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Scribe > Course 5 > Flashcards

Course 5 Flashcards

1
Q

ABG

A

Blood taken from artery

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2
Q

Band cell

A

Immature WBC

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3
Q

Band cells found in high levels

A

Bandemia

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4
Q

Bandemia means that something catastrophic has happened. T or F?

A

T

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5
Q

Coumadin, tPA, and ASA

Which is an anti-platelet, blood thinner, or “clot-buster”

A

ASA- anti platelet
tPA- clot buster
Coumadin- blood thinner

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6
Q

Thrombocytopenia

A

Prone to bleeding due to low Plt

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7
Q

Hemoglobin and hematocrit at low levels means what?

A

Anemia

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8
Q

Leukocytosis is related to WBC how?

A

High WBC

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9
Q

When is a 12 lead EKG ordered? (4)

A

CC
CP
SOB
Syncope

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10
Q

What are the 12 EKG leads

A

I,II,III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6

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11
Q

What are the inferior EKG leads?

A

I, III, aVF

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12
Q

What are lateral EKG leads?

A

I, aVR, aVL, V5, V6

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13
Q

What are the anterior EKG leads?

A

V3, V4

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14
Q

What are the septal EKG leads?

A

V1, V2

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15
Q

What is a CT scan?

A

Computerized tomography assembles 64 images in a computer

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16
Q

Which has more radiation CT or X-RAY?

A

CT

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17
Q

What test needs to be given before giving IV contrast?

A

Creatinine

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18
Q

Appendicitis, SBO, Diverticulitis, and Ischemic gut are all viewed with what kind of CT?

A

CT A/P w/ PO

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19
Q

CTA chest, PE, aortic dissection, CVA, and carotid occlusion are all examples of what kinds of CT?

A

CTA, CT w/ contrast

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20
Q

PNA, PTX, kidney stones, pyelonephritis, head CTs, and rib fractures are observed with what kinds of CT?

A

CT w/o

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21
Q

_________: responsible for viewing movement, sounds waves, and progress over time

A

US

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22
Q

US Doppler LE is full name? What dos it observe?

A

Ultrasound Doppler lower extremities

DVT

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23
Q

US RUQ? Potential findings? (5)

A

Abdominal ultrasound of RUQ. THe potential findings are Cholelithiasis, Cholecystitis, Bile sludge, Gall bladder wall thickening, and bile duct obstruction

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24
Q

Subluxation

A

Partial dislocation

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25
Q

PNA, PTX, Dissection, pleural effusion, and CHF can all be Dx by?

A

CXR

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26
Q

A _______ diagnoses free stair rupture, SBO, constipation, and large kidney stones

A

AAS

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27
Q

CBC with diff is used to assess…

A

WBC or H&H

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28
Q

CBC with diff stands for…

A

Complete blood count

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29
Q

BMP

A

basic metabolic panel

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30
Q

BNP is used to assess… (3)

A

Electrolytes
Renal function
Glucose

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31
Q

What are the two electrolytes measures in a BMP?

A

Na and K

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32
Q

What are the 2 renal markers in a BMP?

A

BUN and Creatinine

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33
Q

What is a CMP

A

Complete metabolic panel

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34
Q

CMP is used to assess…

A

BMP + LFTs

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35
Q

LFT = ?

A

liver function tests

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36
Q

What does high troponin symbol?

A

Acute MI

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37
Q

UDIP+UA assess what?

A

UTI or blood (possible kidney stone)

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38
Q

BNP (if high) assesses:

A

Acute CHF

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39
Q

If COAGS are high that means risk for ________

A

Bleeding

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40
Q

ABG assesses ______

A

Hypoxia

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41
Q

What are the 3 different kinds of lab studies?

A

Blood, urine, and cultures

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42
Q

What are the 4 components of CBC?

A

WBC
Hub
Hct
Plt

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43
Q

High WBC means what assoc DDx? Significance?

A

Leukocytosis. Infection.

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44
Q

What is the sig of low hemoglobin?

A

Anemia

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45
Q

What is the sig of low hematocrit?

A

Anemia

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46
Q

What is the DDx of low platelets? Significance?

A

Thrombocytopenia

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47
Q

What are the components of a CBC with diff?

A 
CBC
Bands 
Segs
Lymphs
monos 
Eos
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48
Q

Mono? When high?

A

Monocytes. Bacterial infection.

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49
Q

High eos?

A

Parasitic infection

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50
Q

High segs? Sig?

