Electronic patient monitoring Flashcards

1
Q

Which designed to help you enhance patient care and clinal performance ?

A

Patient monitoring system also called (homecare telehealth)

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2
Q

Detects the difference between deoxygenated and oxygenated hemoglobin ?

A

Pulse Oximeter
(Normal values range from 95% to 100%)
( Below 95% is tissues are receiving
inadequate oxygen perfusion )

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3
Q

Provides continuous measurement of heart rate and includes ?

A

Arterial Catheter
includes:
A flush system , a pressure bag , a transducer , An Amplifier and Monitor

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4
Q

Device that measures the electrical activity of the heart , displays the form of waves ?

A

ECG (Electro cardio Graphy )

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5
Q

The first phase of contraction is ?

A

(The right and the left atrium )
which are stimulated by this electrical activity to contract and press blood into the lower chambers which are the ( right and left ventricles )

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6
Q

Contraction of these ventricles are ?

A

Second phase
Which receive an electrical impulse and then press blood up into the pulmonary arteries and into the aorta

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7
Q

Conduction of the heart ?

A

The electrical impulse from SA node
atria to AV node (Called conduction)

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8
Q

The electrical simulation of the muscle cells of the atria causes them to contract is ?

A

Atrial kick

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9
Q

Depolarization ? ( Systole)

A

The cell membrane permeability to Na
increases
Rapid influx of Na occurs
Potassium moves out of the cell

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10
Q

Repolarization: (Diastole)

A

Cells return to the resting state
Na leaves the cell & potassium returns

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11
Q

What is p wave , QRS , ST , T and U ?

A

Atrial depolarization
Ventricular depolarization ( 0.05 to 0.10 sec)
ventricular repolarization
ventricular diastole
repolarization of purkinjee fibers

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12
Q

Normal Sinus Rhythm ?

A

Ventricular & atrial rate : 60-100 in adult.
* Ventricular and atrial rhythm : Regular
* QRS shape and duration : regularly normal
* P wave : always in front of the QRS
* PR interval :- consistent interval between 0.12 and 0.20 sec
* P QRS ratio= 1:1

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13
Q

Ventricular& atrial rate is < 60 in adult is considered as ?

A

Sinus bradycardia

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14
Q

Ventricular rate > 100 but < 120 is considered as ?

A

Sinus tachycardia

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15
Q

ECG in radiology ?

A

Scan the heart when the heart is at rest between actual heart beats

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16
Q

Used to compare resting tracings with those obtained under the stress of physical exercise

A

ECG stress test

17
Q

when there’s a lot of urea and kidney is not functioning well is called ?

A

Blood Urea Nitrogen (BUN)

Which means above 21 kidneys are (struggling to function) and above 50 (means renal failure)

18
Q

What is a chemical by product of metabolism in the muscles ?

A

Creatinine which it is circulated through the blood and filtered by the kidneys

Above 1.5 – kidneys are not functioning adequately to filter out (normal 0.7 -1.5)

19
Q

What another value that can be calculated from creatinine ?

A

Glomerular Filtration Rate (GFR)

20
Q

What is GFR ( Glomerular Filtration Rate ) ?

A

estimates the rate at which the kidneys, as the glomerulus are filtering waste from the
blood.

Below 90 which kidneys are not functioning adequately to filter out
Normal : 90-120

21
Q

What are non protein nitrogenous waste products ?

A

BUN and creatinine

22
Q

What is byproduct of protein metabolism ?

A

Serum urea nitrogen ( BUN)

23
Q

Blood Clotting Assessments ?

A

Is involved in the mechanism of forming blood clots

24
Q

Platelet function test is known as ?

A

The Ivy bleeding time

25
Coagulation tests known as ?
The prothrombin time (PT) and partial thromboplastin time (PTT)
26
Prothrombin Time ( PT) ?
If the PT is higher than 13.5, that might mean that the patient’s blood is not clotting adequately ( Normal : 11- 13.5 s )
27
Partial thromboplastin ( PTT) ?
Which measures blood coagulation time ( in seconds) The normal range is 25 to 35 seconds. Just like the PT, a high PTT is a contraindication for interventional procedures ( uncontrolled bleeding)
28
Is a related lab value and measured as coagulation tendency of blood?
INR ( International normalized Ratio ) Goal of it : is to ensure that the patient’s blood clotting is adequately Normal INR is 0.8 to 1.2
29
Which test evaluates the number of platelets in the blood and the body’s clotting activity?
Platelets ( Normal 150,000 -400,000 ) A high count could represent clotting disorders a low count indicate the potential for bleeding disorders
30
What is used to determine the presence and extent of infectious ?
Erythrocyte Sedimentation Rate
31
Is a form of sugar ( blood sugar) ?
Glucose A high glucose level is called hyperglycemia ( 250 mg /dL ) Low glucose is called hypoglycemia ( Below 70 mg/dL )
32
Is measurement family of cholesterol- containing substances called ?
lipoproteins
33
2 types of lipoproteins ?
high-density lipoprotein (HDL) Good cholesterol and greater than 60 mg/dl Low-density lipoprotein (LDL) ( Risk factor) bad cholesterol and greater than 160 mg/dl
34
Assessment that measures the amounts of waste products from the breakdown of hemoglobin ?
Serum Bilirubin (may indicate in liver disease)