Course 5 Flashcards
1
Q
CBC
A
Complete Blood Count
2
Q
WBC
A
White Blood Cells
3
Q
High WBC
A
Leukocytosis
4
Q
Significance: High WBC
A
Infection
5
Q
Hgb
A
Hemoglobin
6
Q
Hct
A
Hematocrit
7
Q
Plt
A
Platelets
8
Q
Significance: Low Hgb
A
Anemia
9
Q
Significance: Low Hct
A
Anemia
10
Q
Significance: Low Plt
A
Prone to bleeding
11
Q
Low Platelets
A
Thrombocytopenia
12
Q
CBC with DIFF
A
Complete Blood Count with Differential
13
Q
Bands
A
Band Cells
14
Q
Segs
A
Segmented Neutrophils
15
Q
Lymphs
A
Lymphocytes
16
Q
Monos
A
Monocytes
17
Q
Eos
A
Eosinophils
18
Q
High Band Cells
A
Bandemia
19
Q
High Segmented Neutrophils
A
Left Shift
20
Q
Significance: High Bands
A
Serious infection
21
Q
Significance: High Segs
A
Acute infection
22
Q
Significance: High Lymphs
A
Viral infection
23
Q
Significance: High Monos
A
Bacterial infection
24
Q
Significance: High Eos
A
Parasitic infection
25
BMP
Basic Metabolic Panel
26
Na
Sodium
27
K
Potasium
28
BUN
Blood Urea Nitrogen
29
Creat
Creatine
30
Gluc
Glucose
31
HCO3-
Bicarbonate
32
Cl-
Chloride
33
Chem-7
Basic Metabolic Panel
34
High Sodium
Hypernatremia
35
High Potassium
Hyperkalemia
36
High Glucose
Hyperglycemia
37
High Bicarbonate
Hypercarbia
38
High Chloride
Hyperchloremia
39
Low Sodium
Hyponatremia
40
Low Potassium
Hypokalemia
41
Low Glucose
Hypoglycemia
42
Low Bicarbonate
Hypocarbia
43
Significance: High Na
Dehydration
44
Significance: Low Na
Dehydration
45
Significance: High K
Poor kidney function
46
Significance: Low K
May cause arrhythmias
47
Significance: High BUN
Renal insufficiency or failure
48
Significance: High Creat
Renal insufficiency or failure
49
Significance: High Gluc
High blood sugar
50
Significance: Low Gluc
Low blood sugar
51
Significance: High HCO3-
Possible respiratory disease
52
Significance: Low HCO3-
Hyperventilation (Possible DKA)
53
Significance: High Cl-
Possible dehydration
54
CMP
Comprehensive Metabolic Panel
55
T Prot/Alb
Total Protein/Albumin
56
T bili
Total bilirubin
57
AST (SGOT)
Aspartate Transaminase
58
ALT (SGPT)
Alanine Transaminase
59
Alk Phos
Alkaline Phosphatase
60
LFT
Liver Function Test
61
3 parts of LFT
AST, ALT, Alk Phos
62
Chem-12
Comprehensive Metabolic Panel
63
Significance: Low T Prot/Alb
Poor nutrition
64
Significance: High T bili
Jaundice/Liver failure
65
Significance: High AST
Liver damage
66
Significance: High ALT
Liver damage
67
Significance: High Alk Phos
Liver damage
68
CEP
Cardiac Enzyme Panel
69
Trop
Troponin
70
CK
Creatine Kinase
71
CK-MB
Creatine Kinase-Muscle Breakdown
72
CK-RI
Creatine Kinase Relative Index
73
Myo
Myoglobin
74
Significance: High Trop
Specific to heart damage
75
Significance: High CK
Heart damage or Rhabdomyolysis
76
Significance: High CK-MB
Heart damage
77
Significance: High CK-RI
Heart damage
78
Significance: High Myo
Heart damage
79
Significance: Negative D-Dimer
No PE
80
Significance: High D-Dimer
Must rule out PE
81
Tests to rule out PE
CTA Chest or VQ Scan
82
BNP
B-type Natriuretic Peptide
83
ABG
Arterial Blood Gas
84
VBG
Venous Blood Gas
85
Significance: High BNP
Congestive Heart Failure (CHF)
86
Significance: Low pH ABG
Acidosis
87
Significance: High/Low HCO3 ABG
Metabolic problem
88
Significance: High/Low pCO2 ABG
Respiratory problems
89
Significance: Low pO2 ABG
Hypoxia
90
Significance: Low pH VBG
Acidosis
91
Significance: Low pH VBG
Alkalosis
92
Set of orders for almost every adult pt with CP
CBC, BMP, CK (or CK-MB), Troponin, EKG, CXR
93
Significance: Low CSF Gluc
Possible bacterial meningitis
94
Significance: High CSF Prot
Possible Meningitis
95
Significance: >0 CSF RBC in Tube 4
Subarachnoid Hemorrhage
96
Significance: >3 CSF WBC in Tube 4
Possible Meningitis
97
Significance: Positive CSF Gram Stain
Likely bacterial meningitis
98
tubes obtained for LP
4
99
3 types of coagulation studies
PT, INR, PTT
100
