CMA TRAINEE STUDY SHEET 2
Page 1: Blood Pressure and Hypertension
Normal Ranges for Blood Pressure
Age: Older than 12 years
Systolic: 110-130
Diastolic: 65-80
Age: 6-12 years
Systolic: 100-120
Diastolic: 60-75
Age: 3-6 years
Systolic: 95-110
Diastolic: 60-75
Age: 1-3 years
Systolic: 90-105
Diastolic: 55-70
Important Definitions
Systolic: Top number of blood pressure; first sound heard.
Diastolic: Bottom number; noted when the last sound disappears.
Stages of Hypertension
BP Category | Systolic | Diastolic |
|---|---|---|
Normal | <120 | <80 |
Elevated | 120-129 | <80 |
Stage 1 Hypertension | 130-139 | 80-89 |
Stage 2 Hypertension | 140 or higher | 90 or higher |
Hypertensive Crisis | >180 | >120 |
Blood Pressure Cuff Sizes
Upper Arm Circumference | BP Cuff Size |
|---|---|
8.7-10.2 in | Small adult |
10.6-13.4 in | Adult |
13.8-17.3 in | Large adult |
17.7-20.5 in | X-Large adult |
Page 2: Pulse and Vital Signs
Artery Locations
Temporal: Side of forehead
Femoral: Inner groin
Popliteal: Behind knee
Posterior Tibial: Behind ankle
Dorsalis Pedis: Top of foot
Radial: Thumb side of wrist
Brachial: Inside upper arm
Carotid: Neck below jawbone
Pulse Ranges by Age
Age Group | Pulse (beats/min) |
|---|---|
Adolescent or older | 60-100 |
School-aged (6-15) | 75-118 |
Preschooler (3-5) | 80-120 |
Toddler (1-2) | 98-140 |
Infant (1 month-1 year) | 100-180 |
Note on Pulse Evaluation
Pulse is evaluated based on:
Rate
Rhythm (regularity)
Volume (strength)
Adult height should be measured to the nearest quarter of an inch.
Page 3: Types of Abnormal Breathing
Abnormal Breathing Types and Causes
Term | Definition | Causes |
|---|---|---|
Hyperventilation | Fast, rapid breathing | Intense pain, anxiety, panic attacks |
Hyperpnea | Excessively deep breathing | Extreme pain or anxiety |
Dyspnea | Difficult or painful breathing | COPD, pneumonia, asthma, high altitude, exertion |
Orthopnea | Difficulty breathing unless upright | Congestive heart failure, COPD |
Wheezing | Whistling sound during breathing | Asthma |
Rales | Small clicking, bubbling, rattling | Fluid in air sacs, pneumonia |
Rhonchi | Large airway sounds | COPD, chronic bronchitis, pneumonia |
Respiratory Rate Ranges by Age
Age Group | Rate (breaths/min) |
|---|---|
Adolescent or older | 12-20 |
School age (6-15) | 18-25 |
Preschooler (3-5) | 20-28 |
Toddler (1-2) | 22-37 |
Infant (1 month-1 year) | 30-53 |
Important Evaluation Notes
Respiration is evaluated based on:
Rate
Rhythm
Depth
One respiration includes one complete inhalation and exhalation.
Page 4: Methods of Taking Temperature
Locations and Devices for Temperature Measurement
Location | Abbreviation | Device |
|---|---|---|
Tympanic (opening of ear) | T | Tympanic thermometer |
Aural (ear canal) | AU | Tympanic thermometer |
Rectal (rectum) | R | Rectal probe |
Temporal artery (forehead) | TA | Temporal artery thermometer |
Oral (mouth) | OT | Digital thermometer |
Axillary (armpit) | AX | Digital thermometer |
Important Considerations
Hot or cold liquids, chewing gum, or smoking prior to taking an oral temperature can result in inaccurate results.
Age Related Temperature Norms
Age | Fahrenheit | Celsius |
|---|---|---|
Newborn (axillary) | 98.2° | 36.8° |
1 year (tympanic) | 99.7° | 37.6° |
6 years-adult (oral) | 98.6° | 37° |
Over 70 (oral) | 96.8° | 36° |
Important Notes
Common cause of pyrexia (fever) is infection.