A

“Left shift”, acute infection

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51
Q

High lymphs. Sig?

A

Viral infection

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52
Q

BMP?

A

Basic Metabolic Panel

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53
Q

“Chem-7”=

A

BMP

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54
Q

7 parts of a Chem-7 panel?

A 
Na
K
BUN
Creat
Gluc
HCO3- 
Cl-
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55
Q

Na. High? Sig? Low? Sig?

A 
High= hypernatremia
Low= hypernatremia

Both sig= dehydration

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56
Q

K. High? Sig? Low? Sig?

A 
High= hyperkalemia, sig= poor kidney function
Low= hypokalemia, sig= may cause arrhythmias
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57
Q

BUN? High. Sig?

A

Blood urea nitrogen

Renal insufficiency or failure

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58
Q

Creat? High. Sig?

A

Creatinine. Renal insufficiency or failure.

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59
Q

HCO3-. Low? Sig? High? Sig?

A

Bicarbonate
High= hyperglycemia, high blood sugar
Low= hypoglycemia, low blood sugar

60
Q

Cl-? High? Low? sig?

A 
High= hyperchloremia 
Low= hypochloremia
Sig= possible dehyration
61
Q

CMP, Chem-12. Components?

A 
BMP
T prot/alb
T bili
AST (SGOT) 
ALT (SGPT) 
ALK Phos
62
Q

T Prot/Alb. Sig?

A

Poor nutrition

63
Q

T bili. Sig?

A

Jaundice/Liver failure

64
Q

AST. High. Sig?

A

Liver damage

65
Q

ALT. High. Sig?

A

Liver damage

66
Q

ALK Phos. High? Sig?

A

Liver damage

67
Q

CEP?

A

Cardiac enzyme panel

68
Q

What are the compartments of CEP?

A

Trop, CK, CK-MB, CK-RI, and Myo

69
Q

D-Dimer is ordered to rule out a ______

A

PE

70
Q

Respiratory lab. Components?

A

BNP
ABG
VBG

71
Q

Low pH in ABG? High/low HCO3? High/low pCO2? Low pO2?

A

Acidosis
Metabolic problem
Respiratory problems
Hypoxia

72
Q

What are the 5 parts of a cardiac order set?

A 
CBC
BMP
Troponin
EKG
CXR
73
Q

CSF analysis?

A

Cerebrospinal fluid microanalysis

74
Q

CSF Gluc. Low. Sig?

A

Possible bacterial meningitis

75
Q

CSF Prot. High. Sig?

A

Meningitis

76
Q

CSF RBC. >0 in Tube 4. Sig?

A

SAH

77
Q

SAH

A

Brain bleed

78
Q

CSF WBC. >3 in Tube 4. Sig?

A

Possible meningitis

79
Q

CSF Gram stain. Positive bacteria. Sig?

A

Bacteria meningitis

80
Q

PT in COAGS?

A

Prothrombin Time

81
Q

PT. High. Sig?

A

Blood is too thin

82
Q

INR. >3? <2? Sig?

A 
Supratherapeutic = too much Coumadin 
Subtherapeutic = not enough Coumadin
83
Q

ENT Labs (4)

A

Strep
Monospot
Influenza A+B
RSV

84
Q

Positive strep. Sig?

A

Strep throat

85
Q

Monospot. Positive?

A

Mononucleosis

86
Q

Influenza A+B. Positive?

A

The flu

87
Q

RSV? Positive. Sig?

A

Respiratory Syncytial Virus. Likely bronchiolitis.

88
Q

What are the two test in a pancreatic enzyme study? When high. Sig?

A

Lip
Amy
Sig= pancreatitis

89
Q

Components in a thyroid lab?

A

TSH

T3

90
Q

TSH? High? Low? Sig?

A

Thyroid stimulating hormone. When high, possible hypothyroidism. When low, possible hyperthyroidism.

91
Q

T3? Low. Sig?

A

Triiodothyronine. When low chance of hypothyroidism.

92
Q

T4? Low. Sig?

A

Thyroxine. Low= hypothyroidism.

93
Q

What are the 2 components of inflammation labs?

A

CRP

ESR or SED rate

94
Q

CRP? High. Sig?

A

C-Reactive Protein. High = active inflammation in the body.

95
Q

ESR or SED Rate? High. Sig?

A

ESR or SED= Erythrocyte and sedimentation rate

High sig= active inflammation in the body

96
Q

What are the 5 components of an OB/GYN labs?

