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CET > Mod 1 - Safety, Compliance, & Coordinated Pt Care > Flashcards

Mod 1 - Safety, Compliance, & Coordinated Pt Care Flashcards

1
Q

define HOLTER MONITOR

A

portable batter-operated device that continuously monitors heart activity for at least 24 hrs

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2
Q

aka: holter monitor

A

ambulatory monitor

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3
Q

define EVENT RECORDER

A

form of outpatient cardiac testing involving pt triggering machine to record when experiencing cardiac symptoms

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4
Q

define SAFETY DATA SHEET (SDS)

A

documentation provided by manufacturers of potentially harmful substances that list chemical components, associated hazards, & treatment in case of exposure

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5
Q

what is considered elevated BP

A

120-129/<80

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6
Q

what is considered stage 1 hypertension

A

130-139/80-89

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7
Q

what is considered stage 2 hypertension

A

> 140/>90

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8
Q

what is considered hypertensive crisis

A

> 180/>120

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9
Q

what is healthy BP

A

< 120/<80

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10
Q

when is the brachial pulse most often used

A

when finding pulse on children

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11
Q

what are factors of pulse

A

rate, rhythm, volume

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12
Q

define a thready pulse

A

faint/difficult to detect

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13
Q

define a bounding pulse

A

very strong

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14
Q

what can affect pulse rate

A

age, activity level, fitness level, emotions, position, size, medications, environment temp, illness

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15
Q

what is the avg heart rate for newborns (birth-1month)

A

120-160

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16
Q

what is the avg heart rate for infants (1-12months)

A

80-140

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17
Q

what is the avg heart rate for toddlers (1-3 years)

A

80-130

18
Q

what is the avg heart rate for preschoolers (3-5 yrs)

A

80-120

19
Q

what is the avg heart rate for elementary kids (6-15 yrs)

A

70-100

20
Q

what is the avg heart rate for adults (>15 yrs)

A

60-100

21
Q

respiratory rate ___ with age

A

decreases

22
Q

what is respiratory rate for newborn

A

30-50 min

23
Q

what is the range for tachypnea?

A

> 20 min

24
Q

what is the range for bradypnea

A

<10/min

25
Q

why might respiratory ranges be abnormal?

A

acid-base imbalance, hypoxia, brain injury, organ failure, respiratory distress, illness, medication

26
Q

what is normal range for pulse ox?

A

95-100

27
Q

what might cause errors for a pulse ox?

A

cold hands, nail polish/fake nails, edema, carbon monoxide poisoning

28
Q

list signs of adequate oxygen perfusion

A
  • warm skin
  • pink mucous membranes
  • strong peripheral pulse
  • capillary refill less than 2 seconds
29
Q

low O2 rates can cause what in regards of testing

A

abnormalities

30
Q

for pt’s with chronic lung conditions & poor O2 saturation they cannot be in a full supine position can be put in this position for an EKG

A

semi-Fowler’s or other upright position

31
Q

how should the pt undress for EKG

A

undress waist up w/lower legs or ankles accessible, remove panty hose/tights, drape over front

32
Q

what should be removed from pt for EKG

A

electronic devices, conflicting jewlery

33
Q

What should you instruct the pt when preparing for EKG

A
  • remove electronics
  • lie flat supine w/head sightly elevated
  • do not touch anything that conducts electricity
  • remain as still as possible & avoid talking & moving for 10 sec while machine records
  • tell pt to tell tech of itching/swelling/redness where electrodes were
34
Q

the stress test is designed to provoke what in a controlled manner

A

myocardial ischemia

35
Q

what are potential complications of a stress test

A

hypotension, arrhythmias, myocardial infarction

36
Q

List preprocedure instructions for a stress test

A
  • avoid caffeine/decaf, tobacco, & alcohol at least 3 hours before
  • eat light meal 2 hours prior test/word of provider
  • take meds as usual unless told otherwise
  • pt w/diabetes mellitus consult primary for insulin dosage
  • wear comfortable, loose-fitting clothing & sturdy nonskid walking shoes
  • plan to be in office 2-3 hrs depending on test & provider consultation
37
Q

what should the CET tell the PT while performing stress test

A
  • skin will be cleaned & hair might be removed for electrodes on chest & BP cuff
  • notify tech of itching/swelling/redness where electrodes touch skin
  • baseline EKG taken @ rest
  • inform tech of any allergies/inhaler history
  • test will stop if fatigue/lightheadedness/ dizziness/short of breath/chest pain
38
Q

what should the CET tell the PT after the stress test

A

sit/stand still for few minutes while machine continues to record
- resume normal activities as tolerated

39
Q

what should the CET tell the PT before using a Holter Monitor

A
  • bathe before appt & avoid while being tested
  • wear loose fitting clothes & w/o a bra
  • don’t remove electrodes/leads
  • notify tech if itching/swelling/redness where electrodes were
  • continue normal schedule
  • keep journal for test
  • call 911 if serious s/s
  • return monitor
40
Q

list s/s of cardiopulmonary distress

A
  • tachycardia/bradycardia
  • pallor
  • diaphoresis (excessive sweating)
  • low BP
  • fast/labored/shallow/slow respirations
  • anxiety/confusion
  • cyanosis
  • chest pain radiating back/arms/jaw
  • chest tightness
  • short of breath
41
Q
A

CET (6 decks)

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