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Scribe america > Course 5: ED Course COPY > Flashcards

Course 5: ED Course COPY 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 [term]

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 [Medical Term]

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

Eosinophils are a type of disease-fighting white blood cell. This condition most often indicates a parasitic infection, an allergic reaction or cancer. You can have high levels of eosinophils in your blood (blood eosinophilia) or in tissues at the site of an infection or inflammation (tissue eosinophilia).

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18
Q

High Band Cells [term]

A

Bandemia

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19
Q

High Segmented Neutrophils

A

Left Shift—»acute infection

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20
Q

Significance: High Bands

A

Serious infection (possibly sepsis)

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21
Q

Significance: High Segs

A

Acute infection

neuter cute puppy, you get 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 [term]

A

Hypernatremia

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35
Q

High Potassium [term]

A

Hyperkalemia

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36
Q

High Glucose [term]

A

Hyperglycemia

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37
Q

High Bicarbonate [term]

A

Hypercarbia

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38
Q

High Chloride [term]

A

Hyperchloremia

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39
Q

Low Sodium [term]

A

Hyponatremia

NA

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40
Q

Low Potassium [term]

A

Hypokalemia

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41
Q

Low Glucose [term]

A

Hypoglycemia

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42
Q

Low Bicarbonate [term]

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

special K bad for kids

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46
Q

Significance: Low K

A

May cause arrhythmias

kale/spinach leaf–>heart

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47
Q

Significance: High BUN

A

Renal insufficiency or failure

butts too high in grass hard to pee, must squat low

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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

CHLORIDE- CHLORINE, DONT DRINK WATER IF CHLORINE

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54
Q

CMP

A

Comprehensive Metabolic Panel

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55
Q

T Prot/Alb [term]

A

Total Protein/Albumin

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56
Q

T bili

A

Total bilirubin

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57
Q

AST (SGOT) [term]

A

Aspartate Transaminase

LFT (liver function test) —» “wALT, wALKs, fAST”

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58
Q

ALT (SGPT) [term]

A

Alanine Transaminase

LFT (liver function test) —» “wALT, wALKs, fAST”

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59
Q

Alk Phos [term]

A

Alkaline Phosphatase

LFT (liver function test) —» “wALT, wALKs, fAST”

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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

loww protien, 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

calvin klien, waers it because no mucke

creatine, muscle damage

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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

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99
Q

3 types of coagulation studies

A

PT, INR, PTT

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100
Q

Significance: High PT

A

Blood is too thin

(prothrombin time)

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101
Q

Significance: >3.0 INR

A
  • Too much Coumadin
  • (Supratherapeutic)
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102
Q

Significance: High PTT

A

Blood is too thin

Partial Thromboplastin Time

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103
Q

4 ENT Labs

A

Strep, Monospot, Influenza A+B, RSV

monospot-tests infection

RSV-respiratory syncical virus

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104
Q

Significance: Positive RSV

A

Likely Bronchiolitis

Respiratory Syncytial Virus

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105
Q

2 Pancreatic Enzymes

A

Lipase, Amylase

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106
Q

Significance: High Lip

A

Specific to pancreatitis

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107
Q

Lab type: TSH, T3, T4

A

Thyroid lab

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108
Q

Significance: High TSH

A

Possible Hypothyroidism

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109
Q

Significance: Low TSH

A

Possible Hyperthyroidism

Thyroid Stimulating Hormone

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110
Q

Significance: Low T3/T4

A

Hypothyroidism

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111
Q

CRP

A

C-Reactive Protein

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112
Q

ESR (or Sed Rate)

A

Erythrocyte Sedimentation Rate

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113
Q

Significance: High CRP

A

Active inflammation in the body

C-Reactive Protein

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114
Q

Significance: High ESR or Sed Rate

A

Active inflammation in the body

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115
Q

Significance: Positive hCG

A

Pregnant

116
Q

Significance: Positive Serum HCG Qual

A

Pregnant

117
Q

Significance: Higher Serum HCG Quant

A

Further along in pregnancy

118
Q

Significance: Rh-Negative T+S/ABORh

A

Needs RhoGAM shot if pregnant

119
Q

Significance: T+X

A

Possible blood transfusion

120
Q

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

A

Wet Prep

121
Q

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

A

Wet Prep

122
Q

BV

A

Bacterial Vaginosis

123
Q

Significance: Positive GC/CT

A

STD (Gonorrhea or Chlamydia)

