NHA review
Terms
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- What does CC mean?
- Chief Complaint
- What do you get from a CC?
- what brought the patient in.... symptons, illness
- What is HPI
- History of Present Illness
- And what do you gather from a HPI
- when it started, how it progressed, what meds help, how long have the symptons been there
- What does PFSH mean
- Past Family and Social History
- What inforation do you gather from PFSH?
- your medical history, your family medical history, and social history
- what is a ROS?
- Review of Systems
- What do you do for a ROS
- ask questions pertaining to the body functions and go over everything collected
- What are the 3 body functions needed for life
- 1. Body temp 2. Respiration 3. Heart function
- What are the 4 vital signs?
- 1. Blood pressure 2. respiration 3. Temperature 4. Pulse
- What are the 4 ways to collect body temperature?
- 1. Oral (mouth) 2. Rectal (rectum) 3. Tympanic (ear) 4. Axillary (underarm)
- Rectal normal range in Celsius and Fahrenheit
- 98.6F-100.6F 37.0C-38.1C
- Oral normal range in Celsius and Fahrenheit
- 97.6F-99.6F 36.5C-37.5C
- Tympanic normal range in Celsius and Fahrenheit
- 98.6F 37C
- Axillary normal range in Celsius and Fahrenheit
- 96.6F-98.6 35.9C-37.0C
- Presence of fever?
- Febrile
- Absence of fever?
- A Febrile
- Normal adult pulse?
- 60-100 BPM
- Pulse is usually taken from?
- The wrist - radial artery
- How do you get the BPM?
- count the pulse for 30 seconds, then multiply by 2.
- What is the Apical Pulse?
- taken over the apex of the heart with a Stethoscope
- Normal rate of respirations in an adult?
- 12-20 also count number of times person breaths in 30 seconds and multiply by 2.
- Apena? Tachypena? Bradypnea?
- 1. temporary lack of breathing 2. rate greater then 40 breaths per min 3. slow breathing (happens when sleeping)
- Cheyne-Stokes?
- pattern of irregular breathing
- Orthopnea?
- unable to breath unless in an upright position.
- Hypoventilation?
- not enough air entering the lungs
- Hyperventilation?
- Too much air entering the lungs
- Hyperpnea?
- abnormal increase in breathing rate
- what is teh normal blood pressure reading?
- 120/90 140/90 and 90/60 are also normal
- Systolic over Diastolic
- pressure readings for blood pressure
- Improper cuff size...
- causes readings to be too high
- The arm is not at heart level....
- will read falsely high
- What is the MA's role in a physical exam?
- Room prep, Patient prep, Assistaning the Physican
- What do you label all chemicals with?
- MSDS sheet - Material Safety Data Sheet
- 1st step to control external hemorrhage?
- Apply pressure to the wound.
- Shock?
- not enough blood reaches heart, results in loss of oxygen
- 5 Modes of Transmission
- 1. Contact 2. Droplet 3. Airborne 4. Common Vehicle 5. Vectorborne
- 4 methods of sterilization?
- 1. Gas 2. Dry heat 3. Chemical 4. Steam
- The most important means of preventing the spread of in fection is?
- hand washing
- PPE covers
- 1. masks 2. goggles 3. face shields 4. respirator
- 2 tiers of precautions?
- 1. Standard 2. Transmission-based
- Order of blood draw?
-
1.Sterile/blood cultures
2.Light blue coagulation tube
3. Red-non additive-clot activator
4. Red Gel separator tube-tiger top
5. Green(heperin)
6. Green/Grey(PST)
7. Lavender/purple/pink(EDTA)
Gray top (Potassium Oxalate/sodium flouride tube) - What wave comes first in the EKG?
- P wave
- Muscle that contracts the heart?
- myocardial
- What does PPE stand for?
- Personal Protective Equipment
- What are Lukocytes?
- white blood cells
- What test is always priority?
