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Clinical Accuracy Spoken Here
Cardiovascular Risk: Signs & Symptoms
Warning signs and symptoms of a myocardial infarction can be divided into four (4) groups. #1: chest discomfort; #2: discomfort in other areas of the upper body, #3: shortness of breath, and #4: Other various symptoms such as cold sweats, nausea/vomiting, dizziness, and anxiety/fear. Symptoms can vary from person to person, after a first heart attack, or have not symptoms at all (silent MI).

[Reference:CV, Module C: The Case Manager’s Role, Page 17] www.athenaforum.com

Pain Management: Relief
Acute pain relief can be obtained through the use of pharmacological agents. Based on clinical practice and evidence, a number of principles for analgesic pain management have been identified. Anticipated continuous pain requires fixed doses around the clock; activity-related breakthrough pain should have PRN orders; safe administration of opioids requires actions of low dose analgesic initially w/titration to follow; and drug providing inadequate relief – increase dosage or switch to another drug in same class.

[Reference: PM, Module B: Acute Pain, page 3]
Excellence in Case Mgmnt
Plan and Prepare
Dirty Places – Bathroom
While we may think that the sink, toilet, and bath can be the dirtiest features in our bathrooms, the truth is our toothbrushes harbor ample germs to make us sick. Rinsing it off after using it and then put it away damp helps to grow all sorts of germs. If it is close enough to the toilet, water droplets that float around the room after a flush can land right on your brush. Quick Fix: Keep the lid down and the brush out of sight – but in a place where it can air out in between uses. Replacing them often also helps to keep the germ numbers down and any re-infections.

National Child Health Day - TODAY
In the Headlines . . .
“Know What to Do…”
There is almost too much news and attention-getting information out in the media regarding the vaccines that are available for the seasonal flu and H1N1 Novel influenza. But is everyone listening and paying attention to the recommendations that the Centers for Disease and Prevention has given? Finding a provider, clinic, or setting where the vaccines are given can be challenging for some groups of patients, i.e. pregnant women. Find the answer to this question and more with all of the facts found on this government website. Get involved by helping to shoo the flu. Find a clinic near you!


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“Get Smart About Antibiotics”
It’s not too late…today begins the one Week devoted to the CDC’s Know When Antibiotics Work campaign. Observing antibiotic resistance and appropriate use of this category of drug is very important and worth our time to understand, educate and pass this life-preserving knowledge along. All of the possible tools and resources associated with this awareness and action packed week are available right now. Ads, icons, logos and media 101 are here for the taking as well as med safety, MRSA and C. difficile information.


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Connie Sunderhaus Connie Sunderhaus, RN-BC, CCM
Clinical Editor
Athena Forum


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