Certified Clinical Medical Assistant (CCMA) Online Study Guide 3.0

4 Goals of Value Based Care Plan

Improved Patient Care/Outcomes

Improved Patient Satisifcation

Lower Cost

Health Care Professional Well-Being

Schedule 2 Substances

Morphine

Methadone

Oxycodone

Fetanyl

Amphetamine

Pounds to Kilograms

2.2 lbs = 1 kg

Nonparental Route of Medication Administration

Oral

Injectable Parenternal Route of Medication Administration

Intradermal

Intramuscular

Subcutaneous

4 Actions of Pharmacikinetics

Absoprtion

Distribution

Metabolism

Excretion

Rights of Medication Administration

Right Patient

Right Medication

Right Dose

Right Route

Right Time

Right Technique

Right Documention

6 Primary Nutrients

Water

Carbohydrates

Protein

Fat

Minerals

Vitamins

Anorexia Warning Signs

Self Starvation

Perfectionism

Excessive Fear of Weight Gain

Amenorrhea

Excessive Sweating

3 Befores of Medication Administration

Check Medication Label

Prepare Medication to Administer

Put the container back in storage or discard it

Percentage of Water in Human Body

50%-80%

Body Planes

Sagittal

Transverse

Frontal

Body Cavities

Cranial

Spinal

Thoracic

Abdominal

Pelvic

Body's 1st Defence against Illness and Injury

Skin

Axial Skelelton

80 Bones

( Skull, Vertebrae, Ribs)

Appendicular Skeleton

126 Bones

(Arms,Legs, Pelvic Girdle)

4 Compnents of the Muscular System

Skeletal Muscle

Smooth Muscle

Cardiac Muscle

Tendons

Functions of Monocytes

Engulf and destroy pathogens that have been coagulated with antibodies

Functions of the Skin

Protection

Temperature Regulation

Excretion

Sensation

Vitamin D Production

Long Bones

Femur

Humerus

Tibia

Fibula

Ulna

Radius

Irregular Bones

Vertebrae

Pelvis

Involuntary Muscle Movement

Digestion

Heart Pumping

Lympathetic System

Prevents infections in the body

Types of Primary Immunity

Naturally Acquired Active Immunity

Artifically Acquired Active Immunity

Naturally Acquired Passive Immunity

Artifically Acquired Passive Immunity

3 Layers of Heart Muscle

Epicardium (Epi) - outermost or outer layer

Myocardium (Myo) - middle/thickest layer

Endocardium (Endo) - inner layer, part of the electrical conduction system

Primary Function of the Urinary System

Responsible for filtering blood to remove waste products

Componets of Central Nervous System (CNS)

Brain

Spinal Cord

Componets of Peripheral Nervous System (PNS)

Found throughout the body

Broken down further into 2 separate branches

Somatic Nervous System (SNS) and Automatic Nervous System (ANS)

Diagnostic Imaging

X-Rays

CT

Mammograms

Nuclear Medicine Studies

Most Common Used Combining Vowels

" O "

Cerebrovascualr Accident (CVA)

Stroke

Generativity vs Stagnation

Psychosical Crisis (Middle Adults)

Generativity - successful

Stagnation - unsuccessful

Socioeconomic Stressors

Financial Concerns

Investment Loss

Identity Theft

Lack of Jobs/ Job Security

Involuntary Job Loss

Home or Vehicle Loss

Defense Mechanism

Apathy Physical Avoidance

Compensation

Conversion

Denial, Displacement

Intellectualization

Projection, Verbal Aggression

Stages of Grief

Denial

Anger

Bargaining

Depression

Acceptence

Common Method of Validating Patient Identification

Have patients state their full name and date of birth (DOB)

Purpose of the Patient Health Questionnaire

Focuses on the patients frequency of depressed mood over 2 weeks

BP Range

Adults 15 years +

less than 120/80 mmHg

3 Most Common Sites to Palpate a Pulse

Radial

Brachial

Carotid

Expected Pulse Range

12 years and older

60-100 beats pm

Expected Respiration

12 years and older

12-20 breaths pm

Abnormal Breathing

Wheezing

Dyspnea

Rales

Hyperventilation

Orthopnea

Rhonchi

Expected Pulse Oximetry Reading

95% or Higher

Factors that can influence an Oral Temperature Reading

Drinking hot or cold liquids

Chewing gum

Smoking

Fahenheit to Celsius

C = (F -32) divide by 1.8

Pain Scale Reading

1-10

10- worse

1- little to no pain

Determining Last Menstrual Period (LMP)

1st day of the previous menstrual cycle

Head Circumference Pediatric Patient

Widest Area

Above Eyebrows

Around Head

Above Ears

Behind Back

Factors that affect Vital Signs

Anxiety

Smoking

Age

Pain

Illness

Medications

Exercise

Social History

Diet

Exercise

Caffeine Intake

Smoking

Use of Alcohol

Recreational Drugs

Supine Position

Horizontal Recumbent Position

Flat on back with hands at sides

Feet supported by extending the examination table

Prone Position

Face Down

Flat on Stomach

Head Turned

Arms Along Body

Crossed Head

Dorsal Recumbent Position

Flat on back

Feet flat

Knees bent

Lithotomy Position

Flat on back

Knees bent

Feet stirrups

Attached to the end sides of table

Fowlers Position

Patient sits on exam table

Head of table raised at 90 degree angle

Lateral Semi Prone Recumbent

Placed on left side

Right leg bent upward

Left leg bent

Right arm flexed

Head for support

3 Pieces of Information needed when calculating a medication dosage

Desired dose

Dose strength

Supply on hand

Measurement Unit

Quantity Unit

Medication Forms

Tablets

Capsules

Oral Suspension

Emulsion

Lozenges

Liquid

3 Medication Checks

Compare Medication order to medication

Prepare Medication to administer

Return Medication back to shelf

How to Position the Ear for Ear Installation for Adults

No-dominant hand

Pull the Pinna of Auricle (Outer Ear)

