Unit 2 Flashcards
Health care provider who practices either in collaboration with or under supervision of a physician.
Ex: Nurse practitioner
Clinical nurse specialist
Physician Assistant PA
Non-Physical Practitioner
Non-Physical Practitioner
Health care provider who practices either in collaboration with or under supervision of a physician.
Ex: Nurse practitioner
Clinical nurse specialist
Physician Assistant PA
Primary Care Physician (PCP)
A specialist physician trained to work in the front line of a healthcare system and provide care for any health problems that a patient may have.
A specialist physician trained to work in the front line of a healthcare system and provide care for any health problems that a patient may have.
Primary Care Physician (PCP)
Pediatrician
A specialist physician who provides medical care to infants, children and adolescents.
A specialist physician who provides medical care to infants, children and adolescents.
Pediatrician
Medical History
Record of past and current health (habits, lifestyle and family history of illness)
Record of past and current health (habits, lifestyle and family history of illness)
Medical History
Chief Complaint
The patient’s description of what they feel; the main health problem
The patient’s description of what they feel; the main health problem
Chief Complaint
Physical Signs
Observable signs of illness (rash, coughing or fever)
Observable signs of illness (rash, coughing or fever)
Physical Signs
Symptoms
Any subjective evidence of disease a patient perceives, such as aches, nausea, or fatigue.
These allow the healthcare provider to narrow down the possible conditions that may be affecting the patient and then run tests to make a diagnosis.
Symptoms
Diagnosis
The process of determining which disease or condition explains a person’s symptoms
The process of determining which disease or condition explains a person’s symptoms
Diagnosis
How long does a doctor have on average to make a diagnosis?
15-20 minutes
outward behavior or bearing
Demeanor
Four ways to effectively interview a patient
- Rapport: conversation friendly
- Make eye contact
- Listen: question one at a time
- Respectful, openminded and no assumptions
Tact
Discretion and sensitivity in dealing with others.
Empathy
The ability to understand and share the feelings or another person
Explain what vital signs are using etiology in your answer
basic bodily functions such as pulse rate, temperature, respirations, and blood pressure (BP).
tool that allows one to hear sounds more clearly
Stethoscope
measures weight
Scale
measures the force of blood moving through the vessels
Sphygmomanometer
Measures how tall a person is from top of the head to the bottom of the feet
tape measure
measures the amount of oxygen in the blood
pulse oximeter
measures degree of body heat
Therometer
number of heart beats per minute
pulse
ratio of height to weight
Body Mass Index (BMI)
used to measure the number of breaths or beats per minute
Timer
Abbreviation
LPN
Licensed Practical Nurse
Abbreviation
RN
Registered Nurse
Abbreviation
NP
Nurse Practitioner
Training LPN
High School diploma; graduation from LPN program
Training RN
Bachelor of Science of Nursing (BSN)
Training NP
Bachelors and Masters or Doctorate beyond RN
Duties LPN (2)
Records Patient history
Takes vitals
gives injections
Duties RN (5)
Maintain records
gives meds
orders and interpret test
start IVs
educate patients
Duties NP (3)
Collects samples
create treatment plans
documents symptoms
Who does LPN work under?
RN
Who is the medical writer and editor
RN
Who provides many of the same services that a doctor provides?
NP
LPN average pay
$43,000-$64,000
RN average pay
$42,000-$120,000
NP average pay
$72,000-130,000
How is an eye exam done, and what tool/instrument is used?
External anatomy examined
hand held device: ophthalmoscope (look inside the eye)
Hand held tool/instrument to look inside the eye
Ophthalmoscope
Any markings or deformity of the cornea which can signal injury
Corneal Abrasion
Corneal Abrasion
Any markings or deformity of the cornea which can signal injury
a change in color or appearance of the retina which can signal disease
can be caused by many disease, but Retinitis Pigmentosa (RP) a genetic disease can lead to visual changes
Otoscope
a tool/instrument with light and magnifying glass to look inside the ear
a tool/instrument with light and magnifying glass to look inside the ear
Otoscope
Acute otitis media
Infection and inflammation of the middle ear causing pain and diminished hearing
Infection and inflammation of the middle ear causing pain and diminished hearing
Acute otitis media
On exam, redness or bulging of the eardrum often accompanied by fluid behind the eardrum signaling infection (Objective signs of what)
Acute otitis media
What tool/instrument is used to examine the nasal passages the doctor has the patient say “ahh” to observe the anatomy of the throat.
