Question | Answer |
OSHA | requires the use of sharps containers, PPE, Universal precautions |
Sharps Containers | are for the disposal of used scalpels,lancets, needles, other sharp items (also called contaminated sharps) |
PPE | necessary whenever dealing with blood or body fluids |
Universal Precautions | overall approach to infection control |
All medical facilities require an ___________ ___________ ___________. | exposure control plan |
Human exposure | contact with blood, or body fluids, non contact skin, etc. |
Occupational Exposure | reasonable anticipated skin eye, mucous membrane or parenteral contact with blood, OPIM, that may result from the performance of an employee's duties. |
If exposed an ___________ ________ __________ done, and ___________ __________ by employer is done. | exposure incident report and serological testing |
Source Individual | source of occupational exposure to employee |
Blood borne - HIV, HBV - should be vaccinated with | HBV |
Bio-bags and labels are __________ - _________ in color | Orange - Red |
Bio-bags are used for ... | anything contaminated with blood, including shoe coverings, gloves, gowns, etc. |
OPIM | Other Potentially Infected Materials (other than blood, usually body fluids) |
Sanitization | washing and scrubbing equipment with detergent to remove blood, body fluids and tissue is called |
Disinfection | process of using chemicals to kill microorganisms |
Sterilization | process that destroys all forms of living organisms |
___________ _____________ is bagged at the location. | Contaminated laundry |
Maintenance Log | routine maintenance is performed everyday or by regular check ups etc, and a log is kept. Equipment is checked for frayed cords, anything broken, that all is working. |
EPA - approves germicides to clean up _________ _________. Can also use 1:10 _________ _________. | blood spills
bleach solution |
EKG | Measures the electrical activity of the heart.
Measures time and voltage. |
How much time in small square and large square? | small .04 sec large .20 sec |
Waves P,Q,R,S,T - which ones are positive, which ones are negative | PRT - positive
QS - Negative |
Vectors | toward a positive pole - upward deflection, away from a positive pole - negative deflection |
Before placing all 10 electrodes you must ... | skin prep (clean, smooth & dry) |
if placed to close, ___________ is small | amplitude |
What does the P wave represent? | atrial depolarization, and is not greater than .11 sec |
what does QRS complex represent? | ventricular depolarization - less than .12 sec (pacemaker is superaventricular) |
Ventricular depolarization produces and electoral force or vector with what 2 components? | 1. Magnitude or force
2. Direction or shape |
What is important about the ST-segment? | shift up or down from the baseline (ischemia/infraction) |
Rate calculations | Counting intervals between complexes is unreliable or irregular rhythms. |
Rhythm is ________ __________ when there are no variations in the R-R intervals | absolutely regular |
If the heart rhythm is abnormal | arrhythmia |
Sinus Arrest | absence of one or more complete cardiac cycles |
V-Fib | rapid irregular chaotic, bizzare waves |
Uniform PVC's | same configuration (unifocal) |
Life threatening PVC's | fall on t-waves, occur I pairs, runs of 3 or more, multiform (multifocal) |
Conversion of a dysrhythmia to normal rhythm - by applying electrical shock - ____________ | defibrillation |
Agonal | terminal, lethal dysrhythmia - dying heart |
Diuretic | causes urination, increase urinary output |
Decongestant | decrease congestion |
Anticoagulant | prevents blood from clotting |
appetite suppressor | controls appetite |
Antacid | neutralizes acid |
Tranquilizer | reduces anxiety |
Hypnotic | produces sleep |
Anti-inflammatory | suppress inflammation ex. hydrocortisone |
Antitussive | relieves cough |
Diuretic | causes urination, increase urinary output |
Decongestant | decreased congestion |
Anticoagulant | prevents blood from clotting |
Appetite suppressor | controls appetite |
Antacid | neutralizes acid |
Tranquilizer | reduces anxiety |
Hypnotic | produces sleep |
Anti-inflammatory | suppress inflammation - ex: hydrocortisone |
Antitussive | relieves cough |
Mydriatic drops | dilate pupils |
Nitroglycerin | used to treat angina pectoris |
Emulsion | mixture of droplets of oil in water |
Transdermal | patch or disc |
PRN | as needed |
Oint/ung | ointment |
TID | 3x per day |
NPO | nothing by mouth |
Supp | suppository |
Elix | elixer |
Fl or fld | fluid |
Expiration date | date on medication bottle that provides a "use until date" |
.2g = ____ mg | 400 |
2/10th = | 200
___
1000 |
500mg to pt, 250mg on hand, how many tabs to pt? | 2 |
50 mg to pt, 100mg/ml on hand, how many cc's to pt? | (ml=cc) .5cc |
Narcotics license | DEA on 6/30 every year to register. All Rx for controlled substances require MD signature ad DEA registration#. Need or this license to dispense, or administer a controlled substance. |
PDR | Pink section - find brand or generic names, can locate medication by either their generic, manufacturer or classification. |
1000mg in ____ ____ | one gram |
Atrophy | decrease in size or wasting away |