Temperature Conversion Formulas
Celsius to Fahrenheit: °C = (°F - 32) / 1.8
Fahrenheit to Celsius: °F = (°C x 1.8) + 32
Page 5: Body Mass Index (BMI)
BMI Chart
Weight Status | Range |
|---|---|
Underweight | Less than 18.5 |
Normal | 18.5 - 24.9 |
Overweight | 25.0 - 29.9 |
Obese | Over 30.0 |
Formula for Converting BMI
BMI = Weight in kg / Height in m²
BMI = Weight in lbs / Height in inches² x 703
Body Positions and Descriptions
Position Name | Description | Procedures |
|---|---|---|
Supine | Lying flat on back, comfortable for head, chest exams | Examine anterior surface, used for x-rays |
Prone | Lying face down | Back exams, certain surgeries |
Dorsal Recumbent | Lying flat on back with knees bent | Inspect head and neck, rectal areas |
Lithotomy | Dorsal recumbent with feet in stirrups | Vaginal examinations, often with speculum |
Fowler's | Sitting upright | Head, neck, upper body examinations |
Semi-Fowler's | Head at 45-degree angle | Post-surgical exams, breathing difficulties |
Left Lateral | Lying on left side, right leg bent upward | Rectal exams, taking temperatures |
Page 6: Knee-Chest Position
Knee-Chest Position
Procedure Description | Use Cases |
|---|---|
Placed in prone position with knees up | Proctologic exams, sigmoidoscopy, rectal and vaginal exams |
Page 7: Medication Routes
Routes of Medication Administration
Route | Location |
|---|---|
Parenteral (Non-oral) | Injection into the body |
Subcutaneous (SC or SubQ) | Below the skin layer |
Intradermal (ID) | Into the dermis |
Intramuscular (IM) | Into the muscle |
Intravenous (IV) | Into the vein |
| Non-Parenteral (Oral) | Absorption by the GI tract | | Oral | Taken by mouth | | Sublingual | Under the tongue | | Buccal | Between cheek and gums | | Inhalation | Inhaled through mouth or nose | | Ocular or Otic | Instilled directly into eye or ear | | Transdermal | Applied to skin, designed for slow release | | Topical | Applied to skin or mucous membrane | | Rectal | Inserted into rectum |
Page 8: Correct Dosage Formula
Dosage Calculation Formula
Formula: X = D / H x U
X = Desired Dosage
D = Dose strength available
H = Unit of measurement or quantity
Measurement Conversions:
1 kg = 1000 g
1 g = 1000 mg
1 mg = 1000 mcg
Important Conversion Principles
Bigger number to smaller number: divide
Smaller number to bigger number: multiply
1 kg = 2.2 lb
Kg to lb = lb x 2.2
Lb to kg = lb / 2.2
Always add a "0" in front of decimals. Ex: .4 = 0.4
Page 9: Rights for Medication Administration
Medication Administration Rights
Right Patient: Use two identifiers (name, date of birth).
Right Medication: Check the label three times (medication strength and dose).
First: Check the medication label.
Second: Prepare the medication.
Third: Dispose of or return the container.
Right Form: Confirm the correct form of medication (liquid, tablet, capsule, etc.).
Right Dose: Verify the dosage in the patient's record.
Right Route: Compare the instructed route vs. MAR (Medication Administration Record).
Right Time: Confirm timing specifications.
Right Technique: Know the correct technique for administering each medication.
Right Education: Explain the medication, provider, and reason to the patient, including potential side effects.
Right Documentation: Document date, time, quantity, strength, lot number, manufacturer, expiration date, consent, and patient outcome.
Reusable Medical Devices Status
Status | Devices |
|---|---|
Critical | Surgical forceps, items encountering blood or sterile tissue |
Semi-Critical | Endoscopes, items encountering mucous membranes |
Non-Critical | Stethoscopes, items encountering unbroken skin |
Page 10: Common Types of Surgical Interventions
Surgical Procedure Types
Procedure | Description | Purpose |
|---|---|---|
Biopsy | Surgical removal of tissue for examination | Diagnose cancer, skin conditions, or diseases |
Removal of Foreign Object | Surgical removal of embedded objects | Relieve pain, prevent infection |
Endoscopy | Viewing hollow organ or body cavity | Evaluate stomach pain, swallowing difficulty, GI bleeding, etc. |
Colposcopy | Examination of vagina and cervix | Examine tissue, obtain biopsy |
Cryosurgery | Use of cold to destroy abnormal cells | Destroy tissues, abnormal cells |
Incision and drainage (I&D) | Lancing pressure buildups from pus | Relieve infection-related fluid buildup |
Page 11: Injection Sites, Angles & Needle Sizes
Injection Types, Sites & Specifications
Type | Common Sites | Angle | Needle Size | Max Amount |
|---|---|---|---|---|
Subcutaneous (SC) | Upper, outer arm; abdominal; thigh | 45° | 25-31 Gauge | 1.5 mL |
Intradermal (ID) | Forearm, upper chest | 5-15° | 25-27 Gauge | 0.1 mL |
Intramuscular (IM) | Deltoid, ventrogluteal, thigh | 90° | 20-25 Gauge | 3 mL (Deltoid 1 mL) |
Intravenous (IV) | Vein (commonly) | 25° | Varies | Varies |
Important Procedures for Injections
Must create a wheal for the TB test and monitor response without using a band-aid. Follow up in 48-72 hours.
Common length for intramuscular needles is 1-1.5 inches; gauge varies (typically 21-23 for IM).
Ideal for thick medications: Ventrogluteal.
Use vastus lateralis for: Children aged 3 years and younger.
For subcutaneous injections, pinch the skin and inject slowly.
Page 12: Types of Injections Overview
Injection Overview
Type | Common Angle |
|---|---|
Intramuscular | 90° |
Subcutaneous | 45° |
Intravenous | 25° |
Intradermal | 10-15° |
Page 13: Required Components of a Medical Record
Medical Record Components
Component | Example |
|---|---|
Demographic Data | Name, Address, Date of Birth, Identity, Contact, Employment info |
Administrative Data | Privacy practices forms, Consents, Directives |
Correspondence | Insurance communications, legal letters |
Schedule, Financial | Appointment details, insurance info, balances |
Page 14: Clinical Data Components
Clinical Data Components
Component | Example |
|---|---|
Health History | Chief complaint, diagnosis, history |
Physical Examination | Assessment of body parts |
Allergies | Documented allergies |
Medication Record | Details on medications |
Problem List | Documented problems |
Progress Notes | New info from patient visits |
Laboratory Data | Test results |
Diagnostic Procedures | ECG, Holter, Spirometry, Imaging reports |
Continuity of Care | Consultation summaries, discharge documents |
Page 15: Computer Provider Order Entry (CPOE)
CPOE Overview
CPOE: Electronic medical order entry system replacing traditional paper methods.