Otoscope
Symptoms of Strep Throat
Sever sore throat
Painful Swallowing
Red and inflamed tonsils and uvula
Fever
Body aches
Swollen lymph nodes in the neck
Sever sore throat
Painful Swallowing
Red and inflamed tonsils and uvula
Fever
Body aches
Swollen lymph nodes in the neck
Strep Throat
one symptom is characteristic white patches of infected tissue on the tonsil surface
Strep Throat
Inflammation of the tonsils caused by viral or bacterial infection
Tonsilitis
Has similar symptoms to Strep Throat
Tonsilitis
Heart: consistent rhythm and a good strong sound
Normal heart sounds
Sounds of a heart murmur
Wooshing sound either at the beginning or end
Wooshing sound either at the beginning or end
Heart Murmur
Woosh then a bum bum and sounds weak
Mitral Valve Regurgitation
Sound of Mitral Valve Regurgitation
Whoosh then bum bum and sounds weak
Sound of normal/clear lungs
Clear woosh of air with each inhalation and exhalation
Describe Wheezing
Whistling sound
What causes wheezing
Mucus narrowing the airways
Wheezing is associated with what disorder
Asthma
What do crackles/Rales sound like?
Short and intermittent clicking, rattling or popping sounds
Short and intermittent clicking, rattling or popping sounds
Crackles/Rales
What causes Crackles/Rales
Fluid fills alveoli
Associated with asthma
Mucous in the airways
Sound associated with pneumonia
Crackles/Rales
Associated with pneumonia
Fluid filled alveoli
harsh shrill sound similar to wheezing
Stridor
What does Stridor sound like
Harsh shrill sound similar to wheezing
What is diagnosis associated with a partially blocked windpipe (trachea)
stridor
Associated with Stridor
Allergic reaction
Sound of Rhonchi
Low pitched rumbling, gurgling usually goes away briefly after coughing
Low pitched rumbling, gurgling usually goes away briefly after coughing
Rhonchi
What happens in the lungs with rhonchi
Bronchi or bronchioles narrow
Associated with Rhonchi
Bronchiectasis
Sound associated with Bronchiectasis
Rhonchi
Scientific name for White Blood Cells (WBC)
Leukocytes
Scientific name for platelets
Thrombocytes
Common name for Leukocytes
White Blood Cells (WBC)
Common name for thrombocytes
Platelets
Scientific name for Red Blood Cells (RBC)
Erythrocytes
Common name for Erythrocytes
Red Blood Cells (RBC)
The liquid part of blood
plasma
Cells that active the immune response
White Blood Cells (WBC)
Leukocytes
Cells that carry oxygen
Red blood cells (RBC)
Role of the leukocytes
Active the immune response
Role of the Erythrocytes
Carries oxygen
Two Careers related to blood
Phlebotomist
Hematologist
Phlebotomist
Medical professional that is trained to draw blood from patients who require testing or is donating blood
Medical professional that is trained to draw blood from patients who require testing or is donating blood
Phlebotomist
Hematologist
Doctor that specializes in the research, diagnosis, treatment and prevention of blood disorders
Doctor that specializes in the research, diagnosis, treatment and prevention of blood disorders
Hematologist
Where do hematologist work
Hospitals, labs, clinics or blood bank
What vessels are used for blood draws and why
Veins because they are more superficial than arteries
Which vein is the most commonly used vein for a blood draw
Median cubital vein commonly called the antecubital vein
Why is the median cubital vein (antecubital vein) most commonly used for blood draws
It is extremely large and is often easily seen and felt
what is plasma
liquid part of the blood
Three thing to do before blood draw to make the patient feel comfortable
Greet the patient and introduce yourself
Confirm the patient’s name and test
Allergies and medications
T/F Remove the tourniquet AFTER you have removed the needle from the arm?
False
What are bloodborne pathogens?
Disease one can get from the blood
What are PPEs
Things phlebotomist uses to protect themselves from bloodborne pathogens such as gloves and face shields.
When/why is a complete blood count (CBC) ran?
It’s part of a routine exam or if there are signs or symptoms that may indicate a potential condition impacting blood cells.
