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Module 1

Clinical 1 -- Review

the state of being free from all pathogenic organisms asepsis
microorganisms that cause disease pathogens
healthy bacteria that protects us against infection normal flora
people; equipment; food; water; animals; insects are examples of reservoirs; source
What are the most common infectious agent bacteria; viruses; fungi; parasites; rickettsia
infectious agent leaves the reservoir through a portal of exit
person that is capable of being infected susceptible host
the stages of the infectious disease process incubation; prodromal; acute; declining; convalescent
treat all blood/body fluids as if they are infectious universal precautions
PPE stands for personal protective equipment
PPE includes gloves; mask; gown; face shield; head cover; shoe cover
washing and scrubbing equipment to remove blood and tissue sanitization
process of using chemicals to kill microorganisms disinfection
process of destroying all forms of living microorganisms sterilization
sterilization in an autoclave is achieved at what temp 250-270 f
practice used to reduce the amount of microorganisms once they leave the body medical asepsis
process by which disposable medical equipment and body parts are destroyed by flame incineration
this is not a substitute for wearing gloves hand washing
first line of defense to decreasing the spread of microorganisms hand washing
sterilizing articles using steam under pressure autoclaving
single or loosely wrapped items are sterilized using autoclave in 30 minutes
shelf life for items in sterilization paper or cloth 30 days
serrations on an instrument help to grip
instrument used to puncture tissue will have teeth
instrument used to scrape and remove curette
instrument used to pull back tissue to increase field of vision retractor
most common local anesthetics lidocaine; xylocaine
bandaging to immobilize a joint is done in figure eight
most common method of bandaging is spiral
stage one of would healing inflammatory
stage two of wound healing proliferative
stage three of wound healing maturation
when identifying a patient always use two identifiers
when applying antiseptic soap to the skin in concentric circles center outward
what is achieved by applying a moist dressing, allowing it to dry, and then removing it autolytic debridement
prior to any procedure you should have the patient empty their bladder
alternative wound care for delayed healing using oxygen hyperbaric chamber
dressing placed over a primary dressing to assist with fluid absorption is classified as secondary dressing
which instrument is used to hold sterile drapes/towels in place towel clamp
what uses electricity to cut and cauterized blood vessels electric cautery; bove
what sterile drape is used to expose the surgical site fenestrated drape
an epidural is what type of anesthesia regional
who is responsible for applying the dressing after a procedure medical assistant
what type of anesthesia is used for major surgery general
what type of drainage is purulent pus
what procedure is done to an abcess/cyst and may require packing incision and drainage
what instrument is used to stop bleeding hemostat; electric cautery
autoclaving multiple wrapped items are sterilized for 40 minutes
shelf life for items after autoclaving with the addition of sterility maintenance covers 6 months
disinfectants don't always kill spores
alcohol based hand sanitizers should contain what percentage of alcohol 60-90%
common low level household disinfectants bleach; isopropyl alcohol
placed on the inside of a surgical pack that confirms proper sterilization internal indicators
placed on the outside of a surgical pack to seal the wrapping and ensure proper sterilization autoclave tape
shelf life of instruments using sterilization pouches 6-12 months
agent capable of producing immunity to an infectious disease vaccine
occurs as a results of being exposed to a pathogen natural immunity
occurs after being injected with either the antigen or antibody artificial immunity
includes universal precautions but holds the health care worker responsible for using additional PPE standard precautions
sterilizing instruments using a chemical cold sterilization
when instruments are placed in a lubricating solution following cleaning, it is known as milking the instruments
instruments used to improve visualization dilators; probes; scopes; speculum; retractors
holds the edges of a wound together to promote faster healing and reduce scarring sutures
type of suture material used on internal structures and does not need to be removed absorbable
most common suture material used, needs to be removed nonabsorbable
reversible loss of consciousness used during major surgery general anesthesia
suture removal for scalp and trunk 7-10 days
