FLYING SAMS GBM #2 11.25.2012 updates and vitals how-to!

FLYING SAMS GBM #211.25.2012

updates and vitals how-to!

Last Clinic trip

Clinic updates With 2 doctors and a

dentist, we had a total of 64 patient visits!

Public health program got started about 20 patients were

enrolled and a baseline screening will take place next clinic

Dental patients received consults, and appointments were scheduled for next time

Paula –special collab with UCI

border wait was 4 hours!

Upcoming Clinic Point opportunities Fall GBM #2 (you’re already here!)

Thank you to earlybird flyering volunteers

Upcoming Clinic Point opportunities Ralphs

sign up your Ralphs card TONIGHT at the end of the meeting and get an additional clinic point for being here! if you use a phone number, that’s ok too and get your friends and family to do this, the

power of facebook!

Next Clinic Trip Dec 15th

We will be bringing donations from rotary and having a holiday fiesta! face paints, toys, and more!

sign ups will be sent out at the end of this week

you will know if you have been selected before finals Note: there will be a preclinic meeting

Friday night before the clinic; if you are selected and you have a final at the time of the meeting, notify the coordinator

Other opportunities (future)

Recent trip to Jamaica with Dr. AndradeStay with us, details/sign-ups TBA: India trip March 9-22, 2013

medical, dental, acupuncture and health edu

build a permanent health center Health fair June 22 2013

Here, at a Church in Bonita. Collab with SAI and SDSU

expect 100’s of patients China trip Aug 31-Sept13, 2013

surgery, screening, etc.

VITALS AND LABS HOW - TO

Height/Weight

Body mass index (BMI) is a measure of body fat based on height and weight

Adults and pediatrics have different charts Adult BMI formula: weight (lb) / [height (in)]2 x

703): In our clinic, we have a wheel to calculate this

for us Classification:

Underweight=<18.5 Normal Weight=18.5-24.9 Overweight=25-29.9 Obesity=BMI of 30 or greater

Caveats: BMI ≠ health!! better: BP, waist circumference, VO2max, etc.

Blood pressure

Blood pressure (mm Hg)

Classification† Systolic DiastolicNormal 119 or lower 79 or lower

Prehypertension 120 to 139 80 to 89

Stage 1 hypertension

140 to 159 90 to 99

Stage 2 hypertension

160 or higher 100 or higher

Classification of Hypertension (in adults)

• Magic numbers: 120/80

Temperature

Magic number: The average normal oral temperature is 98.6 F.

An ear (tympanic) temperature is 0.5F to 1F higher than an oral temperature.

An axillary temperature is usually 0.5F to 1F lower than an oral temperature.

Blood Sugar

Category of a person

Fasting Value Post Prandial

Minimum Value Maximum ValueValue 2 hours

after consuming glucose

Normal 70 100 Less than 140

Early Diabetes 101 126 140 to 200

Established Diabetes More than 126 - More than 200

• Magic number: fasting normal is 70-100• Caveat: interpretation changes with food intake

SP O2%

magic number: 95-100% is normal just tells you the amount of oxygenation

in someone’s blood if someone is below the normal range,

then they probably need to be hospitalized could be anemia…many things

Blood Sugar

HbA1c

magic number: below 6.5% what is it:

measures glycated hemoglobin levels to identify the average plasma glucose concentration over prolonged periods of time

uses: checking blood sugar control in people who

might be pre-diabetic monitoring blood sugar control in patients

with more elevated levels, termed diabetes mellitus (4x/year)

Cholesterol

magic number: <200mg/dL total cholesterol also depends on what you ate that day

LDL (bad): <160mg/dL w/o family history (<100 with)

HDL (good): >40mg/dL LDL = [total cholesterol] − [total HDL] −

[trig/5]

Level mg/dL Interpretation

< 200 Desirable level corresponding to lower risk for heart disease

200–240 Borderline high risk

> 240 High risk

Urinalysis

magic number: just a color coded dipstick

we measure a lot of things with urinalysis urinary tract infection (UTI) – leukocytes,

nitrites diabetes – glucose, ketones others, which can mean many things ie. blood is always a bad thing

limited usefulness: we don’t have a microscope or skilled tech, necessary for a 100% UTI diagnosis, etc. just evidence to support conclusions

Take Home

Vitals – it’s in the name, they’re important (labs too!)

But more important is the use of health indicators in concert to raise awareness

‘What I have noticed is that there is an increased awareness in overall health.’

--UCSD Chapter FS President 2011

Questions? Comments? Jokes?

Pricking Practice and Ralphs sign ups

Sign-in/Ralphs point!

Pricking Practice: Small Groups

*Front*