124
Q

Qualitative UA (urinalysis)

A

Urine Dip

125
Q

Glucose in urine [term]

A

Glycosuria

126
Q

Blood in urine

A

Hematuria

127
Q

Blo

A

Blood

128
Q

Nit

A

Nitrite

129
Q

Significance: Positive Urine Dip Leuks

A

Likely UTI

130
Q

Significance: Positive Urine Dip Nit

A

UTI

131
Q

Significance: Positive Urine Dip Gluc

A

High blood sugar (DM)

132
Q

Significance: Positive Urine Dip Blo

A

Kidney stone

Kidney stone, kidney bleeds, you bleed

133
Q

4 components of Urinalysis

A

WBC, RBC, Bact, Epi (Epithelial Cells)

134
Q

POC

A

Point of Care

135
Q

High RBC in urine

A

Hematuria

136
Q

High WBC in urine

A

Pyruia

137
Q

Significance: Many Epi in Micro UA

A

Contaminated Sample

138
Q

3 components of Sepsis Lab

A

CBC, Lactate, Blood Cx

139
Q

Significance: High Lactate

A

Specific to sepsis (cell death in the body)

140
Q

3 characteristics of pts in sepsis

A

Febrile, Tachycardic, Hypotensive

sick with fever, fast heart rate, low blood pressure

dizzy warm and beating

141
Q

Anticipate physician ordering 3 tests to rule out DDx for Sepsis

A

CXR, UA, LP

142
Q

Sepsis: helps r/o PNA

A

CXR

143
Q

Sepsis: helps r/o UTI

A

UA

144
Q

Sepsis: helps r/o meningitis

A

LP

145
Q

Ordered to diagnose type of sepsis

A

BC (Blood Cultures)

146
Q

Cx

A

Cultures

147
Q

Make sure to document for cultures

A

“____ cultures ordered, results pending.”

148
Q

3 Toxicology labs taken from serum

A
  1. ASA (aspirin),
  2. APAP (acetaminophin),
  3. EtOH
149
Q

UTox

A

Urine Drug Screen

150
Q

APAP

A

Acetaminophen (Tylenol)

151
Q

2 diabetes labs

A

Ketones, Accu-Check

152
Q

Medication for AFIB

A

Digoxin

either use electricity or make the oxin dig

153
Q

3 Key Labs for Efficiency

A

D-Dimer, Troponin, Creatinine (from BMP)

154
Q

Significance: D-Dimer for efficiency

A

Must order CTA Chest or VQ Scan

155
Q

Significance: Troponin for efficiency

A

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

156
Q

Significance: Creatinine for efficiency

A

Assess kidney function prior to ordering CT with IV contrast

157
Q

CBC w/ Diff used to access

A

Infection (WBC) or anemia (H&H)

158
Q

BMP used to access

A

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

159
Q

CMP used to access

A

BMP + LFT’s (liver function)

160
Q

Trop used to access

A

Acute MI (if high)

161
Q

uDip + UA used to access

A

UTI or blood (possible kidney stone)

162
Q

BNP used to access

A

Acute CHF (if high)

163
Q

Coags (PT/INR/PTT) used to assess

A

Risk for bleeding (if high)

164
Q

ABG used to access

A

Respiratory function (hypoxia)

165
Q

D-Dimer used to access

A

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

166
Q

CXR Potential Dx (5)

A

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

167
Q

AAS/KUB

A

Acute Abdominal Series/Kidneys Ureters Bladder

168
Q

AAS Potential Dx (4)

A

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

169
Q

Non-Chest/Abd XR Potential Dx (3)

A

Fx, Dislocation, Joint effusion

fracture, dislocation, joint effusion—>rib cage

170
Q

“Dry CT” or CT w/o

A

CT without IV contrast

171
Q

CTA

A

CT Angiogram (or CT w/ IV contrast)

172
Q

CT A/P w/ PO

A

CT Abd/Pelvis with PO contrast

173
Q

CT Head Potential Dx (2)

A

Large Hemorrhagic CVA, Large Ischemic CVA

174
Q

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

A

Spine Fx, Spine Subluxation

175
Q

Subluxation

A

Partial dislocation

176
Q

CT Chest Potential Dx (4)

