Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Registry Review PC
| Question | Answer |
|---|---|
| what are the six rights of drug administration | right patient, right drug, right dose, right route, right time, right documentation |
| HIPAA stands for | health insurance portability and accountability act |
| when would you use written consent | high risk procedures (IV, contrast, possible allergic reactions) |
| when would you use oral consent | low risk procedures (chest xray) |
| when is implied consent used | permission based on circumstance such as trauma / emergency |
| someone the patient trusts that can make medical decisions fro the patient if they are unable to | healthcare proxy/ durable power of attorney |
| what outlines a pts wishes for medical treatment | living will |
| what is an advanced directive | written outline of a pts wishes for medical care should they become unable to make decisions for themselves due to illness or injury |
| threatening the patient | assault |
| unlawful touching of a patient | battery |
| when restraints are used without a physician order | false imprisonment |
| when a patient is exposed it can be | invasion of privacy |
| ignoring or neglecting the patient/needs | negligence |
| defamation by written or printed words | libel |
| defamation by spoken words | slander |
| intentional or unintentional act resulting in injury | tort |
| who is responsible for respondeat superior | employer is liable |
| what does respondeat superior mean | let the master answer |
| what does res ipsa loquitur mean | the thing speaks for itself |
| who is liable for res ipsa loquitur | individual is liable |
| exposure indicator has a _ relationship with expsoure | direct |
| S-number has a _ relationship with exposure | indirect |
| who can make changes to an order | the physician |
| designed to "serve as a guide by which registered technologists may evaluate their professional conduct as it relates to patients, health care consumers, employers, colleagues and other members of the healthcare team." | ARRT standards of ethics |
| written is a form of _ communication | verbal |
| verbal communication includes | presentation of material, attitudes, voice of tone, volume of voice, effective listening, written |
| non verbal communication includes | eye contact, touching, facial expression, physical appearance, gestures |
| what are the stages of grief | denial, anger, bargaining, depression, acceptance |
| study of the human body in relation to the working environment | ergonomics |
| _ object and _ patients | roll/push, pull |
| amount of people required to log roll a patient | 3-5 people |
| when transferring a pt in a wheelchair what should you do | lock the wheelchair at a 45 degree angle, with the pts strongest side closest to the table |
| CVC should end at the | superior vena cava |
| ET tube is primarily used to | assist pt through respiratory problems |
| where does the ET tube terminate | 1 inch above the carina |
| what is the function of the urinary catheter and what is the bag placement | allow to drain if you have an obstruction in the tube that carries urine out of the bladder - keep bag below the urethra |
| which O2 delivery system is used for 1-6 L/min | nasal canula |
| L/min for face mask O2 | 5-10 L/min |
| what is the temp for an adult | 97.8-99 |
| what is the most accurate means for checking temperature | rectal |
| what is the child temperature | 97.8-98.6 |
| infant temperature is | 99-99.7 |
| adult pulse should be | 60-100 bpm |
| adult breaths per minute (respiration) should be | 15-20 |
| if the bpm is greater than 100 the pt is | tachycardic |
| if the bpm is less than 60 the pt is | bradycardic |
| normal pulse oximetry is | 95-100% |
| infant breaths per minute (respiration) is | 30-60 |
| if the patient has a fall risk bracelet on should we stand them | NO |
| what is the compression ratio to breaths | 30:2 |
| if there are no child AED pads available what should you do | use adult pads |
| too high blood sugar | hyperglycemia |
| too low of blood sugar | hypoglycemia |
| damage to the nervous system after spinal cord injury - type of shock | neruogenic |
| type of shock: heart cannot pump enough blood and oxygen to brain/vital organs | cardiogenic |
| type of shock: severe blood or fluid loss | hypovolemic |
| type of shock: blood pressure drops suddenly / airways narrow | anaphylactic |