- Stat test
- What artery does the blood pressure cuff go over?
- bracial artery
- What is plasma?
- yellow fluid portion of unclotted blood
- what does hemoglobin carry?
- oxygen
- What does HS stand for?
- take at bedtime
- What does PO mean?
- Take orally
- what does BID mean?
- 2 a day
- What does QD mean?
- 1 a day
- What does TID mean?
- 3 per day
- basal state mean?
- resting state
- What does a turnicut do?
- enlarge the veins
- Whats the first order of draw?
- Blood cultures
- What is oncology ?
- cancer department
- Symptoms of shock?
-
1. expressionless face
2. shallow breathing
3. seizures - What is the prone position?
- laying on your stomach
- What is a myocardial infraction?
- Heart attack
- who assigned the letters PQRS?
- William Einthovion
- Whats a wondering baseline?
- cant detect baseline
- What do the kidneys do?
- eliminate waste products
- How long does a erthrocyte live for?
- 120 days
- What is the smallest needle to draw blood?
- butterfly needle
- How much blood is in an adult body?
- 5-6 liters
- What is aspirin?
- blood thinner
- how long can sodium flouride keep glucose stable
- 3 days
- How long does a red top tube take to clot?
- 30 mins
- How should normal urine look?
- yellow and clear
- Where is a holtering monitor placed?
- antirial trunk of the body
- What is HCG?
- Human Chronicle hormone
- what is hemourea?
- Blood in the urine
- OSHA?
- Safety laws- ex: never recap a used needle
- HIPPA?
- patient privacy law
- How high should a turnicut be placed?
- 3-4 inches above site
- What does Quantative mean?
- 24 hr speciamn
- Whats a heart murmer?
- a valvular heart disease, sounds like a swishing sound
- whats cheyne stokes?
- last breaths
- Nosocomial?
- all health care facilitys
- what are ethrocytes?
- red blood cells
- what is a phomit?
- anything capable of carrying pathogens ex: name tags, scrubs
- Where are IM injections given?
- Deltoid muscle, Gluteus maximus
- What does hypertension mean?
- High blood pressure
- Whats a stress test?
- Evaulation of a patients chest pain
- Number of R waves in a six second strip is 9, whats is the heart rate?
- 90- u multiply 9 x 10
- What does asystole mean?
- Flatline without contraction
- EKG rates over 100 bpm?
- Tachycardia
- Ekg rates below 60 bpm?
- bradycardia
- What is Glycymia?
- fat in the blood
- What is the additive in a green top tube?
- lithium heparin
- What tube is a INR test?
- Light blue
- Where does black stool come from?
- Upper GI
- When drawing blood why is it important to allow alcohol to dry?
- my alter test results and also its stings
- What color top tubes is for blood cultures?
- yellow
- What color top tube is used for metabolism?
- Gold
- In a heel stick
- always wipe away first drop of blood
- What tube is used for a microhematocrit test?
- Red tube top
- What is a glucose tolerance test?
- hypoglycemic
- What is keytones?
- Break down of fat in the urine
- Define hemostasis?
- stop blood flow
- Define hemolosis?
- breakdown of red blood cells
- another name for a butterfly needle?
- wing infused
- When the body has no food for 12 hours
- Basil state
- What kind of precautions are used for blood draw?
- universal precautions
- thrombocytes?
- platelets that clot
- what is a embolism?
- a clot in motion
- aneurysm?
- a bulge-weakened wall
- phlebitis?
- inflammation of the vein
- CHF?
- back up of blood flow
- Adema?
- swelling
- What is a timed speciman?
- stat or emergency is always done first
- what is an H&H test?
- Timed test! Hemoglobin-carrys oxygen. Hematocrit
- Aorta?
- takes the blood from the heart to the body
- radial artery?
- felt in the groove on the thumb side of the inner wrist. Count pulse for 30 seconds and multiply by 2=BPM