CCMA Study | Quizlet

Trust vs. Mistrust

infants learn basic trust if the world is a secure place where their basic needs are met

Autonomy vs Shame and Doubt

toddlers learn to exercise their will and do things fro themselves, or they doubt their abilities

Initiative vs Guilt

preschoolers (3 to 6 years)

children look for new experiences but will hesitate when adults reprimand them from trying new things

Industry vs. Inferiority

school-age children (7 to 12 years)

children need to receive recognition for accomplishments to provide reinforcement and build self-confidence

identity vs. role confusion

adolescents must decide who they are

Intimacy vs. Isolation

young adults (20 to 35 years)

young adults begin to think about partnership, marriage, family and career

Generativity vs stagnation

middle adults (35 to 65 years)

adults continue raising children and some become grandparents. they want to help mold future generations, so they often involve themselves in teaching, coaching, writing and social activism

Ego integrity vs despair

older adults (65 years and older)

most adults retire; their children, if they have any, no longer live at home. retain a feeling of usefulness

Apathy

indifference; lack of interest

comprehension

Balancing a failure or inadequacy with an accomplishment

Conversion

transformation of an anxiety into a physical symptom that has no cause

Denial

Avoidance of unpleasant or anxiety-provoking situations or ideas by rejecting them or ignoring their existence.

Displacement

redirection of emotion to other targets

Rationalization

Explanation that makes something negative or unacceptable seem justifiable or acceptable

Mobile Health Units

bring health care to the communities that most need it and may otherwise lack access to the services provided.

Hospice

End of life care focused on comfort

Patient-Centered Medical Home (PCMH)

Care delivery model in which the primary care provider coordinates treatment to ensure patients receive and understand the needed care.

HMO (Health Maintenance Organization)

Referral and Preauth

PPO (Preferred Provider Organization)

No PCP and no referral

POS (Point of Service)

Self refer and no PCP

ophthalmologist

A doctor who treats eye diseases and disorders

Hematologist

treatment of blood disorders

orthopedist

one who specializes in feet bones/joints/ligaments

endocrinologist

Hormones

Ancillary Services

Supportive services other than routine hospital services provided by the facility, such as x-ray films and laboratory tests.

analgesic

relieves pain

Anticholinergics

Smooth muscle spasms

ex. Ipratropium, dicyclomine, hyoscyamine

Anticoagulants

delay blood clotting (warfarin, enoxaparin, heparin)

anticonvuslants

prevent or control seizures

Schedule I

High potential for abuse and have no current accepted medical use. Only prescribed for research purposes which must be approved by DEA and the FDA. These have a high potential for abuse and are not refillable.

E.g.. Heroin, LSD

Schedule II

High abuse potential with severe dependence liability (narcotics, amphetamines, and barbiturates) Approved for medical use. Must be prescribed by hand

Schedule III

Includes substances with moderate to low potential for physical dependence. For EX ketamine and anabolic steroids

Schedule IV

low potential for abuse includes benzodiazepine and diazepam

Schedule V

Substances that contain limited quantities of some narcotics usually antidiarrheal

Schedule III, IV, V

Controlled substances may not be filled or refilled more than 6 months after the date on which the prescription was issued

Vitamin A

Night vision, cell growth and

maintenance, the health of the

skin. EX: Milk fat, meat, leafy vegetables, egg

yolks, fish oil, orange and yellow fruits

Vitamin B

Fish, meat, poultry, whole grains, seeds,

nuts, yeast, avocados, bananas

Vitamin C

Berries, citrus fruits, green peppers,

mangoes, broccoli, potatoes,

cauliflower, tomatoes

Vitamin D

Calcium absorption, bone and

tooth health, heart and nerve

function. EX :Sunlight, fortified milk, eggs, fish, liver

Vitamin E

Protection of cells (including skin

and brain), formation of blood

cells. EX: Fortified cereal, nuts, vegetable oils,

green and leafy vegetables

Vitamin K

blood clotting, bone health

E Prescribing system

This process is more efficient because refill requests can be queued up and reviewed at the health care provider's convenience. The provider will be able to review those requests anywhere using a hand-held device

(PDA) or a remote computer. The advantage here

is that the printed-paper copy eliminates issues caused by poor penmanship and the

EHR software can perform a number of edits to reduce the occurrence of clinical errors.

