Course 5 ED Flashcards
What is the difference between a BMP and a CMP
BMP is a basic metabolic panel which checks your electro lights, CMP is a comprehensive metabolic panel.
What part of the CBC does a “Differential” further characterize RBC or WBC?
WBC
What does Creatinine measure?
Renal insufficiency or failure
Is high potassium level called “hyperkalemia” or “hypernatremia”?
hyperkalemia
What body organ do “LFT’s” investigate?
Liver
Would “Asparate Transaminase” be documented as “AST” or “ALT”?
AST
Which cardiac enzyme is more specific to heart damage, Troponin or CK-MB?
Troponin
What does a negative D-Dimer mean?
No PE
What does a positive D-Dimer mean?
It means the pt must be ruled out for a PE; must receive a CTA Chest or VQ Scan
What does an elevated BNP diagnose?
Congestive Heart Failure
Does the blood sample for an ABG come from a vein or an artery?
Artery
Name two parts of the “Cardiac Order Set”.
CBC; BMP; CK, CK-MB; Troponin, EKG, CXR
What procedure must first be performed before CSF can be obtained?
Lumbar Puncture
What do Coag lab tests examine
Coumadin levels
Name one of the three Coag tests
PT (prothrombin time), INR (International Normalized Ratio), PTT (Partial thromboplastin time)
What does Lipase diagnose?
Pancreatitis
What do both CRP and ESR test for?
Inflammation in the body
Will cultures ever result during a patient’s ED visit?
No
Not sure!
Whats the difference between a Urine Dip and a Urine Micro?
Urine drip is performed at beside, it is a quick test to check if there is abnormalities. A Urine Micro examines the abnormal urine sample which is a quantitative microscope urinalysis
Name one of three labs that are particularly important to track for efficiency
D-Dimer
Troponin
Creatinine
What type of body structures are XR’s best suited to examine?
bone
Air??
Do emergency physicians interpret XR’s or CT’s?
XR’s
What is the difference between a CTA and a CT?
CTA is a CT with contrast
What does an US of the RUQ rule out or diagnose?
Cholelithiasis, Cholecystitis, Gallbladder, Ovarian cyst, Ovarian Torsion
Name one type of orthopedic procedure that may be performed by the EP.
Splint Application, Joint Reduction, Arthrocentesis
What does I&D stand for?
Incision & Drainage
Name two diagnoses that qualify the pt for critical care
Acute MI, unstable angina, acute coronary syndrome (ACS), A-Fib with RVR, aortic dissection, Bowel Perforation, appendicitis with rupture, ectopic pregnancy, severe GI bleed, severe altered mental status, acute CVA, overdoses, diabetic ketoacidosis, acute CHF (severe), severe hypoxia, allergic reaction, pneumothorax, pulmonary embolism, sepsis, severe trauma, critically abnormal lab test results, renal failure, rhabdomyolysis, severe dehydration
When might an ER doctor obtain a Physician Consult?
1) The ED doctor needs to admit a patient to the hospital
2) the ED doctor needs specialist advice regarding a particular disease, treatment, or need for follow-up
3) the ED doctor calls he pt’s PCP to inform them their pt was evaluated in the ER.
What lab order contains the H&H (hemoglobin and hematocrit)?
Complete Blood Count (CBC)
Name two procedures that qualify the pt for critical care
Lumbar puncture, procedural sedation, intubation, central line placement, chest tube, cardioversion, CPR, CPAP/BiPAP
What does LAD stand for as an EKG abbreviation?
Left Axis Deviation