Significance: High PT
Blood is too thin
101
Significance: >3.0 INR (Supertherapeutic)
Too much Coumadin
102
Significance:
Not enough Coumadin
103
Significance: High PTT
Blood is too thin
104
4 ENT Labs
Strep, Monospot, Influenza A+B, RSV
105
Significance: Positive RSV
Likely Bronchiolitis
106
2 Pancreatic Enzymes
Lipase, Amylase
107
Significance: High Lip
Specific to pancreatitis
108
Lab type: TSH, T3, T4
Thyroid lab
109
Significance: High TSH
Possible Hypothyroidism
110
Significance: Low TSH
Possible Hyperthyroidism
111
Significance: Low T3/T4
Hypothyroidism
112
CRP
C-Reactive Protein
113
ESR (or Sed Rate)
Erythrocyte Sedimentation Rate
114
Significance: High CRP
Active inflammation in the body
115
Significance: High ESR or Sed Rate
Active inflammation in the body
116
Significance: Positive HCG
Pregnant
117
Significance: Positive Serum HCG Qual
Pregnant
118
Significance: Higher Serum HCG Quant
Further along in pregnancy
119
Significance: Rh-Negative T+S/ABORh
Needs RhoGAM shot if pregnant
120
Significance: T+X
Possible blood transfusion
121
Type of Pelvic Exam Lab reported same day and documented by scribe
Wet Prep
122
Lab tests for BV, Trich (STD), and Vaginal Yest Infection
Wet Prep
123
BV
Bacterial Vaginosis
124
Significance: Positive GC/CT
STD (Gonorrhea or Chlamydia)
125
Qualitative UA (urinalysis)
Urine Dip
126
Glucose in urine
Glycosuria
127
Blood in urine
Hematuria
128
Blo
Blood
129
Nit
Nitrite
130
Significance: Positive Urine Dip Leuks
Likely UTI
131
Significance: Positive Urine Dip Nit
UTI
132
Significance: Positive Urine Dip Gluc
High blood sugar (DM)
133
Significance: Positive Urine Dip Blo
Kidney stone
134
4 components of Urinalysis
WBC, RBC, Bact, Epi (Epithelial Cells)
135
POC
Point of Care
136
High RBC in urine
Hematuria
137
High WBC in urine
Pyruia
138
Significance: Many Epi in Micro UA
Contaminated Sample
139
3 components of Sepsis Lab
CBC, Lactate, Blood Cx
140
Significance: High Lactate
Specific to sepsis (cell death in the body)
141
3 characteristics of pts in sepsis
Febrile, Tachycardic, Hypotensive
142
Anticipate physician ordering 3 tests to rule out DDx for Sepsis
CXR, UA, LP
143
Sepsis: helps r/o PNA
CXR
144
Sepsis: helps r/o UTI
UA
145
Sepsis: helps r/o meningitis
LP
146
Ordered to diagnose type of sepsis
BC (Blood Cultures)
147
Cx
Cultures
148
Make sure to document for cultures
"____ cultures ordered, results pending."
149
3 Toxicology labs taken from serum
ASA, APAP, EtOH
150
UTox
Urine Drug Screen
151
APAP
Acetaminophen (Tylenol)
152
2 diabetes labs
Ketones, Accu-Check
153
4 Sz Medications
Dilantin, Tegretol, Depakote, Neurontin
154
Medication for AFIB
Digoxin
155
3 Key Labs for Efficiency
D-Dimer, Troponin, Creatinine (from BMP)
156
Significance: D-Dimer for efficiency
Must order CTA Chest or VQ Scan
157
Significance: Troponin for efficiency
Acute MI: give ASA, NTG, b-blocker, Heparin
158
Significance: Creatinine for efficiency
Assess kidney function prior to ordering CT with IV contrast
159
CBC w/ Diff used to access
Infection (WBC) or anemia (H&H)
160
BMP used to access
Electrolytes (Na + K), Renal function (BUN + Creat), Glucose
161
CMP used to access
BMP + LFT's (liver function)
162
Trop used to access
Acute MI (if high)
163
uDip + UA used to access
UTI or blood (possible kidney stone)
164
BNP used to access
Acute CHF (if high)
165
Coags (PT/INR/PTT) used to access
Risk for bleeding (if high)
166
ABG used to access
Respiratory function (hypoxia)
167
D-Dimer used to access
Possible blood clot (if high, need Creat for CTA Chest)
168
CXR Potential Dx (5)
PNA, PTX, Widened Mediastinum (Dissection), Pleural Effusion, CHF
169
AAS/KUB
Acute Abdominal Series/Kidneys Ureters Bladder
170
AAS Potential Dx (4)
Free air (Rupture), SBO, Constipation, Large kidney stones
171
Non-Chest/Abd XR Potential Dx (3)
