The test for this 6ths week

MI

Myocardial infraction 

ALS

Amyotrophic Lateral Sclerosis causes progressive degeneration of nerve cells in the spinal cord and brain resulting in paralysis

Distal

Further away from the body's trunk 

Proximal

Closer to the body's trunk 

Pulse oximeter

An electronic device that measures the saturation of oxygen carried in your red blood cells.

Telehealth

A type of service that uses video calling and other technologies to help health care providers provide patient care to a remote location, such as a patients home, instead of a medical facility 

eRX

Electronically transmitting a drug prescription directly to a pharmacy using electronic health record technology

Intravenous

 Giving medicines or fluids through a needle or tube inserted into a vein (15 to 30 degrees)

Intramuscular

An injection of medicine into a muscle (90 degrees)

Intradermal

Administered into the dermis, just below the epidermis (5 to 15 degrees)

Subcutaneous

 Injection administered below the skin layer into the adipose layer (fat, 45 degrees)

Specialty Pharmacy

 Prepare and dispense intricate medications for more complex, chronic and rare health conditions 

Bradypnea

Slow breathing 12 breaths per minute

Tachypnea

Rapid breathing 2 breaths per minute

Medication Reconciliation

The process of comparing a patient's medication orders to all of the medications that the patient has been taking

Know what supplies are needed in rooms

diagnostic tools (stethoscope, blood pressure cuff), personal protective equipment (gloves, gowns), and wound care (bandages, antiseptics)

Anaphylactic: causes, s/s, treatment

A systemic allergic reaction that can be life threatening without immediate medical intervention it can occur after exposure to allergen or a delayed reaction treatment being epinephrine  

Storing medication

Refrigerated medication between 2 and 8C (35 and 46F), frozen medication must be stored between -50 and 15C (-58 and 5F) 

What questions are asked with allergies?

Name of suspected medication (brand or generic) non prescribed (over the counter medications), timeframe of the reaction from initiation of the medication, strength and formulation, description of the reaction, indication for the medication being taken (if there is no clinical diagnosis, describe the illness), date and time of the reaction, number of doses taken or number of days on the medication before onset of the reaction, route of administration

What is the function of CDSS

Helps patient care by enhancing medical decisions with targeted clinical knowledge 

Safety for patients when left in the room

 Fall prevention, access to essentials and staff,equipment safety and patient privacy

Know how to calculate when a medication expires once vial is opened.

After 28 days the medication is expired

Calculate dosages per MD orders

D/H x Q

 Know information on different size/gauge/angle for syringes

Hypodermic syringes come in 0.5 to 60mL and even larger, tuberculin has a narrow syringe that has a capacity of 0.5 mL or 1 mL,  insulin syringes are designed for the administration of insulin the syringe size has the capacity of 0.3mL or 1.0mL  

Stethoscope

An instrument used to transmit sounds from within the patient's body for analysis.

Pulse Ox

An electronic device that measures the saturation of oxygen carried in your red blood cells.

Sphygmomanometer

An instrument for measuring blood pressure and especially arterial blood pressure.

Thermometer

An instrument for determining temperature

Manual pulse check

-Use the first finger (the one you point with) and middle finger of one hand and place the pads of these fingers on the inside of the wrist on your other hand, at the base of your thumb.

Percussion

A method of tapping body parts with fingers, hands, or small instruments as part of a physical examination

Glucometer

An instrument for measuring the concentration of glucose in the blood

Spirometer

 Measures the amount of air you blow out of your lungs and the amount you inhale back into your lungs.

Vaginal speculum

Metal or plastic device used during a pelvic exam

Occupational History

Any employment hazard or exposures 

Demographics

 Name, address, telephone number, insurance info, emergency contact

Chief Complaint

Also referred to as a chief concern it is subjective information in the patients own words

B/P parameters Normal

Systolic 130 to 139, diastolic 80 to 89

B/P parameters Stage I -Systolic

140 or higher, diastolic 90 or higher 

Vaccine series for 2 months

DTaP, Hib, IPV, PCV,HepB

Vaccine series for 4 months

 DTaP (second dose)

 Depression

 Difficulty going to sleep, staying asleep, or getting up in the moring, profound sadness and fatigue, change in appetite, loss of energy 

Anxiety

Heighted ability to observe or make connections, difficulty focusing on details, a sense of panic, irritability, feeling cold or sweaty, heart palpitations, shortness of breath 

Know all positions and descriptions? Why is it good for them

Ensures patient safety, facilitates medical procedures, and promotes proper physiological function

Where should waste and needles be disposed of?

