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ScribeAmerica > Course 5 > Flashcards

Course 5 Flashcards

1
Q

CBC

A

Complete Blood Count

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2
Q

WBC

A

White Blood Cells

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3
Q

High WBC

A

Leukocytosis

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4
Q

Significance: High WBC

A

Infection

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5
Q

Hgb

A

Hemoglobin

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6
Q

Hct

A

Hematocrit

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7
Q

Plt

A

Platelets

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8
Q

Significance: Low Hgb

A

Anemia

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9
Q

Significance: Low Hct

A

Anemia

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10
Q

Significance: Low Plt

A

Prone to bleeding

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11
Q

Low Platelets

A

Thrombocytopenia

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12
Q

CBC with DIFF

A

Complete Blood Count with Differential

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13
Q

Bands

A

Band Cells

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14
Q

Segs

A

Segmented Neutrophils

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15
Q

Lymphs

A

Lymphocytes

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16
Q

Monos

A

Monocytes

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17
Q

Eos

A

Eosinophils

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18
Q

High Band Cells

A

Bandemia

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19
Q

High Segmented Neutrophils

A

Left Shift

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20
Q

Significance: High Bands

A

Serious infection

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21
Q

Significance: High Segs

A

Acute infection

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22
Q

Significance: High Lymphs

A

Viral infection

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23
Q

Significance: High Monos

A

Bacterial infection

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24
Q

Significance: High Eos

A

Parasitic infection

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25
Q

BMP

A

Basic Metabolic Panel

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26
Q

Na

A

Sodium

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27
Q

K

A

Potasium

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28
Q

BUN

A

Blood Urea Nitrogen

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29
Q

Creat

A

Creatine

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30
Q

Gluc

A

Glucose

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31
Q

HCO3-

A

Bicarbonate

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32
Q

Cl-

A

Chloride

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33
Q

Chem-7

A

Basic Metabolic Panel

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34
Q

High Sodium

A

Hypernatremia

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35
Q

High Potassium

A

Hyperkalemia

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36
Q

High Glucose

A

Hyperglycemia

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37
Q

High Bicarbonate

A

Hypercarbia

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38
Q

High Chloride

A

Hyperchloremia

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39
Q

Low Sodium

A

Hyponatremia

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40
Q

Low Potassium

A

Hypokalemia

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41
Q

Low Glucose

A

Hypoglycemia

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42
Q

Low Bicarbonate

A

Hypocarbia

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43
Q

Significance: High Na

A

Dehydration

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44
Q

Significance: Low Na

A

Dehydration

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45
Q

Significance: High K

A

Poor kidney function

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46
Q

Significance: Low K

A

May cause arrhythmias

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47
Q

Significance: High BUN

A

Renal insufficiency or failure

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48
Q

Significance: High Creat

A

Renal insufficiency or failure

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49
Q

Significance: High Gluc

A

High blood sugar

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50
Q

Significance: Low Gluc

A

Low blood sugar

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51
Q

Significance: High HCO3-

A

Possible respiratory disease

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52
Q

Significance: Low HCO3-

A

Hyperventilation (Possible DKA)

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53
Q

Significance: High Cl-

A

Possible dehydration

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54
Q

CMP

A

Comprehensive Metabolic Panel

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55
Q

T Prot/Alb

A

Total Protein/Albumin

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56
Q

T bili

A

Total bilirubin

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57
Q

AST (SGOT)

A

Aspartate Transaminase

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58
Q

ALT (SGPT)

