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Scribe Training > Last minute learning > Flashcards

Last minute learning Flashcards

1
Q

RA

A

Room air

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2
Q

NC

A

Nasal Cannula (100% 2L NC)

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3
Q

FM

A

Facial Mask 6-15 LPM O2

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4
Q

NFM

A

Non-rebreather Facial Mask with bag attached 10-15 LPM

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5
Q

CPAP

A

Continuous Positive Airway Pressure

air is continuously let in

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6
Q

BiPAP

A

Biphasic Positive Airway Pressure ‘

Machine alternates in letting air in and out

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7
Q

BVM

A

Bag Valve Mask

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8
Q

ETT

A

Endotracheal Tube

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9
Q

Aspirate

A

Inhale Vomit

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10
Q

Heparin

A

Anticoagulation med

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11
Q

Ottitis Externa

A

Outer Ear Infection

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12
Q

RSI

A

Intubation

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13
Q

HIPAA

A

Health Insurance Portability & Accountability Act ; protects private health information of patients

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14
Q

PHI

A

Protected Health Information

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15
Q

HITECH

A

Health Information Technology for Economic and Clinical Health Act; it addresses the security and privacy concerns with electronic transports of HPI

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16
Q

Hospitalists

A

Personels that care for a hospitalized pt

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17
Q

E & M

A

Set of Criteria that determine how a physician will be reimbursed for the provided care

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18
Q

Level 5

A

The highest level of billing

19
Q

Down-coded

A

When a physician is reimbursed for a lower level of care due to inadequate documentation

20
Q

Caveat

A

A disclaimer

21
Q

Core Measures

A

A national standard among EP that determines the level of care and documentation required for each diagnoses or complaint

22
Q

DC’d

A

Discharged

23
Q

Hct

A

Hematocrit

24
Q

CBC Components

A

WBC
Hbg
Hct
plt

25
Q

BMC

A

Basic Metablic Panel

includes:
1. Creat (creatinine): indicative of renal efficiency or failure if high; is taken before any CT
2. Na (sodium): high or low levels indicate dehydration
3. K: if high, indicative of poor kidney function/if low, indicative of possible arrhythmia
4. Cl: if high, indicative of dehydration
5. BUN (Blood Urea Nitrogen): if high, indicative of renal insufficiency or failure
6. HCO3: if high, indicative of respiratory distress; if low, hyperventilation follows
7. Gluc: if high, hyperglycemia/ if low, hypoglycemia

26
Q

CMP

A

Complete Metabolic Panel

27
Q

CEP

A

Cardiac Enzyme Panel
Trop (troponin): if high, indicative of heart damage
CK (Creatine Kinase): if high, indicative of damage or rhabdomyolysis
CK-RI (CK-Relative Index): if high, indicative of damage
CK-MB (CK-Muscle Breakdown): if high, heart damage
Myo (Myoglobin): if high, heart damage

28
Q

D-Dimer

A

Protein Excreted by blood clot, is ordered if there is concern for PE; if negative, rule out PE, if positive, order CT or VQ scan to check for PE

29
Q

Coags

A

Coagulations factors; if too high, blood is too thin

30
Q

TSH
T3
T4

A

Thyroid Stimulating Hormone
Triiodothyronine
Thyroxine

31
Q

Lip

Amy

A

Lipase

Amylase

32
Q

HCG

A

if +, pregnant

33
Q

URINE DIP

Leuks
Blo
Nit
Gluc

A

Leukocyte esterase –UTI
Blood–Kidney Stone Vs. UTI
Nitrite—UTI
Glucose—DM

34
Q

UA

A

Bact: Bacteria—>UTI
WBC—>UTI
RBC—Kidney Stone Vs. UTI
Epi (Epithelial Cells)—Contaminated

35
Q

Cx

A

Culture

36
Q

Sepsis Lab

A

WBC—>Sepsis
Blood Cx—BCx—>Positive growth—>Sepsis
Lactate (lactic Acid)—High—sepsis or cell death

37
Q

UTox

A

Urine Drug Screen

38
Q

EtOH

A

Serum Ethanol Alcohol

39
Q

APAP

A

Acetaminophen

40
Q

ASA

A

Acetylsalicylic Acid

41
Q

Meds for MI

A

ASA,
NTC,
B-Blocker
Heparin

42
Q

Sz Meds

A

Keppra,
Tegretol
Neurontin
Depakote

43
Q

KUB

A

Kidneys, Ureters, Bladder

44
Q

Cardioversion

A

Used to defibrilate pt to NSR

Scribe Training (9 decks)

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