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Practice
| 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 |