Benefits of CPOE:
Reduces human error.
Speeds up care delivery.
Improves order accuracy.
Enhances communication among healthcare teams.
Allows for clinical decision support at the point of care.
Clinical Decision Support System (CDSS)
CDSS enhances medical decision-making with strategically provided clinical knowledge, patient info, and relevant health data.
Page 16: Abbreviations Used in Healthcare
Common Medical Abbreviations
Term | Abbreviation |
|---|---|
Before eating | ac |
As desired | Ad lib |
Twice a day | BID |
Grams | g |
Milliliters | mL or ml |
By mouth | PO |
As needed | prn |
Four times a day | QID |
Immediately | STAT |
Tablespoons | T or TBS |
Teaspoon | T or tsp |
Three times a day | TID |
Advanced life support | ALS |
Blood work | Bl wk |
Body mass index | BMI |
Blood pressure | BP |
Cardiopulmonary resuscitation | CPR |
Cervical spine | C-spine |
Page 17: Body Systems Overview
Overview of Body Systems
System | Function | Involved Organs |
|---|---|---|
Musculoskeletal | Support, shape, movement | Bones, muscles, tendons, ligaments |
Nervous/Sensory | Translate input, make decisions | Brain, spinal cord, nerves, sensory organs |
Circulatory/Cardiovascular | Transportation of O2, nutrients | Blood vessels, heart |
Endocrine | Regulation of bodily functions | Glands (e.g., thyroid, pancreas) |
Reproductive | Continuation of species | Ovaries, testes, uterus, etc. |
Integumentary | Protection of internal organs | Skin, hair, nails |
Lymphatic | Protection from infection | Lymph vessels, spleen, tonsils |
Digestive | Intake, absorption of nutrients | Mouth, stomach, intestines, etc. |
Respiratory | Gas exchange | Lungs, trachea |
Excretory | Waste elimination | Kidneys, bladder |
Page 18: Tissue Types and Locations
Types of Tissue
Type | Function | Description |
|---|---|---|
Epithelial | Covers and lines | Skin, glands, linings of organs |
Connective | Joins together | Bone, blood, tendons, and cartilage |
Muscle | Contracts | Cardiac, smooth, skeletal |
Nervous | Carries electrical signals | Neurons |
Body Location Terms
Term | Meaning | Example |
|---|---|---|
Superior | Above | The nose is superior to the chin |
Inferior | Below | The lips are inferior to the nose |
Ventral | Belly side | The breasts and knees are ventral |
Dorsal | Back side | The buttocks and knuckles are dorsal |
Distal | Farthest from point of insertion | Lesion A is distal from the shoulder |
Proximal | Closest to point of insertion | Lesion C is proximal to the shoulder |
Lateral | Away from midline | Ears are lateral to the nose |
Medial | Toward the midline | Nose is medial to the ears |
Page 19: Vitamins and Their Functions
Water-Soluble Vitamins
Vitamin | Source | Function |
|---|---|---|
B12 | Meat, fish, dairy | Cell development, nerve function |
B1 | Pork, whole grains | Energy and nerve function |
B2 | Dairy, green leafy veggies | Metabolism, vision |
B3 | Meat, bread, nuts | Metabolism, digestive health |
B6 | Meat, fruits, vegetables | Protein metabolism |
C | Citrus fruits, vegetables | Immunity, antioxidant |
Folic Acid | Green leafy vegetables, citrus | Red blood cell production |
Fat-Soluble Vitamins
Vitamin | Source | Function |
|---|---|---|
A | Dairy, liver, orange veggies | Vision, immunity |
D | Milk, sunlight, fatty fish | Calcium absorption |
E | Nuts, vegetable oils | Antioxidant, cell health |
K | Leafy veggies, dairy | Blood clotting |
Page 20: Common Vital Signs
Common Vital Signs Definitions
Term | Definition |
|---|---|
Apnea | Absence of respirations |
Arrhythmia | Irregular heartbeat |
Bradycardia | Heart rate below normal |
Tachycardia | Heart rate above normal |
Bradypnea | Respirations below normal |
Tachypnea | Respiratory rate above normal |
Dyspnea | Difficulty breathing |
Febrile | Pertaining to fever |
Afebrile | Without fever |
Hypertension | High blood pressure |
Hypotension | Low blood pressure |
Orthopnea | Difficulty breathing when lying down |
Orthostatic Hypotension | Temporary lowering of BP on position change |
Drug Classifications
Classification | Action | Example |
|---|---|---|
Adrenergic | Constricts blood vessel lumen | Epinephrine |
Anesthetic | Loss of sensation | Lidocaine |
Antibiotic | Kills pathogens | Amoxicillin |
Anticoagulant | Decreases clotting time | Coumadin |
Antidepressant | Reduces depression | Zoloft |
Antihistamine | Counteracts histamines | Zyrtec |
Antihypertensive | Reduces high blood pressure | Lisinopril |
Hormone Replacement | Replaces deficient hormones | Synthroid |
Narcotic | Decreases CNS activity | Morphine |
Page 21: Minerals
Common Minerals and Their Sources
Mineral | Source |
|---|---|
Potassium | Oranges, bananas, potatoes |
Calcium | Milk, sardines, fortified orange juice |
Iron | Red meat, beans, dried fruits |
Fluoride | Fluoridated water, toothpaste |
Iodine | Seafood, iodized salt |
Wound Types and Phases of Healing
Wound Type | Definition |
|---|---|
Abrasion | Outer layer of skin rubbed away |
Incision | Smooth cut from a sharp object |
Laceration | Irregular tear of tissue |
Puncture | Created by a sharp object |
Phases of Wound Healing
Phase | Description |
|---|---|
Inflammatory | Starts at wound occurrence, immune response active |
Proliferative | Wound begins to heal with cell formation |
Maturation | Tissue covers the wound, scar tissue forms |
Page 22: Burns Overview
Burn Degrees
Degree | Description |
|---|---|
1st Degree | Affects outer layer (red, slight swelling) |
2nd Degree | Breaks skin surface, injures underlying tissue |
3rd Degree | Damages nerves and deep tissues (charred areas) |
4th Degree | Extends through deep tissue (no sensation) |
Important Treatment Notes
Use nonadherent dressing for partial thickness burns.
