Medical Assistant: CMA Certification

CLIA-Waived Laboratory Procedures

tests to be performed are simple with a low risk of error

What is the normal Temperature

97.6-99.6 (36.4C-36.7C)

Oral temperature above 100 (37.8C)

Rectal/Ear Temperature above 101 (38.3C)

What do these numbers indicate?

Fever

Pediatric patient fever

rectal temperature is 100.4 (38C) or above

Normal Blood Pressure

Systolic is less than 120 and diastolic is less than 80 (120/80)

Pre hypertension

systolic 120-139

diastolic 80-89

Hypertension Stage 1

systolic 140-159

diastolic 90-99

Hypertension Stage 2

systolic 160+

diastolic 100+

Hypertensive crisis

systolic 180+

Diastolic 110+

Hypotensive

Systolic <90

diastolic <60

Heart Rate range

60-100 BPM resting state

Athlete 40BPM

Tachycardia

100+ BMP heart rate

Bradycardia

<60BPM heart rate

respiration rate

12-20RPM

abnormal-pale skin/cold

vital signs

provides diagnostic information for the physician

blood pressure, temperature, pulse, and respirations

ventricles contract

blood is pushed out of heart and into the aorta and pulmonary artery

blood pressure is divided into two section

systolic/diastolic

systole

when the heart contracts

diastole

when the heart relaxes

sphygmomanometer

used to measure a patient's blood pressure

Blood pressure procedure

1. palpate the brachial artery in the antecubital fossa region of the arm

2. palpate for the brachial pulse in both arms. Use right arm

3. position the patients arm in an outstretched relaxed position at heart level.

4. center the bladder of the blood pressure cuff over the brachial artery

5. blood pressure cuff 1 inch above bend in elbow

6.hold stethoscope between 1st and 2nd fingers/thumb not over it

7. bell completely touching the skin

8. release the dial on the bulb by 2mm per second

9 First beat note the number on the dial- SYSTOLIC READING

10.Continue listening until beats have stopped-

DIASTOLIC READING

120/80mm Hg

patients heart rate provides information about

heart's rhythm, volume, and vessel elasticity

Pulse procedure

1. palm side of wrist

2.count number of times beat repeats for 30 sec

3.multiply by 2

respiration procedure

1. do not tell patient

2.count number of times chest rises 30 sec

3.multiply by 2

temperatures

tympanic membrane, temporal artery, axillary, rectal

rectal temperature position

sims

anthropometric measurements

height and weight

to convert celcius to F

(C x 9/5) +32

to convert F to C

(F-32) x 5/9

1 pound=.45kg

kilograms to pounds

kilogram x 2.2

pounds to kilograms

pound x .45

Supine Position

laid flat

dorsal recumbent

laid face up with knees bent

Fowlers position

patient is laid on a table with head of the table elevated to 90 degrees

semi fowlers

table elevated to 45degrees

prone position

patient is face down

Sims position

patient lies on their left side with the right leg sharply bent with knee on exam table

knee chest position

patient rests on the knees and chest with head turned to one side

Trendelenburg position

patient is supine and bottom of the table is raised about 30 degrees

medication administered

oral, topical, and parenteral

injectable medication

intramuscular, intradermal, and subcutaneous

intramuscular injection

seated position exposing deltoid, 3 fingers below acromial process, aspirate and observe for blood, if no blood inject medication 90 degree angle

intradermal injection

seated position 15 degree injection

subcutaneous injection

upper arm inject 45 degrees aspirate for blood and then inject medicine

pulmonary function test

uses spirometer and blow as hard as possible

snellen chart

vision test

routine specimens

most common urine test

midstream specimen

urinate a little, collect the sample, and then continue to empty bladder

clean catch urine sample

clean urethral opening of patient before urinating

sputum testing

detect lower respiratory tract infections cough into container

saliva testing

monitor hormone, drug, and alcohol levels

fecal testing

dectect parasites, blood and bacteria

semen testing

fertility testing

eye irrigation

aim solution in the lower conjunctiva sac beginning the flow at inner canthus of the eye.

otoscope

ear tool

ear irigation

pull up and back

aseptic technique

sterilization

autoclave

sterilization from 250-320 degrees

disinfection

kill microbes while providing little damage to equipment

(cidex or bleach to water1:10)

which is the proper position for a patient who is to receive a rectal temperature measurement

sims

a patient has been diagnosed with COPD her skin is cold to the touch which would be expected to be out of range

respiration

which artery is used in performing a manual blood pressure

brachial

which of the following is the appropriate angle when administering a subcutaneous injection

45

which o the following is the substance that is removed when performing ear irrigation?

cerumen

which of the following is the appropriate part of the eye at which to aim the solution when beginning to perform an eye irrigation?

inner canthus

A patient measures 5ft 8in which is her height in cm

173

(5 x 12 + 8 x 2.54)

which of the following would be a normal adult temperature

37C

(98.6F or 37C)

hypertensive crisis

systole of 190

correct device to perform a pulmonary function test

spirometer

acromial process

outermost point of the spine of the shoulder blade

aorta

main trunk of the systemic arteries

aseptic

free from pathogenic micooranisms

autoclave

an instrument that sterilizes equipment and supplies by high pressure saturated steam

axillary

the area on the human body under the joint that connect the arm to the shoulder

brachial artery

the major artery of the upper arm

bradycardia

slow heart rate

biohazard bag

a container designed to collect any biological waste

bronchodilators

a substance that dilates the bronchi in the lungs decreasing resistance in the respiratory airways

cerumen

a wax in the ear

conjunctiva

a clear mucous membrane that covers the inner surface of the eyelid and white part of the eyeball

cyanotic

appearance of blue or purple skin

hemorrhoids

swollen veins in the anal canal

holder monitor

a device that measures a patients cardiac activity over a period of time

inner canthus

the corner of the eye where the upper and lower eyelids meet

intradermal injection

an injection within the skin

intramuscular injection

an injection of a substance directly into the muscle

nebulizer

a device that administers medication in a. mist form

OSHA

occupational safety and health administration

palpate

to examine by touch

parenteral medication

any medication that is administered in a route other than ingestion

Brady-

slow

hemi-

half

olig-

scanty

pari-

all

tachy-

fast

eu-

normal

hyper-

more, increased

hypo-

less, decreased

infra-

below, beneath