A

Alanine Transaminase

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59
Q

Alk Phos

A

Alkaline Phosphatase

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60
Q

LFT

A

Liver Function Test

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61
Q

3 parts of LFT

A

AST, ALT, Alk Phos

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62
Q

Chem-12

A

Comprehensive Metabolic Panel

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63
Q

Significance: Low T Prot/Alb

A

Poor nutrition

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64
Q

Significance: High T bili

A

Jaundice/Liver failure

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65
Q

Significance: High AST

A

Liver damage

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66
Q

Significance: High ALT

A

Liver damage

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67
Q

Significance: High Alk Phos

A

Liver damage

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68
Q

CEP

A

Cardiac Enzyme Panel

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69
Q

Trop

A

Troponin

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70
Q

CK

A

Creatine Kinase

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71
Q

CK-MB

A

Creatine Kinase-Muscle Breakdown

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72
Q

CK-RI

A

Creatine Kinase Relative Index

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73
Q

Myo

A

Myoglobin

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74
Q

Significance: High Trop

A

Specific to heart damage

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75
Q

Significance: High CK

A

Heart damage or Rhabdomyolysis

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76
Q

Significance: High CK-MB

A

Heart damage

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77
Q

Significance: High CK-RI

A

Heart damage

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78
Q

Significance: High Myo

A

Heart damage

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79
Q

Significance: Negative D-Dimer

A

No PE

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80
Q

Significance: High D-Dimer

A

Must rule out PE

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81
Q

Tests to rule out PE

A

CTA Chest or VQ Scan

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82
Q

BNP

A

B-type Natriuretic Peptide

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83
Q

ABG

A

Arterial Blood Gas

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84
Q

VBG

A

Venous Blood Gas

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85
Q

Significance: High BNP

A

Congestive Heart Failure (CHF)

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86
Q

Significance: Low pH ABG

A

Acidosis

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87
Q

Significance: High/Low HCO3 ABG

A

Metabolic problem

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88
Q

Significance: High/Low pCO2 ABG

A

Respiratory problems

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89
Q

Significance: Low pO2 ABG

A

Hypoxia

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90
Q

Significance: Low pH VBG

A

Acidosis

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91
Q

Significance: Low pH VBG

A

Alkalosis

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92
Q

Set of orders for almost every adult pt with CP

A

CBC, BMP, CK (or CK-MB), Troponin, EKG, CXR

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93
Q

Significance: Low CSF Gluc

A

Possible bacterial meningitis

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94
Q

Significance: High CSF Prot

A

Possible Meningitis

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95
Q

Significance: >0 CSF RBC in Tube 4

A

Subarachnoid Hemorrhage

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96
Q

Significance: >3 CSF WBC in Tube 4

A

Possible Meningitis

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97
Q

Significance: Positive CSF Gram Stain

A

Likely bacterial meningitis

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98
Q

tubes obtained for LP

A

4

99
Q

3 types of coagulation studies

A

PT, INR, PTT

100
Q

Significance: High PT

A

Blood is too thin

101
Q

Significance: >3.0 INR (Supertherapeutic)

A

Too much Coumadin

102
Q

Significance:

A

Not enough Coumadin

103
Q

Significance: High PTT

A

Blood is too thin

104
Q

4 ENT Labs

A

Strep, Monospot, Influenza A+B, RSV

105
Q

Significance: Positive RSV

A

Likely Bronchiolitis

106
Q

2 Pancreatic Enzymes

A

Lipase, Amylase

107
Q

Significance: High Lip

A

Specific to pancreatitis

108
Q

Lab type: TSH, T3, T4

A

Thyroid lab

109
Q

Significance: High TSH

A

Possible Hypothyroidism

110
Q

Significance: Low TSH

A

Possible Hyperthyroidism

111
Q

Significance: Low T3/T4

A

Hypothyroidism

112
Q

CRP

A

C-Reactive Protein

113
Q

ESR (or Sed Rate)

A

Erythrocyte Sedimentation Rate

114
Q

Significance: High CRP

A

Active inflammation in the body

115
Q

Significance: High ESR or Sed Rate

A

Active inflammation in the body

116
Q

Significance: Positive HCG

A

Pregnant

117
Q

Significance: Positive Serum HCG Qual

A

Pregnant

118
Q

Significance: Higher Serum HCG Quant

A

Further along in pregnancy

119
Q

Significance: Rh-Negative T+S/ABORh

A

Needs RhoGAM shot if pregnant

120
Q

Significance: T+X

A

Possible blood transfusion

121
Q

Type of Pelvic Exam Lab reported same day and documented by scribe

A

Wet Prep

122
Q

Lab tests for BV, Trich (STD), and Vaginal Yest Infection

A

Wet Prep

123
Q

BV

A

Bacterial Vaginosis

124
Q

Significance: Positive GC/CT

A

STD (Gonorrhea or Chlamydia)

125
Q

Qualitative UA (urinalysis)

A

Urine Dip

126
Q

Glucose in urine

A

Glycosuria

127
Q

Blood in urine

A

Hematuria

128
Q

Blo

A

Blood

129
Q

Nit

A

Nitrite

130
Q

Significance: Positive Urine Dip Leuks

A

Likely UTI

131
Q

Significance: Positive Urine Dip Nit

A

UTI

132
Q

Significance: Positive Urine Dip Gluc

A

High blood sugar (DM)