Injection Information:
Ampule: One-time use, discard after use.
Vial: Multidose; label with opening date and user name.
Last for 28 days from opening.
Page 23: Needle and Syringe Sizes and Usage
Syringe Sizes and Usage
Size | Measurement | Use |
|---|---|---|
1 mL | Measures 0.01-1.0 mL | TB/PPA tests Intradermal |
3 mL | Measures up to 3.0 mL | Intramuscular/subcutaneous |
5 mL | Measures larger amounts | Intramuscular |
12 mL | Measures larger amounts | Generally for feeding tubes |
Important Identification for Injections
Identify Order
Identify Needle
Identify Syringe
Identify Route
Page 24: Needle Sizes
Needle Sizes Overview
Length: Ranges from 5/16 to 1 ½ inches
Gauge: Ranges from 14g to 31g
Page 25: Common Medical Terminology
Common Terms and Meanings
Term | Meaning |
|---|---|
Abrasion | Cut or scrape |
Abscess | Tender, fluid-filled pocket (infection) |
Acute | Sudden, severe condition |
Benign | Not cancerous |
Biopsy | Tissue sample for testing |
Chronic | Recurring condition |
Contusion | Bruise |
Defibrillator | Device restoring normal heartbeat |
Edema | Swelling from fluid accumulation |
Embolism | Arterial blockage (blood clot) |
Fracture | Broken bone |
Hypertension | High blood pressure |
Inpatient | Requires hospitalization |
Intravenous | Given thru vein |
Malignant | Indicates cancer |
Outpatient | Receives care without hospitalization |
Prognosis | Expected outcome |
Relapse | Return of disease after recovery |
Sutures | Stitches for tissue closure |
Transplant | Organ transfer |
Vaccine | Immunity-stimulating substance |
Page 26: Common Prefixes and Suffixes
Common Medical Prefixes
Prefix | Meaning |
|---|---|
A-, An- | Lack of or without |
Dys- | Abnormal, difficult |
Macro- | Large |
Micro- | Small |
Poly- | Many |
Pseudo- | False |
Contra-, Anti- | Against |
Bio- | Life |
Ab- | Away from |
Ad- | Toward |
Ante-, pre-, pro- | Before |
Intra- | Within |
Common Medical Suffixes
Suffix | Meaning |
|---|---|
-ation | Process |
-ectomy | Removal |
-itis | Inflammation |
-ology | Study of |
-pathy | Disease or disorder |
-algia | Pain |
-plasty | Surgical repair |
-osis | Abnormal condition |
-emia | Blood condition |
-rrhea | Discharge or flow |
-pathy | Disorder/disease |
Page 27: Common Abbreviations
Common Medical Abbreviations and Acronyms
Abbreviation/Acronym | Meaning |
|---|---|
Abd | Abdomen |
ABGs | Arterial blood gases |
BID | Twice a day |
C | Celsius |
CBC | Complete blood count |
CPR | Cardiopulmonary resuscitation |
DNR | Do not resuscitate |
ECG, EKG | Electrocardiogram |
GI | Gastrointestinal |
RX | Prescription |
UA | Urinalysis |
TB | Tuberculosis |
Page 28: Common Abbreviations and Acronyms to Avoid
Abbreviations Not to Use
Do Not Use: MS, MSO4
Use Instead: Morphine
Do Not Use: U, u, IU
Use Instead: Units
Do Not Use: cc
Use Instead: mL
Do Not Use: OD, O.D., od
Use Instead: Daily
Do Not Use: q.d, qd, Q.D, QD, q1d
Use Instead: Daily
Do Not Use: TIW
Use Instead: Three times a week
Page 29: Sutures Overview
Types of Sutures
Suture Type | Definition | Time Frame |
|---|---|---|
Absorbable | Resorbed by tissue enzymes | 5-20 days |
Nonabsorbable | Used where easily removed | 5-6 days |
Important Notes on Size and Locations of Sutures
Suture size: Measured by gauge from 0 to 6.
