Lesson 6 : Icons for lab-tests and follow-up procedures
VCM represents lab-tests and follow-up procedures with the icon of the risk that is followed-up, with a small blue top-right pictogram indicating the type of lab-test or follow-up procedure (clinical, functional, biological or imaging). For example:
Examination and follow-up procedure, including diagnostics
Genetic disorder diagnostic
Blood pressure monitoring
Renal lab test (ex: clearance)
Hepatic lab test (ex: transaminases)
In some situations, e.g. when taking particular drugs, lab test results might be modified. This can be represented as follows:
Risk of erroneous glycemia results
Similarly to contraindications, cautions for use can be represented on a “Mister VCM” (see example in exercise 2 below).
What do the following icons mean?
(1) Answer: Submit
(2) Answer: Submit
(3) Answer: Submit
The following text contains the warnings for use of a beta-blocking agent. It is enriched by icons, those in the left margin indicate the patient conditions referred to in the various paragraphs (e.g. "For diabetic patients..."), and those in the right margin show the actions recommended for, or the risks incurred by, these patients (e.g. "dose reduction" or "risk of gastrointestinal bleeding").
Answer the following question about the clinical cases described:
Case #1: Mrs. X is 49 years old; she is treated with omeprazole for gastric ulcer, and also suffers from COPD as a result of tobacco use. She suffers from mild depression due to professional problems. She also has hypertension. Can the beta-blocking agent presented in the text above be prescribed to this patient?
(4-a) Yes Wrong answer!
(4-b) Yes with a dose reduction Wrong answer!
(4-c) Yes with adapted monitoring Right answer!
(4-d) Yes with both a dose reduction and adapted monitoring Wrong answer!
(4-e) No Wrong answer!
Case #2: Mr. Y is 55 years old, he has a history of myocardial infarction, and suffers from heart failure, treated with digitalis. Can you prescribe him the beta-blocking agent presented in the text above?
(5-a) Yes Wrong answer!
(5-b) Yes with a dose reduction Right answer!
(5-c) Yes with adapted monitoring Wrong answer!
(5-d) Yes with both a dose reduction and adapted monitoring Wrong answer!
(5-e) No Wrong answer!