| type of shock: blood presure drops to dangerously low level after infection | septic |
| RACE stands for | rescue, alalrm, contain, extinguish |
| PASS stands for | pull aim squeeze sweep |
| what is a fomite | door handle, utensils, clothes - object |
| what is a vector | living carrier; bat, mosquito |
| what are vermin | pests (rats) |
| hep A and E spread through | fecal |
| hep b is spread through | blood/bodily fluids |
| hep c is spread through | blood-borne |
| what is the most common hepatitis | c |
| which hepatitis have vaccines | A and B |
| the partial removal of pathogens | medical asepsis |
| handwashing should last a minimum of | 20 seconds |
| complete removal of microorganisms and spores from surface of objects | surgical |
| dry heat for surgical asepsis should be at what temp | 350-450 degrees |
| MRSA and C-diff are examples of _ precautions | contact |
| Flu and pneumonia would be an example of _ precaution | droplet |
| airborne precautions are used for | TB, measles |
| _ pressure provide patient protection against contaminants | positive |
| _ pressure provide personnel and or environmental protection | negative |
| number one nosocomial infection | MRSA |
| normal systolic blood pressure | 90-120 |
| contraction of the heart is _ and relaxation is _ | systolic, diastolic |
| normal diastolic blood pressure is | 50-70 |
| blood pressure normal range is | 120/80 mmHg |
| a detailed informational document prepared by the manufacturer or importer of a hazardous chemical and describes the physical and chemical properties of the product | safety data sheet |
| how long should you hold metformin | 48 hrs |
| besides metformin what other medication may be asked to hold prior to procedure | blood thinners |
| safest route of medication administration | oral |
| what are the three enteral route | oral, sublingual, rectal |
| applied to skin and absorbed into the bloodstream | topical route |
| rectal route is used when | drug has foul taste/oder, pt is vomitting, stomach traumatized, drug can be changed by digestive enzymes |
| subcutaneous is used for small amounts such as _ and usually with a _ gauge | 2cc, 25 gauge |
| injection used for deeper injection | intramuscular |
| type of adminstration that allows for immediate effects | IV |
| most widely used method of catheterization performed under sterile conditions | seldinger technique |
| below 18.5 BMI would be termed | underweight |
| 18.5-24.9 BMI | normal |
| 25-29.9 BMI would be | overweight |
| 30+ BMI would be | obese |
| iodine Z# | 53 |
| kvp that should be used for iodinated contrast | below 80 |
| barium Z# | 56 |
| what kvp should be used for barium single study? Double study ? | above 90 for single 100-125 for double |
| ionic contrast agents have _ osmolality and _ risk of complications | high, higher |
| conray, hypaque, renografin are examples of | ionic contrast agents |
| omnipaque, isovue, optiray are examples of | nonionic contrast |
| the presence or absence of _ determines ionic vs nonionic | salt |
| _ contrast agents will have a lower risk of complication | nonionic |
| when should we for sure use water soluble contrast | aspiration, perforation |
| BUN | 8-25 |
| creatinine | .5-1.4 or .7-1.3 |
| normal range of GFR | 90-120 |
| inflammation of a vein | phlebitis |
| leaks into soft tissue | extravasation / infiltration |
| mild effects include | nausea, vomitting, flushing, itching, mild hives, headache |
| moderate effects | severe vomitting, extensive urticaria, dyspnea, laryngeal edema, vasovagal attacks |
| severe effects include | respiratory arrest, cardiac arrest, pulmonary edema, convulsions, cardiogrenic shock |
| if there is an open fx there is risk of | contamination/infection |
| type of fx where the skin is not broken | closed |
| type of fx where the broken bones break through the skin | open |
| type of fx where bones are not anatomically aligned | displaced |
| type of fx where the bone is fractured but there is still normal alignment | non displaced |
| pos used for BE | sims |
| face down | prone |
| face up | supine |
| head above feet 45-60 degrees | fowler |
| head above feet 30-45 degrees | semi fowler |
| trendelenburg is _-_ degrees head _ feet | 15-30, below |
| right to make informed decisions about care is termed | autonomy |
| protected health information would include | name, ID, diagnosis |
