Asvd???

[EMTPTORN]

Last week in clinical on the MAR the first DX was ASVD....what is this? I have looked in Merck, Tabors, and did internet search but to no avail.

Thanks in advance,

Randy

[OBNURSEHEATHER]

uh oh.. double post...

my fingers got a little happy on that one!

Heather

[dawngloves, BSN, RN]

Originally posted by Zee_RN

That was my first thought, too, LilgirlRN -- but it would be AVSD. AVSD = Atrioventricular Septal Defect.

Are you sure you have the initials in the right order, EMTPTORN?

ITA!

[jevans]

I tend to agree with Dawngloves

I'm afraid but I have another one for you all-

I work on a stroke unit and my patient typically has multiple pathology however I saw this

VDRL

and I don't have a clue

Hope you can help as I hate not knowing

j

[OBNURSEHEATHER]

hey jevans! VDRL is a test for syphilis.

Heather

[I1tobern]

VDRL is venereal disease research laboratory. Basically, it is the syphillis serology test.

[NRSKarenRN, BSN, RN]

re VDRL : Patients can have possitive antigen test based on prior exposure but not have active disease. Still need to use universal precautions when caring for pt.

[P_RN, ADN, RN]

I've come across ASHD more than ASVD. (H=heart) It's probably linked to where the doctor went to med school.

Speaking of universal precautiuons.....back in the 70's I used to draw VDRLs when I worked for a doctor. We used a syringe, needle, put it in a GLASS tube, capped it with a CORK, wrapped the tube in newspaper and MAILED it to the State Lab. And we never thought anything about it.

[ageless]

atrio-ventricular septal defect or Severe arteriosclerotic

vascular disease is what that stands for in my hospitals. Let us know what you find out, EMTPTORN.

[EMTPTORN]

this patient was the one i was assigned to for the day. we are starting geriatrics this semester in a nursing home, and for the next couple of weeks we are to be assigned a client; write a prep sheet (mini care plan), and communicate with the pt. pretty much the only hands on we are doing is assisting with ADL's....they are doing things a bit differet this semester (this is semester 3 of a

6 semester ADRN program).

The only reference to ASVD was on the MAR; nothing in history section of the chart.....i did not look at old MARS to see if this was something written on only the MAY MAR....

clients meds:

promod

insulin

synthroid

actos

VIT B6

prevacid

glyburide

docusate

neurontin

aricept

sinemet

chlorhexidine

promod and actos i could not find????

there has been many interesting possibilities raised, friday i will find out from the horse's mouth.

Randy

[J_W, DNP, APRN, CNS]

I am thinking arteriosclerotic valve disease or atherosclerotic valve disease. These would be my two guesses....atrial septal defect is ASD. atrioventricular septal defect is AVSD, or just ventricular septal defect (VSD), these I know from cath lab. Rarely have I seen AVSD, bascially means you have defect in both the spetum between the atria and the septum between the ventricles...

[NICU_Nurse, BSN, RN]

ProMod is an enteral nutrition formula (I think..?); Actos is for controlling blood glucose levels in diabetics. Okay, I'm stumped now. ;>P

[bestblondRN]

The only reference to ASVD was on the MAR; nothing in history section of the chart.....i did not look at old MARS to see if this was something written on only the MAY MAR....

clients meds:

promod

insulin

synthroid

actos

VIT B6

prevacid

glyburide

docusate

neurontin

aricept

sinemet

chlorhexidine

promod and actos i could not find????

I would be inclined to think this patient has atherosclerotic vascular disease--diabetes being the biggest risk factor. The other med that tipped me off was the Neurontin--this is usually given for nerve pain (can be associated with diabetic neuropathy secondary to poor circulation to the extremities).

Promod is protein added to liquid or tube feeding for the purpose of boosting the patient's albumin and total protein levels (promotes healing). Actos is a newer oral hypoglycemic--piaglitazone is the generic name--and it is given QD. It helps the body utilize it's own insulin to decrease blood sugar in Type 2 diabetes.