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Diagnostic PP study notes

Why is diagnostic testing a useful tool for physicians -establish diagnosis-monitor treatment progress-health promotoion-disease prevention-detect problem early-prompt treatment-establish baseline results-legal purpose-validate initial diagnosis-adjust/change treatment plan-provide info that pt is healthy
homeostasis a healthy body in the state of equilibrium or balance
reference range normal range; values expected for a particular test
hematology the science/study of blood/blood forming tissues; in a laboratory hematology deals with the processing and evaluation of blood and blood components
hematologist specializes in the diagnosis, treatment, prevention, and/or investigation of disorders primarily of the blood and lymphatic
pathologist examines tissue samples and interprets results; performs autopsies
radiologist specializes in the interpretation of the study of images of the human body
critical values need immediate attention, you need to be aware of critical values and how to read reports and note abnormal results
CBC test typically includes -RBC (red blood cells) -Hct (hematocrit) -Hb/Hgb (hemoglobin) -WBC (white blood cell) -Diff (differential blood count) -Platelet count
process of matching blood is called blood typing, crossmatching, or cross-typing
What duties must an MOA perform to ensure pt understands everything they need to know about a dignostic test that has been ordered -What will happen -What to expect -Where to go -How to prepare -How long will it take -How much discomfort is involved -Should anyone go with them -If any sedation is required -If they can drive after -any special aftercare instructions
What information should a requisition include -demographics -physician -health card number -any additional info -names of Dr.'s who should receive results -test required -indicate date/time of surgury (if booked) -specific reporting instructions -medications (if any, dose/frequency)
What is the standard protocol when taking results over the phone -repeat all recorded info back to caller -repeat pts name -test type and values -do not rush -read the values back -get name/number of caller -abnormal/critcal values, report to Dr. immediately
What are positioning and draping used for -facilitate an exam -allows access to a specific area -protects pts from embarrassment -modesty
What are MOA's duties in diagnostic testing -give out requisitions -educate clients -reporting/filing results -recognize/understand common ordered lab tests
CPE mayo tray includes -gloves -glass slides -CTA's -gauze -lab requisition -urine specimen container -stethoscope -sphgmomanometer
Gynecological mayo tray includes -gloves -2 glass slides -CTA's -gauze -laboratory requisition -biopsy bottle -stethoscope -sphygmomanometer -K-Y jelly/lubricant
Protological mayo tray includes -gloves -glass slides -rectal CTA's -gauze -labroatory requisition -specimen bottle -K-Y jelly -anoscope -proctoscope -sigmoidoscope
CT computed tomography
MRI magnetic resonance imaging
US ultrasound
CBC complete blood count
Hb/Hgb hemoglobin
Hct hematocrit
RBC red blood cell
WBC white blood cell
Diff differential blood count
ESR/sed rate erythrocyte sedimentation rate
PTT partial thromboplastin time
INR international normalized ratio
BUN blood urea nitrogen
FBS fasting blood sugar
GTT glucose tolerance test
HDL high-density lipoprotein
LDL low-density lipoprotein
MSU mid-stream urine (test)
OB occult blood; obstetrics
CXR chest x-ray
ERCP endoscopic retrograde cholangiopancreatography
BE barium enema
BMD bone mineral density test
ECG/EKG electrocardiogram; electrocardiography
positions...flat on back supine position
positions...sitting at 45 degree angle semi-Fowler position
positions... sitting at 90 degree angle Fowlers position
positions... on back, knees up dorsal recumbent position
positions... on stomach/chest, butt up knee-chest position
positions... on front, one leg/arm bent other straight out Sims' position
two methods of filing reports source-oriented filing integrated format
Created by: DawnLangridge