| acting in the patients best interest is termed | beneficence |
| what information is required on the requisition | patient ID, exam type, clinical indication, date, ordering provider |
| results from cervical trauma and affects the body from the neck down | quadraplegia |
| results from trauma to a lower portion of the spinal column and affects the lower half of the body | paraplegia |
| usually results from a stroke and its effects are limited to one side of the body | hemiplegia |
| when movement is required for a long bone fracture provide support.. | for the proximal and distal joints and move the extremity as a complete unit |
| in this type of fx the skin is not broken | closed |
| "if i do this, maybe.." would be an example of | bargaining |
| "i give up" would be an example of | depression |
| tube in trachea for breathing | tracheostomy |
| what is the purpose of a balloon pump | intra-aortic, assists heart |
| type of catheter that monitors pressure | swan ganz |
| what is the purpose of orthopedic traction | aligns fractures |
| pulse locations include | radial, carotid, brachial, femoral |
| height for contrast from vein | 18-24 inches (25cm - 60 cm) |
| type of solution that breaks apart when placed in fluid | ionic |
| refers to the concentration of particles in a solution | osmolarity |
| we want the osmolarity of contrast to be the most similar to | blood |
| what is the osmolarity of blood | 300 Osm/L |
| allergy premedications would include | corticosteroids (prednisone_) antihistamine (benedryl) |
| insert the IV at a _ angle for venipuncture | 15 degree |
| what is the chain of infection | pathogen - reservoir - exit - transmission - entry - host |
| what must you wear for airborne precautions | N95 |
| movement of water across a semipermable membrane | osmosis |
| high osmotic agents attract | water |
| type of contrast agent: | crystals |
| isotonic is | osmolality equal to blood |
| when do we use isotonic agents | heart caths |
| venous and artery distribution | immediate |
| urinary system distribution | 15-30 min with IV administration |
| enhancement of brain may take | 40 minutes |
| excretion is done primarily through | kidneys |
| with normal kidney function 100% of contrast is excreted within | 24 hours |
| reactions with contrast most often occur immediately or within | 20 minutes |
| viscous means | very thick, hard to inject |
| universal precautions should be practiced on | all patients |
| what is the term used to describe an intravenous infection of a concentrated volume of contrast | bolus |
| list the sequencing order for diagnostic studies | 1. all studies that don't require contrast media 2. lab studies for iodine uptake (thyroid uptake) 3. radiographic examinations of the urinary tract 4. radiographic examination of the biliary tract 5. lower GI (BE) 6. upper GI studies |
| what are the 7 c's of malpractice prevention | competence, compliance, charting, communication, confidentiality, coutresy, carefulness |
| what are some dietary restrictions for upper and lower GI studies | increasing fluid intake for 2-3 days clear liquid diet 24 hours prior to exam npo 8 hours laxative the afternoon prior to the exam and a cleansing enema the night beofre and the morning of |
| surgical opening cut in the trachea to create an artificial airway | tracheotomy |
| when the tube is left in the tracheotomy opening | tracheostomy |
| used for feeing or gastric suction : type of tube | NG |
| what is the purpose of a nasoenteric tube | goes into the intestine for the purpose of aspirating gas and fluid in the intestinal tract following surgery |
| the tip of the swan ganz catheter is placed in the | pulmonary artery |
| used to measure a patients blood pressure | sphygomanometer |
| used for auscultation or listening to the ♥, lung, or abdominal sounds | stethoscope |
| normal pulse values for children | 90-100 |
| normal pulse values for infants | 80-120 |
| pulse palpation site for the skull | temporal artery |
| pulse palpation site for the neck | carotid |
| pulse palpation site for the upper extremity | radial artery |
| pulse palpation site for the groin | femoral artery |
| pulse palpation site for the lower extremity | dorsal pedis artery |
| when should we not do rectal temperature | pt has cardiac issues |
| systolic represents the pressure created during the contraction of the _ | left ventricle |
| normal respiratory rate for children is | 30-60 per minute |
