STUDY CCMA for NHA Word Scramble
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| Question | Answer |
| CC | Chief Complaint |
| HPI | History of Present Illness |
| History of Present Illness | This is an explanation of the chief complaint to determine the onset of the illness, associated symptoms, what the patient has done for treatment, etc. |
| PFSH | Past,Family, and Social History |
| Past Medical History | Includes all health problems, major illnesses, surgeries the patient has had, current medications complete with reasons for taking them, and allergies |
| Family History | Summary of health problems of siblings, parents, and other blood relatives that could alert the physician to hereditary and/or familial diseases |
| Social History | Includes marital status, occupation, educational attainment, hobbies, use of alcohol, tobacco, drugs, and lifestyles |
| ROS | Review of Systems |
| Review of Systems | This is an orderly and systemic check of each organ and system of the body by questions. Both positive and negative findings are documented |
| Vital signs reflect the functions of three body processes necessary for life: | Body Temperature, Respiration, Heart Function |
| The Four Vital Signs of Body Function are: | Temperature, Pulse, Respiration, Blood Pressure |
| Body Temperature is | A balance between heat production and heat loss in conjunction with each other |
| Maintains and regulates body temp | Hypothalamus |
| Sites to take temp | Mouth,Rectum, Ear(Tympanic Membrane),and the Axilla(underarm) |
| Normal Rectal Temp | 37.0 C to 38.1 C (98.6 F to 100.6 F) |
| Normal Oral Temp | 36.5 C to 37.0 C (97.6 F to 99.6 F) |
| Normal Axillary Temp | 35.9 C to 37.0 C (96.9 F to 98.6 F) |
| Normal Tympanic Membrane | 37 C (98.6) |
| Febrile | presence of fever |
| Afebrile | absence of fever |
| Fever | Elevated body temp beyond normal range |
| Intermittent | Fluctuating fever that returns to or below baseline then rises again |
| Remittent | Fluctuating fever that remains elevated; it does not return to baseline temperature |
| Continuous | A fever that remains constant above the baseline; it does not fluctuate |
| Oral temp is the most common method of measurement however it is not taken from the following patients: | Infants and children less than 6,Patients who have had surgery or facial,neck,nose,or mouth injury, Patients receiving oxygen, Patients with nasogastric tubes,Patients with convulsive seizure,Hemiplegic patients,and Patients with altered mental status |
| With patients that have just finished eating, drinking, or smoking: | Wait for 30 minutes to take their oral temp |
| Rectal Temperature is not taken in the following patients | With heart disease, with rectal disease or disorder or has had rectal surgery, and with diarrhea |
| The least accurate temp and only taken when no other site can be used: | Axillary Temp |
| Used for children and confused patients: | Tympanic Temp |
| Normal pulse rate | Between 60 and 100 bpm |
| The site most commonly used for taking pulse: | Radial Artery, found in the wrist on the same side as the thumb |
| What is a more accurate measurement of the heart rate? | Apical Pulse, taken over the apex of the heart by auscultation using the stethoscope |
| Apical Pulse is used for: | Patients with irregular heart rate and for infants and small children |
| Normal Range for adult respiratory rate is: | 12 to 20 per minute |
| One inspiration(inhale) and one expiration(exhale) counts as: | One respiration |
| Respiration Rate abnormalities are the following: | Apnea, Tachypnea, and Bradypnea |
| This is a temporary complete absence of breathing, which may be a result of a reduction in stimuli to the respiratory centers of the brain | Apnea |
| This is a respiration rate of greater than 40/min. It is transient in the newborn and may be caused by the hysteria in the adult: | Tachypnea |
| Decrease in numbers of respirations. This occurs during sleep. It may also be due to certain diseases. | Bradypnea |
| Some abnormalities in the rhythm of repiration: | Cheyne-Strokes, and Orthopnea |
| Cheyne Stoke |
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