Screening pulse oximetry/ABG is indicated when FEV1 <
65%
Screening pulse oximetry/ABG is indicated when FEV1/FVC <
65%
Screening pulse oximetry/ABG
... [Show More] is indicated when FVC <
60%
ABG is indicated if pulse ox is <
92%
Minimum required PaO2
65 mmHg
Role of the SAP???
**
Exercise tolerance test:
The driver should be able to:
Exercise to a workload capacity > 6 metabolic equivalents (through Bruce protocol stage II)
Attain a HR >85% of predicted maximum (unless on beta blockers)
Have a rise in SBP >20 mmHg without angina
Have no significant ST segment depression
Waiting period post MI
2 months
Waiting period post CABG
3 months
Proper exam attire
Underwear and a gown
Driver post MI has completed 2-month waiting period -- how long should you certify for?
1 month
Audiometric testing -- how to see if they pass
Average the results for the better ear (requirement only needs to be met in one ear) at 500, 1,000, and 2,000 Hz. As long as the average is less than or equal to 40 in one ear, they pass.
Driver must exhibit a minimum peripheral vision of ____ degrees bilaterally
70
During examination, the medical examiner notices that the driver is distant, lacks eye contact and shows absolutely no emotional response during the exam. The examiner's best response should be:
Disqualify the driver and refer him to a mental health professional prior to consideration for certification
(flat affect = schizophrenia and severe depression)
Stage 1 HTN is defined as
140-159 / 90-99
BP Regulations
HTN Stages
First time having elevated BP (153/85) -- what should you do?
Certify 1 year
Pt is on anti-hypertensives and BP is 139/89 or lower -- what do you do?
Certify 1 year
Pt with stage 1 HTN returns to office for recertification after 1 year was granted. Still has elevated BP (stage 1). What do?
One-time 3-month cert
Advise the pt that failure to lower BP to <140/90 will render the driver unqualified for continued certification
Pt shows up with stage 2 HTN -- not on any meds --
1. what is stage 2 HTN
2. what do?
1. ≥ 160/100 and < 180/110
2. Give one-time 3 month cert and tell them follow up with PCP
3. At the 3 month exam, if the tx is well tolerated and BP is <140/90, the driver is certified for one year. The driver is certified annually therafter.
Stage 3 HTN uncontrolled
what do you do
Disqualify
History of stage 3 HTN, but has started anti-HTNs and is now reduced to <140/90 and tx is well tolerated, what do?
Recert every 6 months
Pt has ANY mental health condition (aside from the disqualifying ones ie schizophrenia) - what do you do
Temporarily disqualify the driver until he obtains written clearance for
the depression and the medication from the treating provider [Show Less]