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Module 1
Clinical 1 -- Review
Term | Definition |
---|---|
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 |