Locations for sutures:
5-0 to 6-0 for delicate tissue (face/neck)
2-0 for chest or abdomen
Page 30: EKG Basics
EKG Basics
P wave: Atrial depolarization (contraction)
QRS complex: Ventricular depolarization (contraction)
T wave: Ventricular repolarization (relaxation)
U wave: Rarely visible, indicates repolarization of ventricles
PR interval: Time from atrial depolarization to ventricular depolarization.
QT interval: Time from ventricular depolarization to ventricular repolarization.
ST segment: Time from end of QRS to start of T wave.
Cardiac cycle: One full sequence from P wave to T wave.
Page 31: Abnormal Sinus Rhythms
Sinus Rhythms Overview
Sinus Dysrhythmia: Slight irregularity commonly seen in children due to vagal response.
Sinus Arrest: Break in EKG; may require monitoring if symptomatic.
Atrial Rhythms: Originate from atria; may lack P waves.
PACs/PVCs: Early contractions from atria/ventricles.
Ventricular Atrial Conditions
Ventricular Tachycardia: Fast rhythm with wide QRS; P waves absent.
Ventricular Fibrillation: Quivering, uncoordinated contractions.
Page 32: Atrial Conditions and Heart Problems
Atrial Flutter and Fibrillation
Atrial Flutter: Faster area firing results in flutter waves; can be medication-controlled.
Atrial Fibrillation: Disorganized firing leads to irregular QRS rhythm; anticoagulants often needed.
Test Result Actions
Asystole: Absence of all electric activity; check consciousness first.
Artifact: Non-cardiac activity interfering with EKG results.
Page 33: Important Monitoring Techniques
Monitoring Notes
Somatic Tremor: Muscle movement causes artifact; keep patient warm.
Wandering Baseline: Movement impacts tracing; adjust electrodes.
Electrical Interference: Poor grounding leads to spikes on EKG.
Page 34: EKG Placements and Colors
EKG Lead Placements
Placement | Color |
|---|---|
Left leg | RED |
Right leg | GREEN |
Right arm | WHITE |
Left arm | BLACK |
Right of sternum, 4th intercostal | RED (V1) |
Left of sternum, 4th intercostal | YELLOW (V2) |
Between V2 and V4 | GREEN (V3) |
Midclavicular line, 5th intercostal | BLUE (V4) |
Left anterior axillary line | ORANGE (V5) |
Midaxillary line, level with V5 | PURPLE (V6) |
Important Notes
Place V4 before V3 to ensure proper placement. EKG machines read from 12 angles, using 10 leads.
Page 35: Hearing and Vision Tests
Hearing Tests
Test | Definition |
|---|---|
Weber | Tuning fork in the middle of the head; assess lateralization. |
Rinne | Tuning fork behind the ear; raise hand when noise disappears. |
Vision Tests
Test | Definition |
|---|---|
Snellen | Patient reads smallest line from 20 ft. |
Ishihara | Tests for red-green color blindness. |
Page 36: Scheduling Methods and Patient Flow
Types of Scheduling Methods
Method | Explanation |
|---|---|
Specific Time | Individual appointments scheduled |
Wave Scheduling | Multiple patients scheduled within the same time frame. |
Double Booking | Two patients seen simultaneously |
Clustering | Groups scheduled based on common needs |
Important Terminology
Diagnosis Code: ICD-10-CM; reason for visit.
Procedure Code: CPT®; services provided.
Page 37: Phlebotomy Needle Systems
Needle Systems for Blood Draws
Type | Needle Size | Definition |
|---|---|---|
Evacuated System | 20-22 gauge, ¾ - 1.5 inches | Multi-use system with tubes creating a vacuum. |
Winged Infusion System | 21-23 gauge, ½ - ¾ inch | Butterfly needles with flexible wings. |
Needle Syringe System | 16-gauge needle | Used for smaller volumes, not ideal. |
Important Needle Notes
Bevel Up: Position needle properly for less pain during injections.
