General Patient Care Flashcards

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1
Q

patient identification

A
  • joint commission stresses two methods of identification

- full name and date of birth

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2
Q

disinfecting rooms

A
  • beginning and end of day and between patients

- sodium hypochlorite solution (1:10 dilution of bleach to water)

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3
Q

active listening

A
  • communicating verbally and nonverbally
  • asking open ended questions
  • restatement, reflection, and clarification
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4
Q

rapport and empathy

A

-sympathy leads to poor communication and burn out

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5
Q

chief complaint

A
  • subjective information
  • in patients own words
  • reason for visit
  • whats brining you in today
  • open ended
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6
Q

drug reconciliation

A
  • ask for them to bring medication list
  • every visit ask
  • also ask for allergies
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7
Q

personal and family history

A
  • prior to the first office visit
  • objective information
  • ask to update it and review
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8
Q

screening

A
  • audiometry
  • visual acuity testing
  • urinalysis
  • anthropometric
  • vital signs
  • growth charts
  • denver developmental screening test
  • scoliosis screening
  • mini-mental state examinations
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9
Q

temperature

A
  • measures metaboloism
  • pyrexia-fever
  • 98.6
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10
Q

oral temperature

A

-digital thermometer

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11
Q

aural temperature

A

-tympanic thermometer

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12
Q

temporal temperature

A

-temporal artery scanner

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13
Q

axillary and retcal temperature

A
  • determine skin and core temperature
  • rectal is 1 degree higher usually
  • axillary is 1 degree lower usually
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14
Q

heart rate

A
  • 2nd and third finger are used to palpate the pulse
  • radial pulse- thumb side of wrist (Adults)
  • brachial pulse- inside upper arm (kids)
  • carotid- neck (emergencies)
  • can be taken through palpation or auscultation
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15
Q

auscultation

A
  • another way to take heart rate
  • apical pulse is counted by listening to heart beat at apex of heart
  • also used in blood pressure
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16
Q

pulse

A
  • evaluated on rate, rhythm, or regularity, volume or strength
  • 70/min (rate), regular (rhythm), thready (strength)
17
Q

thready

A

-faint heart

18
Q

bounding

A

strong pulse

19
Q

femoral pulse

A

-strong femoral pulse can indicate circulation being sent to the lower extremity

20
Q

pedal pulse

A

-if pedal pulse is absent toe circulation is weak

21
Q

average heart rate

A
  • newborn- 120-160
  • infant- 80-140
  • toddler- 80-130
  • preschool- 80-120
  • school-age- 70-100
  • adult- 60-100
22
Q

respiration

A
  • evaluated on rate, rhythm, and depth
  • decreases with age
  • one respiration- inhale and exhale
  • newborn- 30-50
  • adult- 12-20
  • auscultations- wheezing, rales, or ronchi
23
Q

blood pressure

A
  • sphygmomanometer
  • millimeters of mercury (mm Hg)
  • systolic pressure- first noise, blood begins to surge into the artery
  • diastolic pressure- last sound, blood is flowing freely
24
Q

systolic and diastolic pressure

A

-phase 1 and 5 of korotkoff sounds

25
Q

average blood pressure

A
  • infants and children- 60/30-100/80
  • adults- 100/60-140/80
  • more than 140/90 is hypertension
  • 120-139/80-89- prehypertension
26
Q

pulse oximetry

A
  • oxygen saturation
  • noninvasive
  • infrared light
  • 95% or higher is normal
27
Q

vitals for all patients

A
  • height
  • chief complaint
  • weight
  • temperature
  • heart rate
  • respirations
  • urinalysis
28
Q

blood pressure

A

mostly taken only for adults

29
Q

head circumference

A

-children 3 years and younger