NHA Mod 3 Flashcards
vitals are key indicators of what
homeostasis
what factors can cause changes in vitals
stress, food/liquid intake, medical conditions, age, physical activity
list information apart of pt’s demographic
- name
- address
- phone number
- insurance info
- emergency contact
define MEDICATION RECONCILIATION
comparing pt’s list of meds to medical record to reduce risk of incorrect prescription, med interactions, & adverse reactions
when should medication reconciliation happen
every time pt is in office
what is included in administrative section of pt health record?
- pt info/demographics
- financial & insurance info
- correspondence
what is included in clinical section of pt health record?
- past medical/family/social history
- occupation
- orders/referrals
- clinical data
- progress notes
- diagnostic imagining info
- lab info
- medications/allergies
purpose of Patient Health Questionnaire-2 (PHQ-2)?
focus on pt’s frequency of depressed mood over 2 weeks
purpose of Patient Health Questionnaire-9 (PHQ-9)?
used of PHQ-2 is positive and asks additional questions to see if pt meets criteria for depressive disorder diagnosis
what is used on older adults for dementia/other degenerative disorder evaluation?
mini-mental examination
list common symptoms of depression
- difficulty going to sleep/staying asleep/getting up
- profound sadness & fatigue
- change in appetite
- loss of energy
define “white coat syndrome”
anxiety related to seeing health provider for evaluation
what is the purpose of the GAD-7 questionnaire?
screen patients for general anxiety
list common symptoms of anxiety
- heightened ability to observe/make connections
- difficulty focusing on details
- sense of panic
- irritability
- feeling cold/sweaty
- shortness of breath
- heart palpitations
List and describe the different phases of the Korotkoff sounds
- I: sharp tapping
- II: swishing
- III: knocking
- IV: muffled
- V: sound disappears
what phases of Korotkoff sounds are used for manual blood pressure
phase I & V
what is used during palpatory BP
palpation of brachial pulse
T/F: BP rises with age
true
list factors of BP
- age
- internal conditions
- external influences
- BP
- blood volume
- peripheral resistance
- condition of heart muscle
how does blood volume affect BP
increased blood volume increases blood pressure; decreased blood volume decrease blood pressure
how does peripheral resistance impact BP
smaller lumen = increase in BP
how does overall condition of heart muscle impact BP
overworked & weak –> can’t contract –> pressure increase in vessels to maintain adequate blood circulation
What are some reasons for error while doing BP
- limb w/cuff above heart
- cuff bladder not completely deflated
- pressure released too rapidly
- pt nervous/anxious
- pt drank coffee/smoked cigarette within 30 min
- cuff applied improperly
- cuff too large/small/tight/loose
- bladder not centered over artery/bulges from cover
- fail to wait 1-2 minutes between measurements
- instrument is defective
what limb should you use for a pt that has a one-sided mastectomy
use the arm on side not impacted by mastectomy
what limb should you use for pt that has bilateral mastectomy
leg
what limb should you use for pt that has lymphedema [arm]
leg
what limb should you use for pt that has dialysis fistula
use arm not affected
what is expected BP range for newborns
67-84/35-53
what is expected BP range for infants
72-104/37-56
what is expected BP range for toddlers (1-2 yrs)
86-106/42-63
what is expected BP range for preschoolers (3-5 yrs)
89-112/46-72
what is expected BP range for school-age kids (6-9 yrs)
97-115/57-76
what is expected BP range for preadolescent kids (9-11 yrs)
102-120/61-80