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Scribe > Day in the life of a scribe > Flashcards

Day in the life of a scribe Flashcards

1
Q

My proivder is my _______

A

Partner

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2
Q

Vital Signs

A

They give a quick look at a patient current health

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3
Q

What are the different types of vital signs?

A
  1. Heart Rate
  2. Respiratory rate
  3. Blood pressure
  4. Body Temp.
  5. Oxygen Saturation
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4
Q

What is the heart rate?

A

Its the pulse basically it measure the number of times a person heart beats per min (bpm)

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5
Q

What is the range for heart rate for an adult?

A

Between 60-100bpm

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6
Q

What does tachycardic mean?

A

Heart rate above 100 bpm

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7
Q

What does Bradycardic mean?

A

Heart rate is below 60bpm

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8
Q

What is the average range for the systolic number?

A

From 90 too 140

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9
Q

What is blood pressure?

A

Measures the pressure your heart pumps out blood

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10
Q

What does Hypertensive mean?

A

Means high blood pressure

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11
Q

What does Hypotensive mean?

A

Mean low blood pressure

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12
Q

Whats the average blood pressure for adults

A

120/80

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13
Q

120/80 whats the top number and the bottom number?

A

The top number is the systolic number and the bottm number is the diastolic number

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14
Q

What is the respiratory rate?

A

Measures the rate of a person breathing (breaths per min)

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15
Q

What is the average range for the distolic number?

A

From 60-90

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16
Q

What is body temp?

A

Measurement of your body’s ability to get rid of heat

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17
Q

What is the normal body temp?

A

98.6℉

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18
Q

A fever is anything from what?

A

From 100.4℉ and up

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19
Q

What is oxygen saturation?

A

Measures how much of our blood is oxygen

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20
Q

What is the normal range for oxygen saturation?

A

95% to 100%

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21
Q

What is the normal heart rate for babies ?

A

Between 120 - 160bpm

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22
Q

When is a baby heart rate tachycardic?

A

When its above 160 bpm

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23
Q

When is a baby heart rate bradycardic?

A

When its below 120bpm

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24
Q

Whats the normal respiratory rate for adults?

A

12-20 breaths per min

25
Q

When is an adult tachypenic?

A

When there repsiratory rat eis above 20

26
Q

When is an adult bradypnea?

A

When their respiatory rate is below 12

27
Q

What is the normal respiratory for babies?

A

30-50 breaths per min

28
Q

When is a baby Tachypneic?

A

When its above 50

29
Q

When is a baby bradypnea?

A

When its below 30

30
Q

What the normal blood pressure range for adults?

A

90/ 60 - 140/90

31
Q

When is an adult hypertensive?

A

When their blood pressure is above 140/90

32
Q

When is an adult hypotensive?

A

When its below 90/60

33
Q

For baby blood pressure what number do we look at?

A

The systolic number (top number)

34
Q

Whats the normal systolic (blood pressure) for babies?

A

50- 120

35
Q

When is a baby hypertensive?

A

When blood pressure is 120

36
Q

When is a baby Hypotensive?

A

When blood pressure is below 50

37
Q

Whats the normal body temp for babies and adults?

A

98.6℉

38
Q

Afebrile means what?

A

Means you dont have a fever (Body temp 98.6℉)

39
Q

What does febrile mean?

A

Means that you have a fever (Body temp higher than 100.4 ℉)

40
Q

What does hypothermic mean?

A

Means you have a low body temp (less than 98.6℉)

41
Q

Whats the normal oxygen saturation level for adults & babies?

A

95% - 100%

42
Q

Whats the term for low oxygen saturation that is less than 95%?

A

Hypoxic

43
Q

What are the different type of healthcare settings?

A
  1. Outpatient office
  2. Emergency department
  3. impatient - hospitalist
  4. Urgent Care
44
Q

What is Urgent Care?

A

Its like a mini ER that used for something that cant wait for a appointment but its not life or death

45
Q

What is an emergency?

A

When someone is unresponsive or any organs has failed showing life threatening illness

46
Q

Who is part of the team?

A
  1. The provide
  2. Advance pratice provider
  3. Nurses or medical assistants
  4. Technicans
  5. Scribe
47
Q

In medical termology what does the prefix represent and what does the suffix represent?

A

Prefix - refers to an organ & suffix - refers to whats wrongs (Ex Pancreaitis - means inflammation in the pancreas)

48
Q

What are the common prefixes?

A
  1. Tachy - means fast
  2. Brady - means slow
  3. Hyper - means too much/ overactive
  4. Hypo - means too little/ underactive
49
Q

What are the common suffixes?

A
  1. itis - means inflammation or infection
  2. osis - disease of something
  3. ectomy - surgical removal of something
  4. otomy - hole or opening
50
Q

What are the two parts a medical chart is broken into?

A
  1. Subjective
  2. Objective
51
Q

What is subjective?

A

Its what the pateint tells us

52
Q

What is objective?

A

Its what the doctor tells us

53
Q

What is pain considered and what is tenderness consider as?

A

Pain is consider as subjective and tenderness is consider as objective

54
Q

What are the different types of histories?

A
  1. Medical History
  2. Family History
  3. Social History
55
Q

What in the medical history?

A

It includes:
1. Any prior medical problems like chronic problems

  1. Past surgeries
  2. Allergies to medications
56
Q

What are the true systoms for an allergic reation?

A
  1. Rash
  2. Shortness of breath
  3. Ititchiness & weezing
57
Q

Whats in the family history?

A

Its history that is only directly related to family members with a medical problem & includes all of the same medical histories ( direct family is like mom dad, etc & the younger someone is with an illness its mostly family relates)

58
Q

What is in the social history?

A

Its a history that notes the dialy habits of a person life which would include:

  1. Alcohol use
  2. Smoking or tobacco use
  3. Ocupation
  4. Living Status
59
Q

What is an adverse reaction?

A

Its a side affect from taking a medication ( Ex. having dry mouth after taking a pill)

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