A

PNA, PTX, Pleural effusion, Rib Fx

177
Q

CT Abd/Pel Potential Dx (2)

A

Kidney Stones, Pyelonephritis

178
Q

CTA Chest Potential Dx (2)

A

PE, Aortic Dissection

179
Q

CTA Head Potential Dx (2)

A

Hemorrhagic CVA, Ischemic CVA

180
Q

CTA Neck Potential Dx (2)

A
  1. Carotid dissection: tear of the inner layer of the wall of an artery. The tear lets blood get in between the layers of the wall and separate them.
  2. Carotid occlusion: blockage of the artery
181
Q

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

A

Appendicitis, SBO, Diverticulitis, Ischemic Gut

Diver-An inflammation or infection in one or more small pouches in the digestive tract.

182
Q

UTZ

A

Ultrasounds

183
Q

Type of imaging study used for reproductive organs

A

US

184
Q

Type of imaging study that does not require specialized radiologist

A

XR

185
Q

Associated Procedure: Joint Injury

A

Splint Application

186
Q

Associated Procedure: Laceration

A

Laceration Repair

187
Q

Associated Procedure: Abscess

A

Incision & Drainage

188
Q

Associated Procedure: Joint effusion

A

Arthrocentesis/joint aspiration

Arthrocentesis is the clinical procedure of using a syringe to collect synovial fluid from a joint capsule

189
Q

Associated Procedure: Dislocation

A

Joint Reduction

190
Q

Associated Procedure: Headache, Fever

A

Lumbar Puncture

191
Q

Associated Procedure: Joint reduction

A

Procedural Sedation

critical care procedure

192
Q

Associated Procedure: Respiratory failure

A

Intubation

193
Q

Associated Procedure: Sepsis

A

Central Line Placement

194
Q

Associated Procedure: PTX

A

Chest Tube

195
Q

Associated Procedure: Abnormal Heart Rhythm

A

Cardioversion

196
Q

Associated Procedure: Cardiac Arrest

A

CPR

197
Q

Associated Procedure: COPD/CHF Exacerbation

A
  • CPAP/BiPAP
  • critical care procedure
198
Q

Associated Procedure: Ear complaints

A

Cerumen Disimpaction

199
Q

Associated Procedure: Constipation or fecal impaction

A

Rectal Disimpaction

200
Q

Associated Procedure: Subungual hematoma

A

Nail Trephination

201
Q

Associated Procedure: Nosebleed

A

Epistaxis Management (cautery vs. packing)

202
Q

NSR

A

Normal Sinus Rhythm

203
Q

SB

A

Sinus Bradycardia

204
Q

ST

A

Sinus Tachycardia

205
Q

A fib

A

Atrial Fibrillation

206
Q

A flutter

A

Atrial Flutter

207
Q

Paced

A

Pacemaker is functioning

208
Q

SVT

A

Supraventricular Tachycardia

209
Q

PVC

A

Premature Ventricular Contraction

210
Q

PAC

A

Premature Atrial Contraction

211
Q

LAD

A

Left Atrial Deviation

212
Q

RAD

A

Right Axis Deviation

213
Q

LAFB

A

Left Anterior Fascicular Block

214
Q

LBBB

A

Left Bundle Branch Block

215
Q

RBBB

A

Right Bundle Branch Block

216
Q

1° AVB

A

First Degree AV Block

217
Q

LVH

A

Left Ventricular Hypertrophy

218
Q

PRWP

A

Poor R Wave Progression

219
Q

ST ↑

A

Acute ST Elevation

220
Q

ST ↓

A

Acute ST Depression

221
Q

NSSTΔ’s

A

Non-Specific ST/T changes

222
Q

“Normal EKG at 80”

A

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

223
Q

“Sinus at 72”

A

NSR at a rate of 72 bpm

224
Q

“Sinus at 114”

A

Sinus tachycardia at a rate of 114 bpm

225
Q

“Sinus at 56”

A

Sinus bradycardia at a rate of 56 bpm

226
Q

“Sinus Brady”

A

Sinus bradycardia

227
Q

“Sinus Tachy”

A

Sinus tachycardia

228
Q

“Left bundle”

A

LBBB

229
Q

“Right bundle”

A

RBBB

230
Q

“Left axis”

A

LAD

231
Q

“Nothing acute”

A

No acute ST/T changes

232
Q

“Non specific changes”

A

Non-specific ST/T changes

233
Q

“Lead one, lead two”

A

Lead I, Lead II

234
Q

“V one, V two”

A

V1, V2

235
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?