 Biohazard bag, and sharps proof container  

 Know all stages of Development

denial, anger, bargaining, depression and acceptance

What should never be abbreviated?

Morphine (MS,MSO), Nitrogylercin (Nitro),units (u,U,Iu), ML (cc), Daily or intended time of administration (od, O.D, OD), 3 times weekly (TIW, tiw), Subcutaneously (SC,SO,sub q), Injection (IJ), Right eye, left eye, both eyes (OD, Os,OU), Discharge or discontinue (D/C, dc, d/c)

What are examples of physical stressors?

Air pollution, ultraviolet rays from excessive sun exposure, overcrowding, language and cultural barriers, barriers, discrimination)

 Accommodation for partial vision loss.

Tactile labeling, braille, reading material with large print material, avoiding touching patients without verbally warning them, use descriptive language

What abbreviation can be mistaken for magnesium sulfate?

MS, MSO4, MgSO4

Correct terms for the avoided abbreviations “cc”, “IJ”, “SC”, “OD”, “tiw”, “D/C” and “qd”

  mL, injection, subcutaneously, daily or intended time of admin, 3 times weekly, discharge or discontinuance, daily

Erikson Developmental Theory

Trust vs Mistrust, autonomy vs shame and doubt, industry vs inferiority, identity vs role confusion, intimacy vs isolation, Generativity vs Stagnation, Ego integrity vs Despair

Know pulse rate parameters

 infant (1 to 12 month)100 to 180, toddler (1 to 2 years) 98 to 140, preschoolers (3 to 5 years) 80 to 120, school age children (6 to 15) 75 to 118, Adolescents and older (60 to 100) 

 Know respiratory rate parameters

infant (1 to 12 month) 30 to 53, toddler (1 to 2 years) 22 to 37, preschoolers (3 to 5 years) 20 to 28, school age children (6 to 15) 18 to 25,  Adolescents and older 12 to 20

Know Age Related Temp Norms

(temporal, axillary, tympanic, rectal) - Newborn (axillary) 98.2F, 1 year (tympanic) 99.7F, 6 years to adult (oral) 98.6F, older adults over age of 70 (oral) 96.8F

What should you do when a patient reports office supplies are either broken or not functioning?

Ensure the patient is safe, remove from service, and isolate the item, alert supervisor 

What do we look out for with orthostatic hypotension?

Lightheadedness or dizziness upon standing. Blurry vision. Weakness.

When should you avoid taking a tympanic temp?

if your patient has impacted earwax or immediately after an ear canal treatment that could alter temperature.

Trust vs Mistrust 

Trust is the successful outcome of this stage, Mistrust is the unsuccessful outcome  

 Autonomy Vs Shame and doubt

This is the physiological crisis toddlers 

 Initiative vs Guilt

This is the physiological crisis for preschoolers 

industry vs inferiority

This is the physiological crisis for school age children, children require acknowledgement of their successes 

Identity vs Role confusions

This is physiological crisis for adolescent

Intimacy vs isolation

This is the physiological crisis for young adults , partnership, marriage, family, and career 

 Generativity vs Stagnation

This is the physiological crisis for midlife adults, participation in serving the community 

 Ego integrity vs Despair

 This is the psychological crisis for older adult, .many will volunteer to retain feeling of usefulness, their bodies experience age related change, and health becomes a major concern, especially as friends and loved ones die

Hypodermic syringes come in

0.3 to 60mL and even larger

tuberculin has a narrow syringe that has a capacity of

-0.5 mL or 1 mL

insulin syringes are designed for the administration of insulin the syringe size has the capacity of

0.3mL or 1.0mL