133
Q

Significance: Positive Urine Dip Blo

A

Kidney stone

134
Q

4 components of Urinalysis

A

WBC, RBC, Bact, Epi (Epithelial Cells)

135
Q

POC

A

Point of Care

136
Q

High RBC in urine

A

Hematuria

137
Q

High WBC in urine

A

Pyruia

138
Q

Significance: Many Epi in Micro UA

A

Contaminated Sample

139
Q

3 components of Sepsis Lab

A

CBC, Lactate, Blood Cx

140
Q

Significance: High Lactate

A

Specific to sepsis (cell death in the body)

141
Q

3 characteristics of pts in sepsis

A

Febrile, Tachycardic, Hypotensive

142
Q

Anticipate physician ordering 3 tests to rule out DDx for Sepsis

A

CXR, UA, LP

143
Q

Sepsis: helps r/o PNA

A

CXR

144
Q

Sepsis: helps r/o UTI

A

UA

145
Q

Sepsis: helps r/o meningitis

A

LP

146
Q

Ordered to diagnose type of sepsis

A

BC (Blood Cultures)

147
Q

Cx

A

Cultures

148
Q

Make sure to document for cultures

A

“____ cultures ordered, results pending.”

149
Q

3 Toxicology labs taken from serum

A

ASA, APAP, EtOH

150
Q

UTox

A

Urine Drug Screen

151
Q

APAP

A

Acetaminophen (Tylenol)

152
Q

2 diabetes labs

A

Ketones, Accu-Check

153
Q

4 Sz Medications

A

Dilantin, Tegretol, Depakote, Neurontin

154
Q

Medication for AFIB

A

Digoxin

155
Q

3 Key Labs for Efficiency

A

D-Dimer, Troponin, Creatinine (from BMP)

156
Q

Significance: D-Dimer for efficiency

A

Must order CTA Chest or VQ Scan

157
Q

Significance: Troponin for efficiency

A

Acute MI: give ASA, NTG, b-blocker, Heparin

158
Q

Significance: Creatinine for efficiency

A

Assess kidney function prior to ordering CT with IV contrast

159
Q

CBC w/ Diff used to access

A

Infection (WBC) or anemia (H&H)

160
Q

BMP used to access

A

Electrolytes (Na + K), Renal function (BUN + Creat), Glucose

161
Q

CMP used to access

A

BMP + LFT’s (liver function)

162
Q

Trop used to access

A

Acute MI (if high)

163
Q

uDip + UA used to access

A

UTI or blood (possible kidney stone)

164
Q

BNP used to access

A

Acute CHF (if high)

165
Q

Coags (PT/INR/PTT) used to access

A

Risk for bleeding (if high)

166
Q

ABG used to access

A

Respiratory function (hypoxia)

167
Q

D-Dimer used to access

A

Possible blood clot (if high, need Creat for CTA Chest)

168
Q

CXR Potential Dx (5)

A

PNA, PTX, Widened Mediastinum (Dissection), Pleural Effusion, CHF

169
Q

AAS/KUB

A

Acute Abdominal Series/Kidneys Ureters Bladder

170
Q

AAS Potential Dx (4)

A

Free air (Rupture), SBO, Constipation, Large kidney stones

171
Q

Non-Chest/Abd XR Potential Dx (3)

A

Fx, Dislocation, Joint effusion

172
Q

“Dry CT” or CT w/o

A

CT without IV contrast

173
Q

CTA

A

CT Angiogram (or CT w/ IV contrast)

174
Q

CT A/P w/ PO

A

CT Abd/Pelvis with PO contrast

175
Q

CT Head Potential Dx (2)

A

Large Hemorrhagic CVA, Large Ischemic CVA

176
Q

CT C/T/L-Spine Potential Dx (2)

A

Spine Fx, Spine Subluxation

177
Q

Subluxation

A

Partial dislocation

178
Q

CT Chest Potential Dx (4)

A

PNA, PTX, Pleural effusion, Rib Fx

179
Q

CT Abd/Pel Potential Dx (2)

A

Kidney Stones, Pyelonephritis

180
Q

CTA Chest Potential Dx (2)

A

PE, Aortic Dissection

181
Q

CTA Head Potential Dx (2)

A

Hemorrhagic CVA, Ischemic CVA

182
Q

CTA Neck Potential Dx (2)

A

Carotid dissection, Carotid occulusion

183
Q

CT A/P w/ PO Potential Dx (4)

