Med Terms: Charting Terms and Emergency Codes Flashcards

1
Q

Abdomen

A
  • Protuberant, distended (large and extends outward)

-Hard, rigid, distended, tympanic, taut (hard board like)

-Relaxed, flaccid (soft, flabby)

-Distended, edematous (swollen, rounded)

-Tympanic, flatulent (filled with gas)

-Pendulous (hangs down)

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2
Q

Amounts

A

-Profuse, copious (large amounts of drainage)

-Moderate (medium amount of drainage)

-Scant (small amount of drainage)

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3
Q

Back

A

-Kyphosis (hunchback)

-Lumbar region (small of back)

-Lordosis (swayback)

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4
Q

Bleeding

A

-Epistaxis (nose bleed)

-Hematuria (blood in urine)

-Hemoptysis (spitting up blood)

-Guaiac positive (positive blood in stool)

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5
Q

Breath

A

-Halitosis (unpleasant)

-Fetid (foul)

-Fruity, sweet (with sweet fruit-like odor)

-Odor of ammonia (urinous odor)

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6
Q

Breathing

A

-Respiration (breathing)

-Dyspnea (difficult breathing)

-Apnea (short periods when breathing has ceased)

-Orthopnea (inability to breathe while lying down)

-Tachypnea (rapid breathing)

-Cheyne-Stokes respirations (increasing dyspnea with periods of apnea)

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7
Q

Consciousness

A

-A&Ox3 (alert, fully conscious, oriented to date, time, place)

-Semi-conscious (only partly conscious)

-Stuporous (unconscious, but can be aroused)

-Comatose (unconscious, cannot be aroused)

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8
Q

Cough

A

-Continuous, persistent, productive, nonproductive, dry, hacking (type of cough)

-Spasmodic (occurring in spasms)

-Hemoptysis (coughing up or expectoration of blood)

-Stridulous (dead tissue)

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9
Q

Decay

A

-Tissue necrosis, necrotic (dead tissue)

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10
Q

Defecation

A

-Diarrhea (frequent liquid defecation)

-Clay or dark brown, black, yellow (color of stool)

-Liquid, soft or hard formed, watery, semi-formed, constipated, undigested food, mucoid (constituents of stool)

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11
Q

Drainage

A

-Purulent (containing pus)

-Sanguineous ( bloody)

-Serous (of lymphatic fluid)

-Mucopurulent (contains mucus and pus)

-Tenacious (tough, sticky)

-Serosanguineous (bloody, lymphatic (lymphatic))

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12
Q

Edema: swelling in extremities, after depressing for 5 seconds

A

1+ edema (indented 2mm)

2+ edema (indented 4mm)

3+ edema (indented 6mm)

4+ edema (indented 8mm)

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13
Q

Emesis

A

-Induced (produced by conscious effort of patient)

-Projectile (ejected a few feet distance)

-Hematemesis (if blood is noticeable)

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14
Q

Eyes

A

-visual acuity (sharpness of vision)

-Jaundiced (yellow in color)

-edematous (puffy, swollen)

-ptosis of lids (drooping eyelids)

-Photophobia (unusually sensitive to light)

-Diplopia (double vision)

-Strabismus (cross eye, squinting)

-Exophthalmos (abnormal protrusion of eyeball)

-Conjunctivitis (inflammation of conjunctive)

-Mydriasis, pupil dilated (dilation of the pupil)

-Myosis, pupil constricted, pin point (contraction of the pupil)

-Myopia (near-sightedness)

-Hyperopia (far-sightedness)

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15
Q

Faintness

A

-Syncope/syncopal episode (fainting)

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16
Q

Fever

A

-Afebrile (without fever)

-Pyrexia (temperature above normal)

-Hyperpyrexia (temperature greatly above normal)

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17
Q

Head

A

-Frontal region (forehead)

-Temporal region (region over temple)

-Occipital region (back of head)

-Basilar region (base of skull)

-Macrocephaly, hydrocephalus (having a large head)

-Microcephalus (having a small head)

-Parietal (top of head)

18
Q

Hives

A

-Urticaria (hives)

-Pruritus (itching)

19
Q

Joints

A

-Flexion (bending)

-Extension (to straighten)

-Rotation (revolve around)

-Abduction (move away from median line)

-Adduction (move toward median line)

20
Q

Lips

A

-Cyanotic (blue in color)

21
Q

Medicine (administration)

A

-Orally (by mouth)

-Rectally (by rectum)

-Inhalation (breathing in)

-Topically (rubbing into skin)

-Subcutaneous (under the skin)

-Intradermal (within the skin)

-Intramuscular (within the muscle)

-Intraspinal, intrathecal (within the spinal canal)

-Intravenous (within the vein)

