm and conduction disorders.

Contraindications: set individually.

Equipment:

1. Thoracic electrodes.

2. Recorder for ECG monitoring.

Algorithm for preparing the patient for the procedure

24 hour Holter monitoring.

I. Preparation for the procedure:

1. Introduce yourself to the patient, explain the course and purpose of the procedure. Ensure that the patient has informed consent for the procedure to be performed.

2. Inform the patient that:

– during CMT, the patient should have a normal level of physical activity (as agreed with the attending physician)

– All your feelings must be recorded by the clock in the “Patient’s Diary”

– avoid sudden movements

– during the procedure it is forbidden to take a shower, a bath

– Avoid hitting the recorder, protect it from water and heat

– you can not remove the electrodes and turn off the recorder yourself

– you can independently attach the electrode in case of its detachment from the skin

II.Performing the procedure:

3. Escort the patient to the functional diagnostics room.

4. Deliver the medical record to the functional diagnostics room.

III. End of procedure:

5. Ensure the return of the medical card to the department after the study.

Technology for performing a simple medical service

PREPARATION OF EFGDS (endoscopic examination of the esophagus, stomach, duodenum 12)

Purpose: Diagnostic.

Indications: Diseases of the gastrointestinal tract, as prescribed by a doctor.

Contraindications:

1. Installed individually according to condition

2. Stenosis of the esophagus.

Equipment:

1. Endoscope.

2. Mouth expander

3. Lidocaine.

4. Gauze napkins.

5. Rubber gloves.

6. Glass slides

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