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Scribing > Day 5 Review > Flashcards

Day 5 Review Flashcards

1
Q

Blood taken from the artery

A

Arterial blood gas

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2
Q

Clear liquid separated from clotted blood

A

Serum

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3
Q

Change of blood from liquid to solid

A

Coagulation

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4
Q

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

A

Anesthesia

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5
Q

POC

A

Point of care

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6
Q

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

A

Cultures

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7
Q

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

A

CCT (critical care time)

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8
Q

H&H

A

Hemoglobin and hematocrit

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9
Q

What lab contains the H&H?

A

CBC (complete blood count)

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10
Q

BMP vs CMP

A

BMP: basic metabolic panel; contains electrolytes, kidney function, and glucose levels

CMP: comprehensive metabolic panel; BMP in addition to LFT’s (liver function tests)

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11
Q

LFT

A

Liver function test

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12
Q

What part of the CBC does a differential further characterize

A

WBC

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13
Q

What does Creatinine measure

A

Rental function

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14
Q

Medical term for high potassium level

A

Hyperkalemia (“K” in the word)

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15
Q

Medical term for high sodium level

A

Hypernatremia (“Na” in the word)

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16
Q

AST

A

Aspartate Transaminase

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17
Q

ALT

A

Alanine transaminase

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18
Q

What does Segs stand for? What could it mean if this is high?

A

Segmented neutrophils

Acute infection

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19
Q

Is ASA a platelet agent or an anti-platelet agent? Coumadin?

A

Anti-platelet agent

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20
Q

What medication might a Pt be prescribed after a blood clot?

A

Eliquis

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21
Q

High Creat levels mean ________ insufficiency or failure

A

Renal

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22
Q

Hyperchloremia (high Cl levels) could mean possible _____________

A

Dehydration

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23
Q

Name the 3 LFT’s

A

ALT, ALK (alkaline phosphotase), AST

wALT wALKs pAST

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24
Q

High levels of Trop is specific to _________ damage

A

Heart

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25
Q

BNP

A

B-type Natriuretic Peptide

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26
Q

High BNP levels is a sign of

A

CHF

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27
Q

List the cardiac order set (6) ordered for every Pt c/o CP

A

CBC, BMP, (CK, CKMB, MYO, TROP), EKG, CXR

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28
Q

If the Lactate (lactic acid) lab comes back high, this means _________ or _____ _______ in the body. We know this, because ______ organic release arctic acid.

A

Sepsis, cell death, infarct

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29
Q

Name the 3 key labs that are particularly important to track efficiency

A

D-Dim (blood clot), Trop (cardiac damage), Creat (kidney function)

30
Q

Creatinine must be ordered prior to ______ due to ___ ________ stressing the kidneys

A

CTA, IV contrast

31
Q

What is CBC w/ Diff used to asses?

A

Infection (WBC) or anemia (low H&H)

32
Q

What is BMP (basic metabolic panel) used to asses?

A

Electrolytes (Na, K), renal function (BUN, Creat), glucose

33
Q

BUN

A

Blood Urea Nitrogen

34
Q

Which is better for determining renal function? BUN or CREAT?

35
Q

What is CMP (complete metabolic panel) used to asses?

A

BMP + LFT’s (liver fnt)

36
Q

What is Trop used to asses?

A

Acute MI (if high)

37
Q

What is uDIP + UA (Urinalysis) used to asses?

A

UTI or blood (possible kidney stone)

38
Q

Blood in the urinalysis could mean possible _______ _______

A

Kidney stone

39
Q

What is BNP (B-type Natriuretic Peptide) used to asses?

A

Acute CHF if high

40
Q

What is Coags used to asses?

A

Risk for bleeding (if high)

41
Q

What is ABG (arterial blood gas) used to asses?

A

Respiratory fnt (hypoxia?)

42
Q

What is D-Dim used to asses?

A

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

43
Q

What the doctor says:

Normal EKG at 80 (bpm)

A

You write:

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

44
Q

What the doctor says:

Sinus at 72 (btw 60-100 bpm)

A

You write:

Normal Sinus Rhythm at a rate of 72 bpm

45
Q

What the doctor says:

Sinus at 114 (>100 bpm)

A

Sinus tachycardia at a rate of 114 bpm

46
Q

What the doctor says:

Sinus at 56 (less than 60 bpm)

A

Sinus bradycardia at a rate of 56 bpm

47
Q

What the doctor says:

Sinus Brady

A

You write: sinus bradycardia

48
Q

What the doctor says:

Sinus tachy

A

You write:

Sinus tachycardia

49
Q

What the doctor says:

Left bundle

A

You write:

LBBB (bundle branch block)

50
Q

What the doctor says:

Right bundle

A

You write:

RBBB

51
Q

What the doctor says:

Nothing acute

A

You write: no acute ST/T changes

52
Q

What the doctor says:

Non-specific changes

A

You write: non-specific ST/T changes

53
Q

What the doctor says:

Lead one, lead two, or lead three

A

You write: lead I, lead II, or lead III

54
Q

What the doctor says:

V one, V two, or V three

A

You write:

V1, V2, V3

55
Q

Which cardiac enzyme is more specific to heart damage? Trop or CK-MB (creatinine kinase-muscle breakdown)

56
Q

What does a negative D-Dimer mean?

A

No evidence of PE

57
Q

What procedure must be performed before CSF can be obtained?

A

Lumbar puncture

58
Q

What do Coag lab tests examine?

A

Blood coagulation (how fast blood clots) / Coumadin levels

59
Q

What are the 3 Coag labs?

A

PT, PTT, INR

60
Q

What does lipase Diagnose?

A

Pancreatitis

61
Q

both CRP and ESR test for ________. What do these abbreviations stand for?

A

Inflammation; CRP= C-reactive protein, ESR= erythrocyte sedimentation rate

62
Q

Define Urine drip vs urine micro (urinalysis)

A

Urine drop: bedside, detects leuks, nitrite, glucose, and blood

Urine Micro: in lab, detects WBC, RBC, bacteria

63
Q

What body structures are XR’s best suited to examine?

64
Q

CTA vs CT

A

CTA: CT angiogram uses IV contrast to look at arteries

CT: w/out IV contrast; may use PO contrast to view organs/bowels

65
Q

US of RUQ rules out/ diagnoses what?

A

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

66
Q

Name orthopedic procedures that can be performed by the EP (3)

A

Splinting, joint reduction, arthrocentesis

67
Q

Can EP’s bill for XR or CT interpretations?

A

XR, need radiologist for CT interpretation

68
Q

I&D

A

Incision and Drainage

69
Q

Procedures that qualify the Pt for critical care (4)

A

Cardioversion, central line placement, endotracheal intubation, chest tube placement

70
Q

LAD (EKG abbreviation)

A

Left axis deviation

71
Q

Diagnosed that would qualify Pt for CCT (critical care time)

A

AFib with RVR (allergic rxt with air encroachment), CVA, MI, Sepsis, DKA, CPR, Severe HTN/hypotension, sever anemia, PTX, PE, overdose

72
Q

When might EP obtain physician consult?

A

Regarding admission, advice on Tx, inform primary Physician of results, etc.

Scribing (8 decks)

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