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UNDERSTANDING
people-oriented, hands on, requires effective communication, skills often determine patients overall opinion of medical facility/department
Technologist Attributes
helping others, working with people, making a difference, thinking critically, demonstrating creativity, achieving results
Patient Dignity
sickness and equipment will change a persons personality traits, never take the patients situation light heartedly, dont refer to them as their exam
What is Communication
Exchanging information by sending and receiving messages.
Technologists must have the ability to
listen, convey interest, compassion, knowledge, information
What is verbal communication
spoken words, written words, voice intonation, slang and jargon, organization of sentences, humor
what is nonverbal communication
eye contact, facial expressions, body movement and posture, physical appearance, tone of voice, touch
What are some examples of touch
for emotional support, for emphasis, for palpation
What are the different age groups
infant (birth to 1 year), toddlers (1-3 years old), preschoolers (3-5 years old), school aged children (5-10 years old), adolescents (10-25 years old) young adults (25-45 years old), middle aged adult (45-65 years old), mature adults (65 years old and older)
What are some things to avoid
stereotypes, judgement
What is the most valuable opportunity to acquire clinical information that can contribute to the diagnostic process
history taking
What is objective data
perceptible to the care giver (fever, rash, red skin, lab values)
what is subjective data
perceived by the affected individual only (involves the patients emotions and expeirences, such as pain and its severity.)
What are open ended questions
nondirected and nonleading. letting the patient tell the story
What is facilitation
nod or say yes, encourages elaboration
What is silence
give the patient time to remember, facilitates accuracy and elaboration
What are probing questions
to focus the interview and provide more detail
what is repetition
clarifies information
what is summarization
verifies accuracy
Why do you repeat information obtained as part of the history
to verify that the rad tech has perceived the information correctly and to ensure that the patient has not changed his or her mind
What is chief complaint
primary medical problem as defined by the patient
why is the chief complaint important
it focuses the clinical history toward the single most important issue
what is the sacred seven
localization, chronology, quality, severity, onset, aggravating or alleviating factors, associated manifestations
what is localization
defining the exact area for the patients complaint
what is chronology
avoid giving dates or days, duration, onset, frequency
What is quality
character of symptoms. (color, consistency, size, sounds, type of cough, descriptions of pain)
what is severity
intensity (how bad) quantity (how many times)
what is onset
how did it all begin? what were you doing?
what is aggravating or alleviating factors
circumstances that produce the problem, intensify. the problem, or relieves the problem
What are associated manifestations
determining whether other symptoms accompany the chief complaint
What are patient history considerations
verify symptoms with exam request
What are the mechanisms for homeostasis
heartbeat, blood pressure, body temperature, respiratory rate, electrolyte balance
What are Vital signs
body temperature, pulse rate, blood pressure, respiratory rate, mental state/alertness
What is the normal body temperature
97.6-99.5
normal respiration rate for an adult
12-20 breaths per minute
normal respiration rate for a child
20-30 breaths per minute
What is the normal pulse rate for an adult
60-100 BPM
What is the normal pulse rate for a child
70-120BPM
What is normal systolic blood pressure
<120 mm Hg
What is normal diastolic blood pressure
<80 mm Hg
What plays a role in preservation of heat (shivering) and regulation of heat loss (disphoresis)
the hypothalamus
What are the routes of measurement
oral, axillary, tympanic, and temporal
What do they do for a temporal measurement
sweep across the forehead, measurement closely matches rectal measurement and core body temperature, nearly instant readout, 1 degree higher than oral temp
What is the preferred route for temperature measurement
temporal
What is the oral temperature
under tongue, 20sec-3 min, 97.7-99.5
What is axillary measurement
upper arm and torso, not very accurate and unpopular, 5-10 min
What is tympanic measurement
electronic thermometer in ear, 3 sec, 95.9-99.5
What is rectal measurement
rectal thermometer in rectum, 2.5-5 min, 1 degree higher than oral temp
What is hypothermia
temperature below normal 97.7
What is hyperthermia
oral temperature higher than 99.5
What is pulse
regular expansion of an artery caused by the ejection of blood into the arterial system by the contractions of the heart.
What is a closed loop system of vessels
cardiovascular system
left ventricle of the heart contracts supplying ____ to the body
oxygenated
what are the common sites of pulse measurement
radial artery, brachial artery, carotid artery, femoral artery, dorsalis pedis artery
How is ventricular contraction transferred
to arterial walls and permits pulse measurement
Where is pulse measured during CPR
carotid artery
What is pulse measured with in critical settings
pulse ox
Listening to hear via stethoscope over the __ of chest
left
Where can the pulse ox be placed
big toe, earlobe, temple, nose, or foot.
Oxygen converts ___ intensity into ____ ____ and pulse rate values
light; oxygen saturation
How many breaths for respiratory assessment for newborns
30-60 BPM
What are the depths of respiration
shallow, normal, deep
What are the patterns of respiration
regular or irregular
What are the efforts of respiration
labored or normal
What are the two pieces of equipment for blood pressure measurement
stethoscope, sphygmomanometer
What is blood pressure measurement
measurement of the force exerted on the walls of arteries during cardiac contraction and relaxation
Where is blood pressure measured
brachial artery
What are. the knocking sounds for blood pressure
korotkoff
What is the first knocking sound
systolic
What is it called when the knocking sound disappears
diastolic
what is hypotension measurement
95/60 mm Hg
What is the measurement for hypertension
140/90 mm Hg
What is determined the silent killer
hypertension