| cessation of breathing | apnea |
| slow breathing | bradypnea |
| rapid breathing | tachypnea |
| tpa should be given within the first | 3 hours |
| when checking pulse you should check the _ artery for _ seconds | carotid for 10 seconds |
| you should dispose of soiled dressing in what container | contaminated |
| fainting is termed | syncope |
| nose bleed is termed | epistaxis |
| sensation of a loss of balance | vertigo |
| faint or lightheaded feeling from being recumbent for an extended period of time and then suddenly moved into an upright position | orthostatic hypotension / postural |
| major motor siezure | grand mal |
| breathing disorder characterized by wheezing and difficulty breathing | asthma |
| infection of unknown cause | idiopathic |
| physician caused infection | iatrogenic |
| hospital acquired infection | nosocomial |
| microorganisms capable of producing disease | pathogen |
| and environment where pathogenic organism can live and multiply | reservoir |
| destruction of pathogens through the use of chemical materials | disinfection |
| when should hand hygiene be performed | before and after each patient |
| sterile scrub washing requirement is | 5 minutes |
| medical disinfectant ratio of bleach to water is | 1:10 |
| boiling for sterilization should be _ minutes | 12 |
| steam sterilization is termed | autoclaving |
| what is required to be worn by personnel for individuals on contact precautions | mask, gown, glove |
| if a patient is on droplet precautions what must the technologist wear | N95 |
| when are neutropenic precautions used | when we are protecting the patient- this is reverse isolation |
| if contact to the eyes is made with a chemical agent you should wash them out for _ minutes | 15 |
| when placing the needle in the sharps container _ first | needle |
| we should exchange the sharps container when it is | 2/3-3/4 full |
| procedures involving iodinated contrast should be performed _ barium contrast procedures | before |
| the _ vein is the msot common site for injection | antecubital |
| positive contrast agents _ attenuation | increase |
| introduction of air into a vein | air embolism |
| what two things when together prove that it is a true contrast reaction | hypotension and increase in pulse rate |
| if hyperglycemia is the indication what medications can be used | insulin/metforminglucophage |
| what medications are anticoagulants | heparin/warfarin/coumadin |
| if the pt has a spasmatic colon what medication should be used | glucagon |
| nitroglycerin is used for | angina |
| cathartics are used as | laxatives |
| if metabolic acidosis is indicated use what medication | sodium bicarbonate |
| epinephrine is used for | cardiac arrest or anaphylaxis |
| a pt with edema may be given | lasix |
| what medications are used for shock | levophed intropin dobutrex |
| what med is administered for hypotension | dobutrex |
| what is the medication used for siezures | dilantin |
| if a pt presents with bradycardia they should recieve what medication | atropine |
| the medications given for allergic reactions are | benadryl or decadron |
| what are the 5 medicines used for arrythmias | **all crazy irregular pules eXit" adenoard cordarone isoptin pronestyl xylocaine |
| IP joints are classified as | hinge (ginglymus) |
| the knee and TMJ joints are classified as | bicondylar |
| the hip and shoulder joints are classified as | ball and socket |
| the first CMC is a _ joint | saddle (sellar) |
| the wrists and metacarpophalangeal joints are | ellipsoid (condylar) |
| atalantoaxial joint is | pivot - trochoid |
| plane that divides the body into left and right | sagittal |
| plane that divides the body into anterior and posterior | coronal |
| plane that divides the body into superior and inferior portions | horizontal or axial |
| the sole or posterior surface of the foot | plantar |
| the top or anterior surface of the foot | dodrsal |
| _ refers to the palm of the hand | palmar |
| ventral recumbent the pt is lying | face down |
| dorsal recumbent the pt is lying | face up |
| for the AP thoracic spine the head should be placed toward the | anode end |
| for the ap and lateral femur the head should be toward the | cathode end |
| the different in density between adjacent areas of a radiographic image is termed | contrast |
| the trachea is anterior to the | esophagus |
Created by:
macummins1