A

Appendicitis, SBO, Diverticulitis, Ischemic Gut

184
Q

UTZ

A

Ultrasounds

185
Q

Type of imaging study used for reproductive organs

A

US

186
Q

Type of imaging study that does not require specialized radiologist

A

XR

187
Q

Associated Procedure: Joint Injury

A

Splint Application

188
Q

Associated Procedure: Laceration

A

Laceration Repair

189
Q

Associated Procedure: Abscess

A

Incision & Drainage

190
Q

Associated Procedure: Joint effusion

A

Arthrocentesis

191
Q

Associated Procedure: Dislocation

A

Joint Reduction

192
Q

Associated Procedure: Headache, Fever

A

Lumbar Puncture

193
Q

Associated Procedure: Joint reduction

A

Procedural Sedation

194
Q

Associated Procedure: Respiratory failure

A

Intubation

195
Q

Associated Procedure: Sepsis

A

Central Line Placement

196
Q

Associated Procedure: PTX

A

Chest Tube

197
Q

Associated Procedure: Abnormal Heart Rhythm

A

Cardioversion

198
Q

Associated Procedure: Cardiac Arrest

A

CPR

199
Q

Associated Procedure: COPD/CHF Exacerbation

A

CPAP/BiPAP

200
Q

Associated Procedure: Ear complaints

A

Cerumen Disimpaction

201
Q

Associated Procedure: Constipation or fecal impaction

A

Rectal Disimpaction

202
Q

Associated Procedure: Subungual hematoma

A

Nail Trephination

203
Q

Associated Procedure: Nosebleed

A

Epistaxis Management (cautery vs. packing)

204
Q

NSR

A

Normal Sinus Rhythm

205
Q

SB

A

Sinus Bradycardia

206
Q

ST

A

Sinus Tachycardia

207
Q

A fib

A

Atrial Fibrillation

208
Q

A flutter

A

Atrial Flutter

209
Q

Paced

A

Pacemaker is functioning

210
Q

SVT

A

Supraventricular Tachycardia

211
Q

PVC

A

Premature Ventricular Contraction

212
Q

PAC

A

Premature Atrial Contraction

213
Q

LAD

A

Left Atrial Deviation

214
Q

RAD

A

Right Axis Deviation

215
Q

LAFB

A

Left Anterior Fascicular Block

216
Q

LBBB

A

Left Bundle Branch Block

217
Q

RBBB

A

Right Bundle Branch Block

218
Q

1° AVB

A

First Degree AV Block

219
Q

LVH

A

Left Ventricular Hypertrophy

220
Q

PRWP

A

Poor R Wave Progression

221
Q

ST ↑

A

Acute ST Elevation

222
Q

ST ↓

A

Acute ST Depression

223
Q

NSSTΔ’s

A

Non-Specific ST/T changes

224
Q

“Normal EKG at 80”

A

NSR at a rate of 80 bpm, no acute ST/T changes

225
Q

“Sinus at 72”

A

NSR at a rate of 72 bpm

226
Q

“Sinus at 114”

A

Sinus tachycardia at a rate of 114 bpm

227
Q

“Sinus at 56”

A

Sinus bradycardia at a rate of 56 bpm

228
Q

“Sinus Brady”

A

Sinus bradycardia

229
Q

“Sinus Tachy”

A

Sinus tachycardia

230
Q

“Left bundle”

A

LBBB

231
Q

“Right bundle”

A

RBBB

232
Q

“Left axis”

A

LAD

233
Q

“Nothing acute”

A

No acute ST/T changes

234
Q

“Non specific changes”

A

Non-specific ST/T changes

235
Q

“Lead one, lead two”

A

Lead I, Lead II

236
Q

“V one, V two”

A

V1, V2

237
Q

Ask physician 2 questions for any seriously ill pt

A

Does this patient qualify for critical care? How many minutes of Critical Care Time were provided?

238
Q

Blood taken from an artery

A

Arterial Blood Gas

239
Q

The clear liquid separated from clotted blood

A

Serum

240
Q

The change of blood from liquid to solid

A

Coagulation

241
Q

Medication that suppresses the central nervous system that results in unconsciousness and lack of sensation

A

Anesthesia

242
Q

POC

A

Point of Care

243
Q

The propagation of microorganisms or of living tissue cells in media conductive to their growth

A

Cultures

244
Q

Care provided to any patient that is at serious risk for deterioration that may lead to permanent bodily harm or death

A

Critical Care Time

ScribeAmerica (8 decks)

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