236
Q

Blood taken from an artery

A

Arterial Blood Gas

237
Q

The clear liquid separated from clotted blood

A

Serum

238
Q

The change of blood from liquid to solid

A

Coagulation

239
Q

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

A

Anesthesia

240
Q

POC

A

Point of Care

241
Q

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

A

Cultures

242
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

243
Q

What lab order contains the “H&H”?

A

CBC-Complete Blood Count

244
Q

What is the difference between BMP and CMP?

A

BMP-basic metabolic panel; contains electrolytes, kidney function and glucose levels CMP-comprehensive metabolic panel; BMP in addition to e LFTs

245
Q

What part of the CBC does a “differential” further characterize, RBC or WBC?

A

WBC

246
Q

What does creatinine measure?

A

Renal function

247
Q

What is high potassium level called?

A

Hyperalkalemia

248
Q

What organ do LFTs investigate?

A

Liver

249
Q

How would you document Aspartate Transaminase?

A

AST

250
Q

Which cardiac enzyme is more specific to heart damage, troponin or CK-MB?

A

Troponin

251
Q

What does a negative D-Dimer mean?

A

No evidence of a PE

252
Q

What does a positive D-Dimer mean?

A

Possible PE, must order a CTA chest or VQ scan

253
Q

What does an elevated BNP diagnose?

A

Congestive Heart Failure

254
Q

Dies the blood sample for an ABG come from a vein or an artery?

A

Artery

255
Q

Name the parts of the cardiac order set (5)

A
  1. CBC 2. BMP 3. Troponin 4. EKG 5. CXR
256
Q

What procedure must first be performed before CSF Cana be obtained?

A

Lumbar puncture

257
Q

What do “Coag” lab tests examine?

A

Blood coagulation/ Coumadin levels

258
Q

Name the 3 “Coag” level tests

A

-PT -PTT -INR

259
Q

What does lipase diagnose?

A

Pancreatitis

260
Q

What do both CRP and ESR test for?

A

Inflammation CRP=C-Reactive Protein ESR=Erythrocyte Sedimentation Rate

261
Q

Will cultures ever result during an ED visit?

A

No

262
Q

What is the difference between a Urine Dip and a Urine Micro?

A

Urine Dip: done bedside and detects leuks, nitrites, glucose, blood

Urine Nitro: in last and detects WBC, RBC and bacteria

263
Q

Name the 3 labs important to track for efficiency

A

1) Troponin 2) Creatinine 3) D-Dimer

264
Q

What type of body structure are XR’s best suited to examine?

A

Bones

265
Q

What is the difference between CTA and CT?

A

CTA= CT angiogram looks at the arteries using IV contrast CT=no IV contrast but may or may not use PO contrast

266
Q

What does an US of the RUQ rule out or diagnose?

A

Cholelithiasis, cholecystitis, gallbladder wall thickening, bile sludge, bile duct obstruction

267
Q

Name one type of ortho procedure that may be performed by EP

A

-splinting -joint reduction -arthrocentesis

268
Q

What does I&D stand for?

A

Incision & Drainage

269
Q

Name 2 procedures that qualify patient for critical care time

A
  1. cardioversion —» Abnormal Heart Rhythm
  2. Central line placement —» sepsis
  3. Endotracheal intubation —» Resp. failure
  4. Chest tube placement —» PTX
  5. CPR —» cardiac arrest
  6. CPAP/BiPAP —» COPD/CHF
  7. Lumbar puncture —» fever, headache
  8. Procedural Sedation —» joint reduction
270
Q

What does LAD stand for as an EKG abbreviation?

A

Left Axis Deviation

271
Q

Name 2 diagnoses that would qualify a patient for critical care time?

A

-AFIB with RVR -CVA -MI -Sepsis -DKA -CPR -Severe hypotension/hypertension -Severe anemia -PTX -PE -OD

272
Q

When might an ER doctor obtain a Physician Consult?

A

Regarding admission, advice over treatment plan, inform primary physician of results, etc.

273
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Scribe america (8 decks)

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