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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
BNP
B-type Natriuretic Peptide
26
High BNP levels is a sign of
CHF
27
List the cardiac order set (6) ordered for every Pt c/o CP
CBC, BMP, (CK, CKMB, MYO, TROP), EKG, CXR
28
If the Lactate (lactic acid) lab comes back high, this means _________ or _____ _______ in the body. We know this, because ______ organic release arctic acid.
Sepsis, cell death, infarct
29
Name the 3 key labs that are particularly important to track efficiency
D-Dim (blood clot), Trop (cardiac damage), Creat (kidney function)
30
Creatinine must be ordered prior to ______ due to ___ ________ stressing the kidneys
CTA, IV contrast
31
What is CBC w/ Diff used to asses?
Infection (WBC) or anemia (low H&H)
32
What is BMP (basic metabolic panel) used to asses?
Electrolytes (Na, K), renal function (BUN, Creat), glucose
33
BUN
Blood Urea Nitrogen
34
Which is better for determining renal function? BUN or CREAT?
Creat
35
What is CMP (complete metabolic panel) used to asses?
BMP + LFT’s (liver fnt)
36
What is Trop used to asses?
Acute MI (if high)
37
What is uDIP + UA (Urinalysis) used to asses?
UTI or blood (possible kidney stone)
38
Blood in the urinalysis could mean possible _______ _______
Kidney stone
39
What is BNP (B-type Natriuretic Peptide) used to asses?
Acute CHF if high
40
What is Coags used to asses?
Risk for bleeding (if high)
41
What is ABG (arterial blood gas) used to asses?
Respiratory fnt (hypoxia?)
42
What is D-Dim used to asses?
Possible blood clot (if high, need Creat for CTA chest)
43
What the doctor says: | Normal EKG at 80 (bpm)
You write: | NSR at a rate of 80 bpm, no acute ST/T changes
44
What the doctor says: | Sinus at 72 (btw 60-100 bpm)
You write: | Normal Sinus Rhythm at a rate of 72 bpm
45
What the doctor says: | Sinus at 114 (>100 bpm)
Sinus tachycardia at a rate of 114 bpm
46
What the doctor says: | Sinus at 56 (less than 60 bpm)
Sinus bradycardia at a rate of 56 bpm
47
What the doctor says: | Sinus Brady
You write: sinus bradycardia
48
What the doctor says: | Sinus tachy
You write: | Sinus tachycardia
49
What the doctor says: | Left bundle
You write: | LBBB (bundle branch block)
50
What the doctor says: | Right bundle
You write: | RBBB
51
What the doctor says: | Nothing acute
You write: no acute ST/T changes
52
What the doctor says: | Non-specific changes
You write: non-specific ST/T changes
53
What the doctor says: | Lead one, lead two, or lead three
You write: lead I, lead II, or lead III
54
What the doctor says: | V one, V two, or V three
You write: | V1, V2, V3
55
Which cardiac enzyme is more specific to heart damage? Trop or CK-MB (creatinine kinase-muscle breakdown)
Trop
56
What does a negative D-Dimer mean?
No evidence of PE
57
What procedure must be performed before CSF can be obtained?
Lumbar puncture
58
What do Coag lab tests examine?
Blood coagulation (how fast blood clots) / Coumadin levels
59
What are the 3 Coag labs?
PT, PTT, INR
60
What does lipase Diagnose?
Pancreatitis
61
both CRP and ESR test for ________. What do these abbreviations stand for?
Inflammation; CRP= C-reactive protein, ESR= erythrocyte sedimentation rate
62
Define Urine drip vs urine micro (urinalysis)
Urine drop: bedside, detects leuks, nitrite, glucose, and blood Urine Micro: in lab, detects WBC, RBC, bacteria
63
What body structures are XR’s best suited to examine?
Bones
64
CTA vs CT
CTA: CT angiogram uses IV contrast to look at arteries CT: w/out IV contrast; may use PO contrast to view organs/bowels
65
US of RUQ rules out/ diagnoses what?
Cholelithiasis, Cholecystitis, gallbladder wall thickening, bile sludge, bile duct obstruction
66
Name orthopedic procedures that can be performed by the EP (3)
Splinting, joint reduction, arthrocentesis
67
Can EP’s bill for XR or CT interpretations?
XR, need radiologist for CT interpretation
68
I&D
Incision and Drainage
69
Procedures that qualify the Pt for critical care (4)
Cardioversion, central line placement, endotracheal intubation, chest tube placement
70
LAD (EKG abbreviation)
Left axis deviation
71
Diagnosed that would qualify Pt for CCT (critical care time)
AFib with RVR (allergic rxt with air encroachment), CVA, MI, Sepsis, DKA, CPR, Severe HTN/hypotension, sever anemia, PTX, PE, overdose
72
When might EP obtain physician consult?
Regarding admission, advice on Tx, inform primary Physician of results, etc.

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