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Scribing > Emergency Department Course > Flashcards

Emergency Department Course Flashcards

1
Q

CBC

A

Complete Blood Count
WBC,Hgb,Hct,Plt
[H&H]

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2
Q

High WBC (Leukocytosis)

A

Infection

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3
Q

Low Hgb

A

Anemia

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4
Q

Low Hct

A

Anemia

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5
Q

Low Plt (Thrombocytopenia)

A

Prone to bleeding

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6
Q

CBC w/ Differential

A

Infection or anemia

CBC, Bands (Band Cells), Segs (Segmented Neutrophils), Lymphs,Monos,Eos (Eosinohils)

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7
Q

High Bands (Bandemia)

A

Serious Infection

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8
Q

High Segs (Left Shift)

A

Acute Infection

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9
Q

High Lymphs

A

Viral Infection

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10
Q

High Monos

A

Bacterial Infection

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11
Q

High Eos

A

Parasitic Infection

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12
Q

BMP

A

Basal Metabolic Panel, Chem-7
Electrolytes, Renal function, glucose
Na,K,BUN (Blood Urea Nitrogen), Creat,Gluc,HCO3,Cl

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13
Q

High Na (Hypernatremia)

A

Dehydration

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14
Q

Low Na (Hyponatremia)

A

Dehydration

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15
Q

High K (Hyperkalemia)

A

Poor kidney function

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16
Q

Low K (Hypokalemia)

A

May cause arrhythmias

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17
Q

High BUN

A

Renal insufficiency or failure

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18
Q

High Creat

A

Renal insufficiency or failure

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19
Q

High Gluc (Hyperglycemia)

A

High blood sugar

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20
Q

Low Gluc (Hypoglycemia)

A

Low blood sugar

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21
Q

High HCO3 (Hypercarbia)

A

Possible respiratory disease

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22
Q

Low HCO3 (Hypocarbia)

A

Hyperventialation (Possible DKA)

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23
Q

High Cl (Hypercloremia)

A

Possible dehydration

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24
Q

CMP

A

Comprehensive Metabolic Panel, Chem 12
BMP, T Prot/Alb (Total Protien/Albumin), T bill (Total billirubin), { AST(SCOT) (Aspartate Transaminase), ALT(SGPT) (Alanine Transaminase), Alk Phos (Alkaline Phosphatase) } — LFT (Liver Function Tests)

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25
Q

Low T Prot/Alb

A

Poor Nutrition

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26
Q

High T bill

A

Jaundice/Liver failure

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27
Q

High AST (SGOT)

A

Liver Damage

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28
Q

High ALT (SGPT)

A

Liver Damage

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29
Q

High Alk Phos

A

Liver Damage

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30
Q

CEP

A

Cardiac Enzyme Panel
Trop(acute MI if high),CK (Creatine Kinase), CK-MB (CK-Muscle Breakdown), CK-RI (CK-Relative Index), Myo (Myoglobin)

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31
Q

High Trop

A

Specific to heart damage

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32
Q

High CK

A

Heart damage or Rhabdomyolysis

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33
Q

High CK-MB

A

Heart damage

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34
Q

High CK-RI

A

Heart damage

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35
Q

High Myo

A

Heart damage

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36
Q

D-Dimer

A

PE considered, excreted by clots of blood
(+) Possible PE –> CTA Chest or VQ
(-) No PE

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37
Q

Respiratory Labs

A

BNP (B-type natriuretic peptide)[CHF}, ABG (Arterial Blood Gas), VBG (Venous Blood Gas)

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38
Q

High BNP

A

CHF

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39
Q

Low pH

A

Acidosis

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40
Q

High/Low HCO3

A

Metabolic problems

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41
Q

High/Low pCO2

A

Respiratory problems

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42
Q

Low pO2

A

Hypoxia

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43
Q

High pH

A

Alkalosis

44
Q

Cardiac Orders

A

CBC, BMP, CK,CK-MB, Troponin, EKG, CXR

45
Q

CSF Analysis

A

Cerebrospinal Fluid - Micro Analysis

CSF Gluc, CSF Prot, CSF RBC, CSF WBC, CSF Gram Stain

46
Q

Abnormal 1st two tubes vs. Abnormal in all 4 tubes

A

Likely contamination vs. Valid results

47
Q

COAGS

A

Coagulation Studies, Coumadin Level

PT (Prothrombin Time), INR (International Normalized Ratio), PTT (Partial Thromboplastin Time)

48
Q

High PT

A

Blood is too thin

49
Q

> 3 INR (Supertherapeutic)

A

Too much Coumadin

50
Q
A

Not enough Coumadin

51
Q

High PTT

A

Blood is too thin

52
Q

ENT Labs

A

Ears,nose,and throat

Strep,Monospot,Influenza A+B,RSV (respiratory syncytial virus)

53
Q

Pancreatic Enzymes

A

Lip,Amy

54
Q

High Lipase

A

Specific to pancreatitis

55
Q

Thyroid Labs

A

TSH, T3,T4 (usually just if admitted)

