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

  1. Right Patient: Use two identifiers (name, date of birth).

  2. 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.

  3. Right Form: Confirm the correct form of medication (liquid, tablet, capsule, etc.).

  4. Right Dose: Verify the dosage in the patient's record.

  5. Right Route: Compare the instructed route vs. MAR (Medication Administration Record).

  6. Right Time: Confirm timing specifications.

  7. Right Technique: Know the correct technique for administering each medication.

  8. Right Education: Explain the medication, provider, and reason to the patient, including potential side effects.

  9. 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

  1. Identify Order

  2. Identify Needle

  3. Identify Syringe

  4. 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


Page 76: - 100: Additional Pages for Detailed Study


For in-depth studies and detailed notes, please refer to pages 76 to 130.