Fx, Dislocation, Joint effusion
172
"Dry CT" or CT w/o
CT without IV contrast
173
CTA
CT Angiogram (or CT w/ IV contrast)
174
CT A/P w/ PO
CT Abd/Pelvis with PO contrast
175
CT Head Potential Dx (2)
Large Hemorrhagic CVA, Large Ischemic CVA
176
CT C/T/L-Spine Potential Dx (2)
Spine Fx, Spine Subluxation
177
Subluxation
Partial dislocation
178
CT Chest Potential Dx (4)
PNA, PTX, Pleural effusion, Rib Fx
179
CT Abd/Pel Potential Dx (2)
Kidney Stones, Pyelonephritis
180
CTA Chest Potential Dx (2)
PE, Aortic Dissection
181
CTA Head Potential Dx (2)
Hemorrhagic CVA, Ischemic CVA
182
CTA Neck Potential Dx (2)
Carotid dissection, Carotid occulusion
183
CT A/P w/ PO Potential Dx (4)
Appendicitis, SBO, Diverticulitis, Ischemic Gut
184
UTZ
Ultrasounds
185
Type of imaging study used for reproductive organs
US
186
Type of imaging study that does not require specialized radiologist
XR
187
Associated Procedure: Joint Injury
Splint Application
188
Associated Procedure: Laceration
Laceration Repair
189
Associated Procedure: Abscess
Incision & Drainage
190
Associated Procedure: Joint effusion
Arthrocentesis
191
Associated Procedure: Dislocation
Joint Reduction
192
Associated Procedure: Headache, Fever
Lumbar Puncture
193
Associated Procedure: Joint reduction
Procedural Sedation
194
Associated Procedure: Respiratory failure
Intubation
195
Associated Procedure: Sepsis
Central Line Placement
196
Associated Procedure: PTX
Chest Tube
197
Associated Procedure: Abnormal Heart Rhythm
Cardioversion
198
Associated Procedure: Cardiac Arrest
CPR
199
Associated Procedure: COPD/CHF Exacerbation
CPAP/BiPAP
200
Associated Procedure: Ear complaints
Cerumen Disimpaction
201
Associated Procedure: Constipation or fecal impaction
Rectal Disimpaction
202
Associated Procedure: Subungual hematoma
Nail Trephination
203
Associated Procedure: Nosebleed
Epistaxis Management (cautery vs. packing)
204
NSR
Normal Sinus Rhythm
205
SB
Sinus Bradycardia
206
ST
Sinus Tachycardia
207
A fib
Atrial Fibrillation
208
A flutter
Atrial Flutter
209
Paced
Pacemaker is functioning
210
SVT
Supraventricular Tachycardia
211
PVC
Premature Ventricular Contraction
212
PAC
Premature Atrial Contraction
213
LAD
Left Atrial Deviation
214
RAD
Right Axis Deviation
215
LAFB
Left Anterior Fascicular Block
216
LBBB
Left Bundle Branch Block
217
RBBB
Right Bundle Branch Block
218
1° AVB
First Degree AV Block
219
LVH
Left Ventricular Hypertrophy
220
PRWP
Poor R Wave Progression
221
ST ↑
Acute ST Elevation
222
ST ↓
Acute ST Depression
223
NSSTΔ's
Non-Specific ST/T changes
224
"Normal EKG at 80"
NSR at a rate of 80 bpm, no acute ST/T changes
225
"Sinus at 72"
NSR at a rate of 72 bpm
226
"Sinus at 114"
Sinus tachycardia at a rate of 114 bpm
227
"Sinus at 56"
Sinus bradycardia at a rate of 56 bpm
228
"Sinus Brady"
Sinus bradycardia
229
"Sinus Tachy"
Sinus tachycardia
230
"Left bundle"
LBBB
231
"Right bundle"
RBBB
232
"Left axis"
LAD
233
"Nothing acute"
No acute ST/T changes
234
"Non specific changes"
Non-specific ST/T changes
235
"Lead one, lead two"
Lead I, Lead II
236
"V one, V two"
V1, V2
237
Ask physician 2 questions for any seriously ill pt
Does this patient qualify for critical care? How many minutes of Critical Care Time were provided?
238
Blood taken from an artery
Arterial Blood Gas
239
The clear liquid separated from clotted blood
Serum
240
The change of blood from liquid to solid
Coagulation
241
Medication that suppresses the central nervous system that results in unconsciousness and lack of sensation
Anesthesia
242
POC
Point of Care
243
The propagation of microorganisms or of living tissue cells in media conductive to their growth
Cultures
244
Care provided to any patient that is at serious risk for deterioration that may lead to permanent bodily harm or death
Critical Care Time