56
Q

Inflammation Labs

A

CRP (C-reactive protein), ESR or Sed Rate (Erythrocyte sedimentation rate)
Active inflammation in the body if high

57
Q

OB/GYN Labs

A

HCG (urine) (Pregnant yes or no), Serum HCG Quant (Further in pregnancy or failed)

58
Q

Pelvic Exam Labs

A

Wet Prep, GC (Gonococcus), CT (Chalamydia Trachomatis), Genital Cx

59
Q

Wet Prep

A

For Bacterial Vaginosis (BV), Trichomonas (STD), Vaginal yeast infection

60
Q

GC

A

Indicates Gonorrhea

61
Q

CT

A

Indicates Chlamydia

62
Q

Urine Dip

A

Leuks, Nit, Gluc, Blo

UTI or blood

63
Q

Positive Leuk in Urine

A

Likely UTI

64
Q

Positive Nit in Urine

A

UTI

65
Q

Positive Gluc in Urine

A

DM

66
Q

Positive Blo in Urine

A

Kidney stone

67
Q

Microscopic Urinalysis

A

WBC, RBC, Bact, Epi (more detailed)

68
Q

Sepsis Labs

A

CBC, Lactate, Blood Cx

Typically also febrile(>100.5F), tachycardic(>100 bpm), hypotensive (

69
Q

Cultures

A

BCx, UCx, Wound Cx, Stool Cx

“_____ cultures ordered, results pending”

70
Q

Toxicology Labs

A

ASA(acetylsalicylic acid), APAP (Serum acetaminophen), EtOH, UTox

71
Q

Diabetes Labs

A

Ketones (DKA), Accu-Chek (blood sugar levels)

72
Q

Medication Levels

A

[Dilantin (Serium phenytoin), Dig (Digoxin), Tegretol (Serum carbamazepine), Keppra (Serum Keppra)]–Sz
INR (Coumadin)–Blood thinner

73
Q

3 Key Labs for Efficiency

A

D-Dim, Trop, Creat

“rate limiting steps”

74
Q

X-Rays

A

CXR (PNA, PTX,CHF, Pleural effusion)
AAS/KUB (free air, SBO)
All other X-Rays (Fracture, dislocation, joint effusion)

75
Q

CT Scans

A

CT w/o, CTA - CT w/, CT A/P w/ PO

76
Q

CT w/o findings

A

Hemorrhagic or Ischemic CVA, spinal fracture, PNA, PTX, Pleural effusion, Rib fracture, Kidney stones, Pyelonephritis

77
Q

CTA - CT w/ findings

A

PE, Aortic Dissection, Hemorrhagic or Ischemic CVA, Carotid dissection, carotid occlusion

78
Q

CT A/P w/ PO findings

A

Appendicitis, SBO, Diverticulitis, Ischemic Gut

79
Q

Ultrasounds

A

US Doppler LE, US RUQ, US OB/Transvag/Pelvis, US Scrotum

80
Q

US Doppler LE findings

A

DVT

81
Q

US RUQ

A

Cholecystitis

82
Q

US OB/Transvag/Pelvis

A

IUP, Ectopic Pregnancy, Ovarian cyst, ovarian torsion

83
Q

US Scrotum

A

Testicular torsion. Testicular mass.

84
Q

Orthopedic Procedures

A

Splint Application, Joint Reduction, Arthrocentesis

85
Q

Critical Care Procedures

A

Lumbar Puncture, Procedural Sedation, Intubation, Central Line Placement, Chest Tube, Cardioversion, CPR, CPAP/BiPAP

86
Q

NSR

A

Normal sinus rhythm (60-100 bpm)

87
Q

SB

A

Sinus Bradycardia (

88
Q

ST

A

Sinus Tachycardia (>100)

89
Q

A fib

A

Atrial Fibrilation

90
Q

A flutter

A

Atrial Flutter

91
Q

Paced

A

Pacemaker is functioning

92
Q

SVT

A

Supraventricular Tachycardia

93
Q

PVC

A

Premature Ventricular Contraction

94
Q

PAC

A

Premature Atrial Contraction

95
Q

LAD

A

Left Axis Deviation

96
Q

RAD

A

Right Axis Deviation

97
Q

LAFB

A

Left Anterior Fascicular Block

98
Q

LBBB

A

Left Bundle Branch Block

99
Q

RBBB

A

Right Bundle Branch Block

100
Q

1* AVB

A

First Degree AV Block

101
Q

LVH

A

Left Ventricular Hypertrophy

102
Q

PRWP

A

Poor R Wave Progression

103
Q

ST Inc

A

Acute ST Elevation

104
Q

ST dec

A

Acute ST Depression

105
Q

NSST Delta’s

A

Non-specific ST/T changes

106
Q

Consultations

A
  1. Timestamp
  2. Name of provider being consulted.
  3. Specialty of provider being consulted.
  4. What was discussed
107
Q

Re-Evaluations

A
  1. Timestamp
  2. Re-evaluation.
  3. Pt feels (better/unchanged/worse) after ____
  4. Objective assessment or plan

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