Limited Primary Care- 68W :)

Vectors

Living carriers of pathogens

Most difficult to destroy organism

Spore forming bacteria

SF 600

Chronological record of care

Return to clinic

RTC

First Day of Last Menstrual Period

FDLMP

DD Form 689

Sick Call Slip

Initiates sick call process

Requests medical evaluation and treatment.

Person who Deals with patient information

Patient Administrator

Included when signing SF 600

Payroll signature

Rank

MOS

Service

TOB

Tobacco

ETOH

Alcohol

Subjective data

What the patient tells you

Objective data

What you see or measure

First link in Chain of infection

Pathogen

Second link in Chain of infection

Reservoir

Third link in Chain of infection

Portal of Exit

Fourth link in Chain of infection

Vehicle of Transmission

Fifth link in Chain of infection

Portal of Entry

Sixth link in Chain of infection

Susceptible host

Virluence

Pathogen's strength to create disease

Nosocomial infection

Infection acquired in a health care facility

First in Course of Infection

Incubation Period

Second in Course of infection

Prodromal Stage

Third in Course of infection

Full Stage of Illness

Fourth in Course of infection

Convalescent Stage

Reverse Isolation is for

The patient

Medical Asepsis

Clean Technique

Surgical Asepsis

Sterile Technique

3 types of transmission based precautions

airborne, droplet, contact

6 rights of medication administration

Patient

Medication

Time

Route

Dose

Documentation

Length of time to observe allergic reaction

15-20 minutes

What 3 pieces of info are needed for drug calculation

Amount of medication

Concentration

Unit of measure

SubQ absorption rate

15-30 minutes

SubQ needle length

1/2 to 1 inch

SubQ needle gauge

23 to 25

3 sites for SubQ injection

Upper arm

Vastus lateralus

Abdomen

What angle is SubQ needle injected at?

45 degrees

Amount of substance that can be SubQ injected into the upper arm

0.5 mL

Amount of substance that can be SubQ injected into the vastus lateralus

2 mL

Amount of substance that can be SubQ injected into the abdomen

2 mL

Absorption rate for IM (Intramuscular Injection)

10-20 minutes

Needle length for IM injection

1-2 inches

Needle gauge for IM injection

20-22 gauge

Sites for IM injection

Deltoid

Vastus Lateralus

Gluteus Maximus

Amount of substance that can be IM injected into the deltoid

2 mL

Amount of substance that can be IM injected into the vastus lateralus

5 mL

Amount of substance that can be IM injected into the gluteus maximus

5 mL

Angle for IM injection

90 degrees

Contraindications for IM injection

Poor circulation or shock

Another name for fungal infection

Mycoses

Example of topical antibiotic

Neosporin

Bacitracin

Silvadene

Example of oral antibiotic

Levofloxacin

Septra

Example of intravenous antibiotic

Ancef

Ertapenem

What do antihistamines do?

Block the action of histamines on tissue

Possible side effects of antihistamines

Sleepiness

Dry mouth

Antihistamine examples

Allegra

Benadryl

Claritin

Zyrtec

#1 Analgesic for medics

Ketamine

"Lollipop" analgesic

Fentanyl

Dose for Fentanyl

800 mcg transbuccally

Dose for Morphine

5mg IV push 1-2min

Repeat every 5 min

Dilute with normal saline

Dose for Ketamine

20mg IV push over 1 min

Repeat every 20 min

Possible Side effect of Ketamine

Hallucinogenic terrors

Dose of tylenol

650mg PO every 8hrs

Dose of meloxicam

15mg PO daily

What two analgesic medications are given to soldiers still able to fight?

Meloxicam and Acetaminophen (Tylenol)

Side effects of Tylenol

Causes GI/Liver problems

What does Naloxone (Narcan) do?

Reverses respiratory depression from Opioids

Dose for Narcan

0.4 to 2 mg IV push over 1-2min

Repeat 2 to 3 min

NSAIDs (non-steroidal anti-inflammatory drugs) 3 indications

Fever

Inflammation

Pain

What NSAID should never be used in soldiers or children?

Aspirin

NSAIDs medics might use

Ibuprofen

Naproxen

Contraindications of NSAIDs

Hypersensitivity

Ulcer or gastric bleeding

Side effects of NSAIDs

Gastric irritation

Renal issues

3 reasons for venipuncture

Draw blood specimen

Start IV

Administer Medication

most common venipuncture site

ante-cubital foss

#1 venipuncture vein

Medial

#2 venipuncture vein

Cephalic

#3 venipuncture vein

Basillic

Angle of venipuncture needle

15-30 degrees

What goes on a specimen label?

Patient's name

DOB

SSN

Organization

Prefix code

Facility

Date

Red Flags for eye complaints

Visual loss

History of trauma

Red Flags for ear complaints

Fever of 101 degrees or greater

Embedded foreign object

Red Flags for nose complaints

Fever of 101 degrees or greater

Red Flags for mouth complaints

Difficulty breathing or swallowing

Fever of 101 degrees or greater

Tonsillar exudates

Respiratory red flags

Fever of 101 degrees or greater

Shortness of breath

Abnormal breath sounds

Pulse ox >95%

Accessory muscle use

What disease does not require antibiotics?

Upper Respiratory Infection

What is the most important step during eye evaluations?

Visual acuity

What is the first step when dealing with burns/chemicals in eyes?

Flush until there is no more burning

What is the normal distance for a Snellen test?

20 feet

Abbreviation for Right Eye

O.D.

Abbreviation for Left Eye

O.S.

Abbreviation for Both Eyes

O.U.

What kind of discharge does bacterial conjunctivitis have?

Pus-like

What kind of discharge does viral conjunctivitis have?

Clear and watery

What is the 6th leading cause of medical death in the US?

Pneumonia

Avg abdominal sound rate

5-35 per minute

When does acute diarrhea become chronic?

3 weeks

What is the first step in an orthopedic exam?

Inspection

What is the second step in an orthopedic exam?

Palpation

What is the third step in an orthopedic exam?

Range of motion

What is the fourth step in an orthopedic exam?

Muscle strength