Page 38: Blood Components
Blood Component Overview
Component | Definition |
|---|---|
Plasma | Contains water, waste, gases, nutrients, proteins |
White Blood Cells (WBC) | Fight infections |
Red Blood Cells (RBC) | Carry oxygen and carbon dioxide |
Platelets | Involved in clotting processes |
Drawing Order for Blood Tests
Color | Additive Used | Lab Use | Inversions |
|---|---|---|---|
Yellow | Sodium polyanethol sulfonate (SPS) | Blood cultures | 0 |
Blue | Sodium citrate | Coagulation tests (PT, PTT) | 3-4 |
Red | None | Serum tests | 5 |
Gold/Gray | Clot activator | Routine chemistry tests | 5 |
Green | Heparin | Chemistry tests | 8 |
Lavender | EDTA | Hematology tests | 8 |
Grey | Potassium oxalate & sodium fluoride | Chemistry tests | 8-10 |
Page 39: Normal Lab Values Overview
Normal Lab Values for Blood Tests
Test | Normal Value |
|---|---|
Glucose | 70-110 mg/dL |
Albumin | 3.5-5.5 g/dL |
Hemoglobin | M: 13-18, F: 12-16 g/dL |
Creatinine | M: 0.8-1.2, F: 0.5-1.1 mg/dL |
Total Cholesterol | Below 200 mg/dL |
Page 40: Critical Lab Values
Critical Lab Values
Test/Component | Normal Value | Critical Values |
|---|---|---|
Sodium | 135-145 mEq/L | <120 or >160 mEq/L |
Potassium | 3.5-5.0 mEq/L | <2.8 or >6.2 mEq/L |
Glucose | 70-110 mg/dL | <40 or >450 mg/dL |
Calcium | 8.6-10 mg/dL | <6 or >13 mg/dL |
Page 41: Additional Lab Information
Common Lab Terminology
Term | Meaning |
|---|---|
Hematocrit | Volume of red blood cells in blood |
Prothrombin Time | Time needed for blood to clot |
International Normalized Ratio (INR) | Standardized blood clotting time |
Page 42: Anatomy and Physiology Overview
Basic Cell Structure
Structure | Function |
|---|---|
Plasma Membrane | Protects and regulates entry/exit within the cell |
Cytoplasm | Medium for chemical reactions |
Mitochondria | Powerhouse, converts nutrients to energy |
Nucleus | Contains the cell's DNA |
Ribosomes | Protein synthesis |
Page 43: Body Planes and Cavities
Planes of the Body
Sagittal Plane: Divides body left and right.
Transverse Plane: Divides body into upper and lower parts.
Frontal Plane: Divides body into anterior and posterior sections.
Body Cavities
Cavity | Description |
|---|---|
Cranial | Houses the brain |
Spinal | Contains the spinal cord |
Thoracic | Contains heart/lungs |
Abdominal | Contains major digestive organs |
Pelvic | Contains bladder and reproductive organs |
Page 44: Integumentary System Overview
Components
Component | Function |
|---|---|
Skin | Protection, temperature regulation, sensation |
Hair | Protection, temperature regulation |
Nails | Protection for the fingertips |
Functions of the Integumentary System
Protection: Shields against pathogens.
Temperature Regulation: Sweat glands help cool the body.
Sensation: Receptors for touch, pain, and temperature.
Page 45: Conditions of the Integumentary System
Common Conditions and Treatments
Condition | Symptoms | Treatment |
|---|---|---|
Cellulitis | Redness, swelling, warmth | Antibiotics |
Dermatitis | Red, itchy rash | Topical solutions, antihistamines |
Eczema | Red, itchy lesions | Moisturizers, corticosteroids |
Skin Cancer: Basal Cell | Non-healing sore | Surgical excision |
Skin Cancer: Melanoma | Irregular mole characteristics | Surgery, possible radiation |
Page 46: Skeletal System Overview
Skeletal System Components
Component | Description |
|---|---|
Axial Skeleton | Consists of skull, vertebrae, ribs |
Appendicular Skeleton | Includes arms, legs, pelvic girdle |
Ligaments | Attach bone to bone |
Tendons | Attach muscle to bone |
Types of Bones
Type | Example |
|---|---|
Long Bones | Femur, humerus |
Short Bones | Carpals, tarsals |
Flat Bones | Skull, ribs |
Irregular Bones | Vertebrae, pelvis |
Page 47: Conditions of the Skeletal System
Common Skeletal Conditions
Condition | Symptoms | Treatment |
|---|---|---|
Sprain | Swelling, bruising | RICE protocol (Rest, Ice, Compression, Elevation) |
Osteoporosis | Fragility, potential fractures | Medications, lifestyle changes |
Osteoarthritis | Joint pain, stiffness | Physical therapy, surgery if severe |
Rheumatoid Arthritis | Joint pain, swelling | Medication management, physical therapy |
Gout | Pain in joints, redness | Medication to manage pain and diet changes |
Page 48: Muscular System Overview
Muscular System Components
Component | Description |
|---|---|
Skeletal Muscle | Body movements |
Smooth Muscle | Involuntary movements |
Cardiac Muscle | Heart contractions |
Diseases of the Muscular System
Disease | Symptoms | Treatment |
|---|---|---|
Muscular Dystrophy | Muscle weakness, eventual paralysis | Supportive care, therapy |
Myopathy | Weakness, cramps | Depends on the underlying cause |
Myalgia | Muscle pain | Pain relief medications |
Shin Splint | Lower leg pain, tenderness | Rest, ice, stretching |
Page 49: Immune and Lymphatic System Overview
Components of the Immune System
Component | Function |
|---|---|
Lymph Nodes | Filter lymph, store lymphocytes |
Thymus | Maturation of T-cells |
Spleen | Filters blood, houses immune cells |
Immunity Types
Type | Description |
|---|---|
Natural Active Immunity | Infection-induced antibody development |
Artificial Active Immunity | Vaccination that prompts antibody development |
Natural Passive Immunity | Maternal antibodies passed to baby through placenta/breast milk |
Artificial Passive Immunity | Injection of antibodies from another source |
Page 50: Cardiovascular System Overview
Components of the Cardiovascular System
Component | Function |
|---|---|
Heart | Pumps blood throughout the body |