suture removal for face 3-5 days
suture removal for arms and legs 10-14 days
suture removal for joints 14 days
smallest suture size available 6.0
type of closure indicated for superficial wounds and can also reinforce sutures sterile skin closures/steri-strips
part of a surgical instrument that determines its use tip
type of antimicrobial soap given to patients to use before a surgical procedure hibiclens
common antiseptic used during surgery betadine/iodine
procedure to remove unwanted tissue like a wart using liquid nitrogen cryosurgery
closing of a wound laceration repair
used to flush and clean open wounds sterile saline
done on an abcess or cyst and may involve packing incision and drainage (I&A)
dressing that is placed directly over the wound primary dressing
dressing placed over the primary dressing to assist with fluid absorption secondary dressing
sterile solutions should be gently poured 2-6 inches over the field
surgical scrub is done for 2-6 minutes
sterile dressings are used to keep out dirt and bacteria
prescriptions usually given to the patient postoperatively analgesic and antibiotic
how far should the bandage extend beyond the dressing 1-2 inches
bandages should be applied distal to proximal
medicine that prevents or lessens the severity of a disease prophylactic
must be a written prescription only done by a practitioner schedule II drugs
drugs official chemical name generic
name of a drug that is patented by a manufacturer trade
any substance that produces a change in the function of a living organism drug
the study of drugs pharmacology
medications from a plant digitalis and opium
medications from animals insulin the thyroid
medications from minerals silver nitrate and sulfur
a substance used in treatment to relieve symptoms therapeutic
a medicinal product used in addition with other procedures to detect abnormalities diagnostic
analgesic Tylenol; Vicodin
anesthetic lidocaine; novacaine
antianxiety Xanax
antibiotic Zithromax
anticoagulant Coumadin
antidepressant Paxil
antihistamine Zyrtec
anti inflammatory Motrin
antimaniac lithium
antipsychotic Seroquel
diuretic Lasix
muscle relaxant flexural
antiviral zovirax
corticosteroid prednisone
solid oral medication tablets, capsule, caplet, gel caps
cholesterol lowering agent Lipitor
drugs with high potential for abuse; accepted medical use; morphine schedule 2
less potential for abuse; hydrocone schedule 3
highest potential for abuse; not approved for medical use; heroine schedule 1
a secondary effect of a medication in addition to the therapeutic effect side effect; adverse reaction
low potential for abuse; Xanax schedule 4
DEA drug enforcement agency
seven rights of drug administration RIGHT: patient; drug; dose; route; time; technique; documentation
medicines that pass through the organs of digestion enteral
a drug reaction that results in the formation of antibodies against that specific drug drug allergy
may be called into the pharmacy and refilled up to five times in six months schedule 3-5
the primary system of measurement used in pharmacology metric system
this unit measures length meter
this unit measures mass(weight) gram
this unit measures volume liter
intradermal injections are given at what angle 15 degrees
example of an intradermal injection PPD and allergy testing
formula for drug calculations want/have X amount
tip of syringe that is threaded leur lock
routes of parenteral administration injection; intravenous; transmucosal; transdermal; topical; inhalation
routes of enteral admistration oral; rectal; nasogastric
preferred injection site for young children vastis lateralis
when withdrawing medication from a vial you should check the label three times
site for Intradermal injections inner forearm and middle of back
site for IM injections deltoid; vastis lateralis; ventrogluteal;dorsalgluteal
site for subcutaneous injections outer upper arm; lower abdomen
how long should a patient wait following an injection for a possible reaction 20-30 minutes
what do you do when administering an injection to ensure that you are not in a blood vessel aspirate
example of a schedule 2 drug morphine and dilaudid
acetaminophen and ibuprofen are examples of what drug name generic
Motrin and Tylenol are examples of what drug name trade
GI upset is an example of side effect/adverse effect
just before injecting a patient with a medication you should change the needle and check the patients allergy status
MA are qualified to give what type of injections? IM; ID; SC
MAs are not allowed to insert IVs
one teaspoon is equal to 5ml or 5cc
drug that is absorbed into the bloodstream systemic
drug that has an affect at the site of injection local
drug that is administered in one site and has an affect in another area remote
Created by: monkmaroni