Outward and Upward

Severe Allergic Reaction Symptoms

Abdominal Pain

Coughing

Diarrhea

Face Swellening

Nausea

Vomitting

Convulsion

Unconsciousness

Subcutaneous Injection Site

Upper Outer Arm

Abdominal Region

Upper Thigh

Lower Back

Upper Buttocks

TB Test Administered

intradermal forearm

Subcutaneous Injection Angle Administered

45 degree angle

Intradermal Injection Angle

5-15 degrees, parallel to skin

Amount of Medication that can be adminisered into Ventrogluteal

3 mL of Medication

Common Site for Intramuscular Injection

Deltoid (shoulder)

Ventrogluteal (Outer Hip)

Vastus Lasteralis (Upper Outer Thigh Muscles)

Proper Position for Mayo stand when setting up a sterile field

Adjust the stand to slightly above the waist at least 12 inches from the body

Size of the area around the sterile drape thats considered Nonsterile

At least 1 inch

Amount of time Nonabsorable stutures remain in

5-6 days

Postoperative Problems

Unusual Pain or Burning, Swelling, Redness, Discoloration, Other Drainage, Fever Over 100 Degrees, Nausea and Vomitting

Heat Exhausation

Muscle Cramping, Sweating, Pale and Clammy Skin

Obstructed Airway Treatment

Abdominal Thrusts, Chest Thrusts, Back Slaps

Sprains & Strains Treatment

Rest

Elevate

Cold Compressions

Wear Bandage or Brace

Anti-Inflammatory Medications

Shock

Trauma

Electrical Injury

Insulin Shock

Hemorrhage

Excessive Bleeding

Drug Reaction

Anaphylactic Reaction

Pale Clammy Skin

Weakness

Restlessness

Rapid Pulse

Respiration Rate

Vomitting

Poisoning

Discoloration

Burn on Lips

Unusual Color

Vomitting

4 Wound Classification

Abrasion

Incision

Laceration

Puncture

Inflammation

Redness

Swelling

Warmth

Pain

1st Degree Superficial Burn

Redness

Discolored

Slight Swelling

Treatment for Chest Pain in an Emergency

Aitroglycerin

Sublingual

Spray

Myocardial Infarction Symptoms

Chest Pain

Discomfort in Center Left Side of Chest

Pain Discomfort both Arms

Back, Shoulders, Neck, Jaw

Above Belly Button

SOB

Excessive Sweating

Nausea

Dizziness

Rapid Heart Rate

Chest Compression Breath Ratio (CPR) on Adults

30 Compressions

2 Breaths

Infection Control Purpose

Minimize, remove a variety of disease causing micro-organisms from the health environment

Mode of Transmission Pertusis

Direct Contact with Respiratory Secretion Droplets

Viruses

Rhinovirus- Common Cold

(Rhino- nose)

Varicella- Chicken Pox

HIV/AIDS

Hepatitis (A,B,C,D,E)

Coronavirus (Covid 19)

Bacteria

E-Coli (UTI)

Vibra Cholerae (Cholera)

Bordetella Pertussis (Whooping Cough)

Fungi

Histoplasmosis- lung infection passed on by certain bird/bat droppings

Tina Pedis- athlethes foot

Candida Albican- yeast infection

Parasites

Toxoplasmosis

Pinworm

Tapeworm

Scabies

Lyme Disease

Chain of Infection Cycle

1. Infectious Agent

2. Reservoir

3. Portal of Exit

4. Mode of Transportation

5. Portal of Entry

6. Susceptible Host

Infectious Disease Signs & Symptoms

Fever

Headache

Swollen Lymph Nodes

Chills

pain

Tachycardia

Fatigue

Nausea

3 Transmission Based Precautions

Cotact

Droplet

Airborne

Employers Exposure Control Plan Requirements

Engineering Controls

Workplace Controls

Hep B Vaccination

Postexposure Label Signs

Hazards Training

Documented in Employee Medical Training Record

Cheap Effective Disinfection Agent

1:10 bleach solution

High Level Disinfection

Cidex

Required Laboratory Requistion Information

Patient Demographic Information

Ordering Providers Information

Required Test Identified

Specimen Source

Date/Time Specimen Collected

Diagnosis Code

Point of Care Testing (POCT)

Pegnancy Testing

Rapid Streptococcus Test (Strep)

Urinalysis

Hemoglobin

Hematocrit

Streptococcus Swabbing Location (Strep)

Both sides of posterior throat/tonsil area

Hormone present in Blood in Urine during Pregnancy

human chorionic gonadotropin (hCG)

Urine Specimen Collection Type

Random

1st Morning

Clean Catch Midstream

24 Hour

Catherterization