Blood Vessels | Transport blood |
Arteries | Carry blood away from the heart |
Veins | Carry blood to the heart |
Capillaries | Exchange of gases and nutrients |
Diseases of the Cardiovascular System
Disease | Symptoms | Treatment |
|---|---|---|
Anemia | Fatigue, dizziness, heart irregularities | Iron supplements, transfusions |
Atherosclerosis | Chest pain, TIAs | Lifestyle changes, medication |
Congestive Heart Failure | Edema, shortness of breath | Medications, lifestyle changes |
Hypertension | Headaches, irregular rhythm | Medication, lifestyle modifications |
Page 51: Urinary System Overview
Urinary System Components
Component | Function |
|---|---|
Kidneys | Filter blood, produce urine |
Ureters | Transport urine from kidneys to bladder |
Urinary Bladder | Stores urine |
Urethra | Carries urine to the outside |
Diseases of the Urinary System
Disease | Symptoms | Treatment |
|---|---|---|
Acute Renal Failure | Decreased urine output, fatigue | Correct underlying cause, dialysis if severe |
Chronic Renal Failure | Fatigue, high blood pressure | Managing blood pressure, potential dialysis |
Renal Calculi | Severe pain with urination | Pain relievers, lithotripsy |
UTI | Burning urination, flank pain | Antibiotics |
Page 52: Gastrointestinal System Overview
Gastrointestinal System Components
Component | Function |
|---|---|
Mouth | Initiates digestion |
Pharynx | Connects mouth to esophagus |
Stomach | Breaks down food |
Small Intestine | Absorbs nutrients |
Large Intestine | Final absorption, forms feces |
Rectum | Stores feces until elimination |
Anus | Excretes waste |
Page 53: Diseases of the Gastrointestinal System
Common GI Conditions
Disease | Symptoms | Treatment |
|---|---|---|
Appendicitis | Right abdomen pain | Surgical removal of appendix |
Celiac Disease | Anemia, diarrhea | Gluten-free diet |
Colorectal Cancer | Fatigue, bloating | Surgery, chemotherapy |
Gastroesophageal Reflux (GERD) | Heartburn | Dietary changes, antacids |
Page 54: Respiratory System Overview
Components of the Respiratory System
Component | Function |
|---|---|
Nose | Filters air |
Pharynx | Air passage |
Larynx | Voice production |
Trachea | Windpipe |
Lungs | Gas exchange |
Diseases of the Respiratory System
Disease | Symptoms | Treatment |
|---|---|---|
Asthma | Wheezing, difficulty breathing | Inhalers, medications |
Chronic Bronchitis | Shortness of breath, cough | Smoking cessation, bronchodilators |
COPD | Productive cough, chest tightness | Smoking cessation, medications |
Page 55: Nervous System Overview
Nervous System Components
Component | Function |
|---|---|
Brain | Control center of thought and emotion |
Spinal Cord | Pathway for nerve impulses |
Peripheral Nerves | Connects CNS to limbs and organs |
Diseases of the Nervous System
Disease | Symptoms | Treatment |
|---|---|---|
Alzheimer's Disease | Memory loss | Symptom management (no cure available) |
Sciatica | Nerve pain | Pain management |
Cerebrovascular Accident | Sudden weakness | Emergency treatment for restoration |
Page 56: Endocrine System Overview
Endocrine System Components
Component | Function |
|---|---|
Hypothalamus | Gland coordinating endocrine system |
Pituitary Gland | Master gland, controls other glands |
Thyroid Gland | Regulates metabolism |
Adrenal Glands | Produces hormones related to stress |
Pancreas | Regulates glucose levels |
Diseases of the Endocrine System
Disease | Symptoms | Treatment |
|---|---|---|
Diabetes Mellitus Type 1 | High blood sugar, excessive thirst | Insulin therapy |
Cushing Syndrome | Weight gain, muscle weakness | Medications to lower glucocorticoids |
Page 57: Reproductive System Overview
Male Reproductive System Components
Component | Function |
|---|---|
Testes | Produce sperm and testosterone |
Penis | Urine and semen exit |
Prostate Gland | Produces fluid protecting sperm |
Seminal Vesicles | Produces seminal fluid |
Female Reproductive System Components
Component | Function |
|---|---|
Ovaries | Produce eggs, estrogen |
Uterus | Hosts fetus during development |
Vagina | Birth canal, protects internal structures |
Common Conditions of the Reproductive System
Condition | Symptoms | Treatment |
|---|---|---|
Candidiasis | Vaginal itching | Antifungal treatments |
Ectopic Pregnancy | Abdominal pain, spotting | Surgery |
Endometriosis | Pelvic pain during menstruation | Medication, surgery |
Page 58: Homeostasis and the Nervous System
Homeostasis
Nervous and endocrine systems manage homeostasis across body functions.
All body systems contribute to maintaining balance.
Page 59: Overview of Laboratory Testing Methods
Lab Testing Methods
Type | Description |
|---|---|
Hematology | Study of blood components |
Chemistry | Analyzes chemicals in blood |
Microbiology | Identifies infectious agents |
Serology | Studies the serum for antibodies |
Pathology | Studies tissues for abnormalities |
Additional Lab Terms
Term | Meaning |
|---|---|
Specimen | Sample for testing |
Cultures | Growing microorganisms from samples |
Biopsy | Removal of tissue for diagnostic purposes |
Page 60: Specimen Collection Methods
Specimen Collection Types
Type | Description |
|---|---|
Random Urine | Collected at any time |
First Morning Specimen | Most concentrated, used for certain tests |
Clean Catch Midstream | Urine collected to minimize contamination |
24-Hour Sample | Collection over a day for quantitative analysis |
Catheterized Collection | Sterile technique for obtaining urine |
Important Guidelines for Samples
Label samples properly
Keep specimens cool and minimize transport time.
