Office of Rural Programs
Ambulatory Scripts: Coronary Artery Disease
| History | NSTEMI, STEMI Smoking pack years s/p __x stent, __x CABG in ___ yr |
|
|---|---|---|
| +/- recent studies | EKG, stress test, cath % occlusion LDL, biomarkers |
|
| +/- meds | Nitro (frequency or scheduled) BB, ACEi, statin, ASA Clopidogrel (recent stent) |
|
| Specialist | Recent changes per cardiology | |
| ROS | +/- chest pain, dyspnea at rest +/- exertional dyspnea |
frequency, duration, nature relieved w/ __ minutes rest OR nitro |
| Vitals | BP, PR | |
| PE | +/- bruits, rate/rhythm, m/g/r |
Table last updated 2/15/2023 | Script Index | Feedback: rgree3@uw.edu | Download pdf for printing