Patient Care & Education Flashcards
A full-body monitoring set-up would be considered a ___ procedure. (High risk, medium risk, or low risk)
Full body monitoring is high risk
Pulse oximetry during a routine office visit would be considered a ___ procedure. (High risk, medium risk, or low risk)
Low risk
Does the patient have a right to receive an explanation of their bill?
Yes
The right to refuse medical treatment refers to the right of the patient’s ___.
Autonomy
The polysomnography measures the function of several organs.
What measures the eyes?
What measures the muscles?
Eyes: EOG Electrooculography
Muscles: EMG Electromyograph
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A polysomnogram must include two things. What are they?
Time in minutes and percentages the patient spends in each sleep stage.
What is the name of the scale used to aid in determine a patient’s level of daytime sleepiness?
Each question on the scale asks questions ranging from __ to __. (Each question, not total score.)
The Epworth Sleepiness Scale
Ranges from 0 to 3.
Higher numbers indicate more sleepiness.
Epworth Sleepiness Scale: What numbers indicate
lower normal daytime sleepiness?
0-5
Epworth Sleepiness Scale: What numbers indicate
higher normal daytime sleepiness?
6-10
Epworth Sleepiness Scale: What numbers indicate
mild excessive daytime sleepiness?
11-12
Epworth Sleepiness Scale: What numbers indicate
moderate excessive daytime sleepiness?
13-15
Epworth Sleepiness Scale: What numbers indicate
severe excessive daytime sleepiness?
16-24
What does STOP BANG stand for?
STOP BANG is a screening tool but may give a high false positive rate
(You just have to say the first word)
Snoring at night
Tired feeling or fatigued during the daytime
Observed Choking or gasping in sleep
Pressure- Do you have/are being treated for high BP?
BMI 35 kg / m2
Age older than 50
Neck size large (Males 17 inches Females 16 inches
Gender- male
STOP BANG: High risk of sleep apnea if you answer yes to __ total questions
Yes to 5 or more questions
What is the normal heart rate while asleep?
40-90 BPM (Not 60-100)
What is a forensic patient?
A patient from prison or jail. Must be in restraints all night.
What should you remember about patients taking medications before going to sleep in the sleep lab?
Some medications have a stimulant effect.
What should you remember about patients with asthma taking their medications before going to bed?
Steroids and beta agonists have a stimulant effect and may interfere with sleep.
What does the suprachiasmatic nucleus (SCN) do and where is it located?
It is the pacemaker for the circadian rhythm. It’s located in the hypothalamus. (It’s affected by light.)
If there is a decreased amount of dopamine in the brain, how will that affect sleep?
If there is less dopamine in the brain, then the patient will get less sleep.
What’s the difference between a high-risk procedure and a low-risk procedure? (Think consent)
A high-risk procedure requires written consent. A low-risk procedure requires only verbal consent.
What type of claims does the NBRC’s Judicial and Ethics committee investigate?
Falsified credentials/educational documents Unacceptable practice (bad behavior) Altered exam scores
STOP BANG: High risk of sleep apnea if you answer yes to __ of STOP question + BMI ___ or greater.
Yes to 2 STOP questions and BMI 35 or greater
STOP BANG: High risk of sleep apnea if you answer yes to __ of STOP questions + neck circumference of ___ in males or ___ in females
Yes to 2 STOP questions and neck circumference
17 inches / 43 cm males, 16 inches / 41 inches females