Page 61: Hemoglobin Testing and Blood Collection
Common Blood Tests
Test | Collection Method |
|---|---|
Hemoglobin (Hgb) | Fingerstick for capillary sample |
CBC | Multiple tests on blood samples |
Blood Glucose Test | Tested via glucometer from fingerstick sample |
Testing Notes
Level monitoring for diabetes and metabolic conditions critical.
Page 62: Blood Components and Lab Tests
Blood Components Overview
Component | Function |
|---|---|
Plasma | Liquid component of blood |
Red Blood Cells (RBCs) | Oxygen transportation |
White Blood Cells (WBCs) | Immune response |
Platelets | Clotting functions |
Page 63: Complete Blood Count (CBC)
Normal Ranges for CBC
Component | Normal Range |
|---|---|
WBC | 5,000-10,000 cells/mcL |
RBC | M: 4.7-6.1, F: 4.2-5.4 million/mcL |
Platelets | 150,000 - 400,000 mm³ |
Hemoglobin | M: 13.5-17.5, F: 12-16 g/dL |
Hematocrit | M: 41%-50%, F: 36%-44% |
Additional Tests in the CBC Panel
Component | Interpretation |
|---|---|
Neutrophils | Elevated during infections |
Lymphocytes | Elevated with viral infections |
Monocytes | Elevated with chronic inflammation |
Page 64: Complete Metabolic Panel and Attachments
Components of CMP
Component | Normal Range |
|---|---|
Glucose | 70-110 mg/dL |
Sodium | 135-145 mEq/L |
Potassium | 3.5-5.0 mEq/L |
Calcium | 8.5-10.5 mg/dL |
BUN | 7-20 mg/dL |
Important Testing Notes
Confirm abnormal readings with diagnostics before concluding.
Collect blood samples using appropriate techniques.
Page 65: Blood Disorders and Analyses
Common Blood Disorders Overview
Disorder | Signs/Symptoms | Treatment |
|---|---|---|
Anemia | Fatigue, weakness | Iron-rich diet, supplements |
Hemophilia | Excessive bleeding | Clotting factor replacement therapy |
Thrombocytopenia | Risk of bleeding | Treat underlying condition |
Page 66: Blood and O2 Regulation
Oxygen Transport and Regulation
Component | Function |
|---|---|
Hemoglobin | Oxygen binding and transport |
Oxygen Saturation (SaO2) | Measures blood O2 levels |
Page 67: Lab Quality Control and Techniques
Quality Control Overview
Aspect | Definition |
|---|---|
Quality Assurance | Ensures positive patient outcomes. |
Quality Control | Monitoring and ensuring accuracy of tests. |
Specimen Collection Requirements
Requirement | Description |
|---|---|
Labeling | Essential for preventing mix-ups. |
Timing | Specimens should be processed quickly. |
Page 68: Anatomy and Body Composition
Human Body Composition Overview
Tissue Type | Description |
|---|---|
Epithelial | Covers body surfaces |
Connective | Supports body structure |
Muscle | Movement |
Nervous | Signal transmission |
Page 69: Anatomy and Systems Overview
Body Systems and Their Functions
System | Function |
|---|---|
Nervous | Controls body functions |
Endocrine | Regulates hormones and metabolism |
Integumentary | Maintains body protection |
Musculoskeletal | Supports structure and movement |
Cardiovascular | Circulation of blood and nutrients |
Respiratory | Gas exchange |
Urinary | Filters waste |
Digestive | Nutrient absorption |
Lymphatic | Immune response |
Reproductive | Ensures offspring production |
Page 70: Infections and Safety Measures
Infection Control Measures
Measure | Purpose |
|---|---|
Handwashing | Reduces infection risk |
Personal Protective Equipment (PPE) | Safeguards against pathogens |
Sanitizing Procedures | Ensures cleanliness |
Vaccination | Prevents spread of infectious diseases |
Page 71: Infection Control Protocol
Infection Control Protocol
Protocol | Detail |
|---|---|
Universal Precautions | Treat all fluids as infectious |
Standard Precautions | Basic hygiene and sanitation practices |
Isolation Techniques | Applies separation for infection control |
Page 72: Surgical Controls and Asepsis
Surgical Asepsis Overview
Asepsis Type | Definition |
|---|---|
Medical Asepsis | Reduces pathogens |
Surgical Asepsis | Complete removal of microbes |
Page 73: Professional Standards and Regulations
Professional Standards Overview
Standard | Description |
|---|---|
Certification/License | Validates professional qualifications |
Scope of Practice | Defines procedures professionals are allowed to perform |
Ethical Guidelines | Adheres to ethical standards in healthcare |
Page 74: Patient Rights and Consent
Patient Rights Overview
Right | Description |
|---|---|
Informed Consent | All treatment options explained to patient |
Autonomy | Patients have the right to make informed decisions |
Page 75: Patient Management Scheduling
Patient Management Techniques
Technique | Purpose |
|---|---|
Time Management | Ensures effective patient flow |
Resource Allocation | Assigns appropriate resources for patient care |