Clinical Procedures and Patient Care Review

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These flashcards cover essential vocabulary and definitions related to clinical procedures and patient care, helping to prepare for the upcoming exam.

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42 Terms

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EHR

Electronic Health Record, which includes patient history, assessments, and treatment plans.

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Triage

The process of determining the priority of patients' treatments based on the severity of their condition.

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SOAP

Subjective, Objective, Assessment, Plan; a method for documenting patient encounters.

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BP

Blood Pressure; the pressure exerted by circulating blood upon the walls of blood vessels.

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CPR

Cardiopulmonary Resuscitation; an emergency procedure to restore breathing and blood circulation.

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EKG

Electrocardiogram; a test that records the electrical activity of the heart.

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V1

The first lead placement position on an EKG, located at the 4th intercostal space to the right of the sternum.

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V2

The second lead placement position on an EKG, located at the 4th intercostal space to the left of the sternum.

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V3

The third lead placement position on an EKG, located midway between V2 and V4.

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V4

The fourth lead placement position on an EKG, located at the 5th intercostal space in the midclavicular line.

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V5

The fifth lead placement position on an EKG, located at the same horizontal level as V4, in the anterior axillary line.

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V6

The sixth lead placement position on an EKG, located at the same horizontal level as V4 and V5, in the midaxillary line.

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Atrial Fibrillation

An irregular and often rapid heart rate that can lead to poor blood flow.

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Normal Sinus Rhythm

The normal heartbeat, originating from the sinus node in a regular pattern.

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Ventilation

The mechanical process of moving air in and out of the lungs.

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Phlebotomy

The practice of drawing blood from a patient for clinical or medical testing.

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Order of Draw

The specific sequence in which blood collection tubes should be filled to avoid contamination.

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Blood Culture Tube (Order of Draw)

Tubes with a yellow-top or blood culture bottles, collected first in the order of draw to prevent contamination of samples for microbial growth studies.

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Light Blue Top Tube (Order of Draw)

Tubes containing sodium citrate, collected after blood cultures for coagulation tests like PT/INR, to maintain the correct blood-to-anticoagulant ratio.

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Red Top Tube (Order of Draw)

Tubes with no additive or a clot activator, collected for serum chemistry or blood banking tests.

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Green Top Tube (Order of Draw)

Tubes containing heparin (sodium, lithium, or ammonium), primarily used for plasma chemistry tests.

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Lavender Top Tube (Order of Draw)

Tubes containing EDTA, collected for whole blood hematology tests like CBC.

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Grey Top Tube (Order of Draw)

Tubes containing sodium fluoride and potassium oxalate, used for glucose and lactic acid tests due to their preservative action.

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IM Injection

Intramuscular Injection; delivering medication deep into the muscles.

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SC Injection

Subcutaneous Injection; delivering medication into the layer of fat beneath the skin.

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ID Injection

Intradermal Injection; delivering medication into the upper layer of skin.

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Sublingual (SL)

A method of administering medication by placing it under the tongue, allowing for rapid absorption into the bloodstream.

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hCG

Human Chorionic Gonadotropin; a hormone often tested for in pregnancy tests.

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Drug Screen

A test to detect the presence of drugs or their metabolites in the body.

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Glucose

A simple sugar that is an important energy source in living organisms.

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Mono Test

A test used to diagnose infectious mononucleosis.

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PT/INR

Prothrombin Time/International Normalized Ratio; a test to measure blood coagulation.

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Urinalysis

The physical, chemical, and microscopic examination of urine.

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EpiPen

A device used to inject a dose of epinephrine for the treatment of anaphylaxis.

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Manual U/A

Manual Urinalysis; a physical and chemical examination of urine conducted without automation.

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Complete Heart Block

A condition where the heart beats out of sync, leading to symptoms such as fatigue or dizziness.

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Second Degree AV Block Type 1

A type of heart block where there is a progressive lengthening of the PR interval until a beat is dropped.

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Second Degree AV Block Type 2

A type of heart block in which some beats are dropped without warning, usually more serious than type 1.

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Bleeding Control

Methods used to stop bleeding, including applying pressure and bandaging.

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Insurance Verification

The process of confirming a patient's insurance coverage before providing medical services.

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Pulse Oximetry

A non-invasive method for monitoring a person's oxygen saturation (SpO\text{2}) in the blood and their pulse rate.

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Tachycardia

An abnormally rapid heart rate, typically defined as over 100 beats per minute.