Supination | turning of the palms forward |
Cell | basic unit of body structure |
tissue | group of related cells |
menarche | onset of menstruation |
menopause | the cessation of menstruation |
-emia = _______ | blood |
Spirometry | measuring lung function, specifically the amount (volume) and/or speed (flow) of air that can be inhaled and exhaled. Spirometry is an important tool used for generating pneumotachographs, which are helpful in assessing conditions |
HIPAA | The Health Insurance Portability and Accountability Act of 1996, |
CLIA | waved tests - must perform quality control test with every new kit& routinely thereafter |
HIV | Human Immunodeficiency Virus |
Bioethics | |
Viruses | need living cells to reproduce |
Quadriplegia, paraplegia, hemiplegia | paralyzed all 4 limbs, paralysis of the lower part of the body, is paralysis of the arm, leg, and trunk on the same side of the body |
closed fracture | is a broken bone when the skin over the fracture site is in tact. |
Anerobic | absence of oxygen, |
HCG | human chorionic gonadotropin |
Catherization | passage of a catheter into a body channel or cavity |
abbrev for right ear | AD |
abbrev for left ear | AS |
abbrev for both ears | Au |
purchase order | |
Admissons review | |
Assignment of benefits | dr gets directly paid from insurance company |
Pre-certification | |
non-verbal communication | |
Full Block Letter | Everything lines up on the left margin |
Vitals | normal value's for Temp, Pulse Resp & BP |
Temp | difference between heat produced and lost |
Pulse | measures force, rate & rhythm |
What are the pulse points | apical, carotoid, radical, brachial, etc |
when do you use apical? | infants |
When do you use carotoid? | CPR |
When do you use radial? | pulse |
When do you use Brachial? | measure BP |
What is stertorous respiration? | Heaving snoring or gasping sounds |
Tachypnea means? | fast or rapid breathing |
BP - 1st sound recorded is __________, also time of greatest pressure. | Systolic |
BP- Last sound recorded is __________, time of lowest pressure. | Diastolic |
Do not take ________ on arm w/IV,cast or side of breast surgery. | BP |
What are the patient positions? | knee chest, lithotomy, supine, dorsal recumbent etc |
When do you use knee chest position? | position used for sigmoidoscopy, pt is resting on forearms and buttocks is elevated upward with back straight. |
When do you use lithotomy position? | position used at OB/GYN, specular insertion, female catherization: pt is on back, buttocks at the edge of table, feet are placed on stirrups |
When do you use supine position? | examination of the breast and abd organs;pt is lying flat on back |
when do you use dorsal recumbent position | can be used for digital examination of rectum or vagina; pt is lying on back with knees bent, allows abd muscles to relax |
What is an otoscope? | device for examining ear |
What is an ophthalmoscope? | instrument to view the eye |
Visual Acuity is? | 20/20 |
What does the top number of 20/20 stand for? | distance between the pt and the chart. |
What does the bottom number 0f 20/20 stand for? | distance pt can see the chart |
_________ can be administered by using a tent, cannula or catheter. It uses a regular and flow meter, and measured in liters p/min. | Oxygen |
Head injury of symptoms are _______, ______, and ________ . | vomiting, confusion & headache |
Admin of meds by buccal method means? | between teeth and gums |
Admin of meds by intradermal method means? | use a TB Syringe, form a wheel |
When mixing regents always check the label ________. | twice |
Reflex is an __________ __________. | involuntary movemnet |
Autoclave is __________ by steam under pressure and uses ___________ _________ only | Sterilization
distilled water |
Quality Control plans are what? | offers a method for ensuring products, services or employees have reached a specific standard. |
What is required for GTT prep? | fasting/ no smoking/ no alcoholic beverages for 10 hours prior timed test. |
UA is ___ hour testing and must be ___________. | 24 refrigerated |
Fresh Fractional urine Specimen is collected at a __________ time and tested for ______/& or __________. | Specific
sugar &/or acetone. |
Clean catch urine specimen is also called ______-________ & ____ _________ _________. | clean-voided
mid stream specimens |
order of draw | Yellow, blue, red, green, lavender, gray |
Yellow | Blood cultures, SPS(sodium polyanethol sulfonate) |
Blue | PT/PTT/INR, sodium citrate |
green | ammonia; pH; O2 level; carboxyhemoglobin ;sodium heparin |
red | ,silicone coated(Glass) silicone coated and clot activator(plastic) |
Lavender | CBC; sed rate(ESR);EDTA |
gray | Glucose studies; lactic acid ;Potassium oxylate-anticoagulant Sodium fluoride- antiglycolytic |
this schedule of drugs ae not recognized to have any medicianl purpose in the US | schedule I |
this schedule of drugs must have a written prescription with the providers signature | schedule II |
this schedule of drugs may be written or phoned in for the prescription | schedule III |
this schedule of drugs may be refilled up to five times in six months | schedule IV |
this schedule of drugs may no require a written prescription in some states | schedule V |