-Intraosseous (withing the bone)

-Instillation (pouring into body cavity)

22
Q

Menstruation

A

-Menses present (if present when admitted)

-Dysmenorrhea (painful)

-Amenorrhea (total absence of)

-Menorrhagia (profuse or prolonged flow)

-Menopause (cessation of)

23
Q

Odor

A

-Offensive, foul (very unpleasant)

24
Q

Paralysis

A

-Facial (of the muscles of the face)

-Paraplegia (of the legs)

-Hemiplegia (of one side of the body)

-Monoplegia (of a single limb)

-Quadriplegia (of all 4 extremities and usually the trunk)

25
Q

Perspiration

A

-Diaphoresis, diaphoretic (large amount/profuse)

26
Q

Positions

A

-Supine (flat on back, arms straight at sides)

-Lateral (on side, knees flexed)

-Sim’s (on side with one straight leg one bent leg)

-Semi-Fowler’s 40-50 degree (head of bed semi-erect)

-Lithotomy (on back, buttocks near edge of table)

-Knee-chest (resting on knees and chest)

-Trendelenburg (on back, pelvis and legs higher that head)

-Prone (on abdomen, face turned to one side)

-Jackknife (prone with hips over break in table and feed below level of head)

-Orthopneic (Seated, leaning forward, bracing elbows on lap or on table)

27
Q

Pulse

A

-Rate (number of beats per minute)

-Regular or irregular, coupling, galloping (rhythm)

-Intermittent (beats missed at intervals)

-Rapid, fast, tachycardia (>100 beats per minute)

  • Slow, bradycardia (slow in rate <50 bpm)

-Thready, weak (only scarcely perceptible)

-Imperceptible, absent (pulseless)

-Pulse strength

0=absent, not palpable, inaudible with doppler
1+=diminished/palpable
2+=expected/normal
3+=strong/full pulse
4+=bounding, cant be obliterated

-Normal in rate and rhythm (normal)

28
Q

Skin

A

-Healthy, normal for race (normal)

-Cyanotic (blue in color)

-Extreme pallor, ashen (very white)

-Erythema (redness)

-Glossy (shines)

-Excoriation (raw surface)

-Jaundiced (yellow in color)

-Pigmented (containing colored areas)

-Abraded, denuded (scraped)

-Clammy (cold and moist)

-Mottled (splotchy r/t poor circulation)

29
Q

Speech

A

-Incoherent (not understandable)

-Rambling (meaningless, wondering)

-Slurring (words run together)

-Dysphasia (difficulty speaking)

-Aphasia (unable to speak)

30
Q

Throat

A

-Dysphagia (difficulty in swallowing)

-Aphagia (inability to swallow)

-Red, swollen, inflamed, ulcerated (other descriptive terms)

31
Q

Tongue

A

-Pink, moist, dry, cracked, swollen, inflamed, ulcerated (descriptive terms)

32
Q

Urination

A

-Voiding, micturate (to urinate)

-Incontinence (no control over urination)

-Diuresis (large amount of urine voided)

-Anuria (total suppression of urine)

-Nocturia (frequent voiding at night)

-Polyuria (increased amount voided)

-Dysuria (painful urination)

-Pyuria (pus in urine)

-Hematuria (blood in urine)

-Oliguria (scantiness of urine)

-Glycosuria (sugar in urine)

33
Q

Weight

A

-Obese (overweight)

-Emaciated, wasting (abnormal thinness)

-Cachectic (very underweight)

34
Q

Wounds

A

-Suppurating, purulent (discharging pus)

-Eschar (black or gray necrotic tissue)

-Exudate (wound drainage)

35
Q

Code Blue

A

Cardiac or Respiratory Arrest, urgent medical assistance needed

36
Q

Security alert

A

Violent behavior, Hostage situation, Lockdown, Bomb threat, Active shooter

37
Q

Sever Weather

A

Stage 1: watch for deteriorating conditions
Stage 2: Warning, close doors and windows
Stage 3: Imminent danger, evacuate to interior of building

38
Q

Internal Event

A

Usually indicates utility failures may need to evacuate certain areas

39
Q

External Event

A

Usually involving multiple casualties.
Hospital will prepare for influx of multiple patients and mass casualty protocols will be enacted

40
Q

Fire

A

location will be announced, as well as an “All Clear” announcement after fire has been put out.
Follow R.A.C.E. and P.A.S.S. methods for safety of pt’s and employees.

41
Q

Missing Adult/Child/Infant

A

last seen location, approximate age, and clothing will be announced.
-Remember things like
-Clothing
-Age
-Direction of travel
-What time they left the building

Not allowed to physically keep someone from leaving building, but take note of suspicious individuals.