Shock

The response of the cardiovascular system to the presence of adrenaline, resulting in capillary constriction. EX: Trauma

Anaphylactic Shock

The response of the body to an allergen such as a medication or an insect bite or sting. Early signs: Pale, clammy skin, weakness, Late Signs: Dilated pupils loss of consciousness, EpiPen needed

Suture Removal

To remove the sutures, cut the suture with suture scissors below the knot and as close to the skin as possible. Remove every other suture and then go back and remove the remaining sutures until all sutures have been removed, then clean the wound with antiseptic

Mammogram recommendations

Female 40 yo

Colonoscopy

All patients 45 yo

Bone Density

65 yo

Pap smear

Ages 21-29= every 3 years

Ages 30-65= 3-5 years

Palpatory Method for Blood Pressure

The blood pressure cuff is placed in the usual position (one inch above the bend in the elbow, or antecubital space) and palpates the radial pulse, noting the rate and rhythm.

Inflate the cuff until the pulse disappears, then add 30 mm Hg more inflation to get above the systolic pressure. Do not remove the fingers from the pulse or change the pressure of the fingers. Carefully watch the gauge while slowly releasing the pressure in

the cuff and wait until the first pulse beat is felt.

Tympanic Thermometer

Being inserted in the ear. Most Popular due to speed and comfort.

New born respiratory rate

30-50/min

Adult respiratory rate

12-20/min

Obtaining respiratory rate

Count 30 secs then multiple the number by two

Fahrenheit to Celsius

C= (F - 32) / 1.8

º C = (º F − 32) ÷ 1.8

Example: 99º F = Xº C

Step 1: 99-32=67

Step 2: 67/1.8=37.2

Celsius to Fahrenheit

º F = (º C ×1.8) + 32

Example: 38º C = Xº F

Step 1: 38 x 1.8 = 68.4

Step 2: 68.4 + 32 = 100.4º F

intradermal

Skin of the upper chest, forearms, upper back given at 10- 15 degrees

Intramuscular

Deltoid vastus lateralis, ventrogluteal given at 90 degrees

Subcutaneous

Upper arms, abdomen, buttocks, upper outer thigh given at 45 degrees

ac

before meals

pc

after meals

NPO

Nothing by mouth

PRN

As needed

PO

By mouth

Acute

New, Urgent, Sudeen

Chronic

Ongoing

Hyperglycemia

High blood sugar

Hypoglycemia

Low blood sugar

GERD

Heartburn

Hypertension

High Blood Pressure

Supine position

Lying Face up

Prone position

Lying face down

Fowlers Position

Lying face upward with flexed knees, feet flat on the floor

Semi fowlers postion

Sitting with back angles at 45 degrees

Anatomical Position

Body is standing up face forward, arms at sides, palms facing forward and toes pointed forward

Anterior

Toward the front of the body also know as venteral

Posterior

Toward the back of the body also known as dorsal

Superior

Above

Inferior

Below

Medial

Closer to the middle of the body

Lateral

Further from the midline of the body more on the side

Superficial

Closer to the surface of the body

Deep

Away from the body surface; more internal

Proximal

Closer to the body's trunk

Distal

Further from the bodys trunk

dextrad

toward the right

Sintrad

Toward the left

When is your body's temperature the highest?

In the late afternon

When is your body temperature the lowest?

In the morning

subcutaneuos injection

Injection below the skin layer into the adipose (fat) Layer

Intradermal Injection

Injection into the dermis

Intramuscular injection

Injected into the muscle

intravenous

Injected into the vein

Cryosurgery

Using cold liquid or special instrument called cryoprobe to destroy unwanted tissue

Capillary puncture for Adults

Ring Finger non dominant Hand

Capillary puncture for infants

Edge of underside of the heel

white EKG lead placement

Right arm

Black lead placement

Left arm smoke over fire

Red lead placement

Left leg

Green lead placement

Right leg