A 
HCG
Serum HCG Qual 
Serum HCB Quant
T+S/ABORh
T+X
97
Q

HCG? Positive, sig? Negative, sig?

A

Urine beta HCG
Positive= pregnant
Negative= not pregnant

98
Q

Serum HCG Qual. Positive, sig? Negative, sig?

A

Serum beta HCG Qualitative
Positive= pregnant
Negative= not pregnant

99
Q

Serum HCB Qual? Higher. Sig? Unchanged/lower. Sig?

A 
Higher= further along in pregnancy
Lower= failed pregnancy or ectopic pregnancy
100
Q

T+S/ABORh? Rh neg. Sig?

A

Type and Screen/Blood Type. Rh negative- Needs RhoGAM shot if pregnant.

101
Q

T+X?

A

Type and cross

102
Q

Pelvic exam labs?

A

Wet prep
GC
CT
Genital CX

103
Q

Clue cells in a wet prep= ?

A

BV

104
Q

BV

A

Bacterial vaginosis

105
Q

Many trichomonas = ?

A

STD

106
Q

CT? Postive = ?

A 
CT = Chlamydia, Trachomatis 
\+ = STD (Chlamydia)
107
Q

Genital Cx? Positive growth. Sig?

A

Genital culture

Positive growth = pending results (takes a long time)

108
Q

Leuks. Positive. Sig?

A

Likely UTI

109
Q

Nit. +. Sig?

A

UTI

110
Q

4 parts of a urine dip

A

Leuks
Nit
Gluc
Blo

111
Q

Gluc. +? Sig?

A 
Gluc= glucose
\+ = Glycosuria
sig = DM
112
Q

Blo. +? Sig?

A

Positive- Hematuria

Sig- kidney stone vs UTI

113
Q

hpf?

A

High power feild

114
Q

high WBC in urine: _________

A

Pyuria

115
Q

RBC in urine: _____________

A

Hematuria

116
Q

Epi cells in urinalysis. Sig?

A

Contaminated sample

117
Q

What are the 3. Symptoms of sepsis?

A

Febrile (greater than 100.5)
Tachycardia (HR>100 bpm)
Hypotensive (BP<90/60)

118
Q

High WBC= ?

A

Leukocytes

119
Q

High band cells = ?

A

Bandemia

120
Q

What are the 4 toxicology labs?

A

ASA
APAP
EtOH
UTox

121
Q

ASA in high levels in tox labs= ?

A

Toxic ASA level

122
Q

APAP high = ?

A

Toxic Tylenol level

123
Q

Diabetes labs include?

A

Accu-Chek

Ketones

124
Q

Ketones in a large abnormal level. Sig?

A

Likely DKA

125
Q

FSBG is a part of Accu-Chek. What does it stand for?

A

Finger stick blood glucose

126
Q

Accu-chek of less than 80 mg or more than 110 mg means what?

A

Low or high BP

127
Q

MACRA. What’s the goal?

A

Intended to help stop the increasing healthcare costs in the US

128
Q

NC? What?

A

Nasal cannula. A tube placed in pt nostril.

129
Q

RA? what?

A

room air. No breathing assistance.

130
Q

FM? What?

A

Facial mask. A plastic mask fit over the nose and mouth.

131
Q

NRM? What?

A

Non-rebreather mask

A facia mask with a reservoir bag attached.

132
Q

What are the 3 critical care oxygen routes?

A

CPAP
BiPAP
BVM
ETT

133
Q

CPAP

A

Continuous positive airway pressure

134
Q

BiPAP

A

Biphasic positive airway pressure

135
Q

BVM

A

Bag-valve mask

136
Q

ETT? What?

A

Endotracheal tube? Breathes down your throat into your lungs, verified by CXR

137
Q

Vital signs

A

HR
BP
SaO2
T

138
Q

______: charts that are lacking information

A

Down-coded charts

139
Q

Level __ is the billing level we are trying to achieve

A

5

140
Q

How many parts of HPI do u need?

A

4

141
Q

of parts of ROS needed?

A

10 min

Or all negatives and 2 elements

142
Q

PMH,SH,FM needs ____ elements

A

2

143
Q

PE needs ___ organ systems

A

8

144
Q

What are the parts that we need to document for discharge (5)

A 
Follow up 
Time period in which to follow up 
Spec conditions for ED return 
Condition “stable for discharge” 
Time fo disposition
145
Q

What are the 3 kinds of discharge?

A

Admitted
Transferred
Discharged

(AMA)

Scribe (7 decks)

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