Test ran as part of a routine exam or if there are signs or symptoms that may indicate a potential condition impacting blood cells
complete blood count (CBC)
Five components measured in a CBC
White Blood Cells (WBC)
Red Blood Cells (RBC)
Hemoglobin (Hgb)
Hematocrit (HCT)
Platelets
Cells that fight infection
WBC
Cells that carry oxygen from the lungs and deliver it throughout the body
RBC
This allows RBCs to pick up oxygen from the air and deliver it to the body
Hemoglobin (Hgb)
Abbreviation for Hemoglobin
Hgb
Abbreviation for hematocrit
HCT
What is the measure of proportion of RBCs to plasma
Hematocrit (HCT)
Bits of cells that help with clotting
Platelets
see chart of normal range for CBC
What does it mean if low WBC count
Viral infection is preventing bone marrow from making new WBCs
What cell is involved when one has a viral infection preventing bone marrow from making new cells
WBCs
Diagnosis with low RBC count
Anemia causing tiredness, shortness of breath and weakness
What cell is involved with anemia causing tiredness, shortness of breath and weakness
RBCs
Low Hemoglobin (Hgb) is
Not enough healthy cells carrying oxygen to the body’s tissues
What is low if there are not enough healthy cells carrying oxygen to the body’s tissues
Hemoglobin (Hgb)
Five common reasons for low Hematocrit (HCT)
Low levels of RBCs (anemia)
Loss of Blood
Iron deficiency
Bone marrow problems such as Sickle Cell
What part of blood is low
Low RBCs (anemia)
Loss of Blood
Iron Deficiency
Bone marrow problems
Hematocrit (HCT)
Low platelet count results in
thrombocytopenia: trouble clotting
Thrombocytopenia: trouble clotting is the result of
low platelet count
Symptom of Thrombocytopenia
trouble clotting blood
Three causes of high WBC
Infection
Inflammation
Leukemia
What cell is involved in
Infection
Inflammation
Leukemia
High WBC
High RBC count results in
Limited oxygen supply due to heart or other condition triggering need for extra RBCs
What cell involve in limited oxygen supply due to hear or other condition triggering need for extra oxygen
RBCs
High Hemoglobin (Hgb) results in
low oxygen levels in the blood; common reasons bone marrow disease or congenital heart disease
What part of the blood would be high levels with low oxygen levels in the blood; common reasons bone marrow disease or congenital heart disease
Hemoglobin (Hgb)
What are common reasons for low oxygen levels in the blood?
Bone marrow disease congenital heart disease
What does high hematocrit (HCT) mean
more RBCs than is considered healthy; maybe caused by heart disease, dehydration, scaring or thickening of the lungs
More RBCs than are considered healthy, high hematocrit (HCT) maybe caused by
heart disease, dehydration, or scaring or thickening of the lungs
What blood part test high with heart disease, dehydration or scaring or thickening of the lungs
Hematocrit (HCT)
What is causes of high platelet count
Cancer such as lung, ovarian, gastrointestinal or breast
What part of the blood will test high with cancer?
Platelet
A way for individuals to remotely access health related services using technology rather than in person contact.
Telehealth
The goal of Telehealth
to make it easier for a patient to connect with a health care provider
Ways telehealth is used
*Drones to deliver medication to disaster zones
*smart phones alert about disease in the area
*smart phones direct patients to take medications or vaccines
*Doctors connect virtually to patients
Who can benefit from telehealth
Someone who is unable to come in to the clinic or those in other countries
Cellular Respiration
Chemical reactions the cells use to create energy (ATP)
Where does cellular respiration occur
Mitochondria
The energy produced by the cells are (3)
biomolecules
large molecules
macromolecules
Where are mitochondria most prolific?
Muscle cells and sperm cells
Why are more mitochondria found in the muscle cells and sperm cells?
They have a greater requirement for energy
The basic energy source (chemical energy) to help maintain the cellular metabolism and act as a stimulus to make the cells more effective in their function
Nucleotides
Compounds such as sugar starch and cellulose
Carbohydrates
A primary source of energy for the cells
Carbohydrates
A secondary source of energy for cells
Lipids
One of a family of compounds including fats, phospholipids, and steroids that is insoluble in water
Lipids
A biomolecule made of building blocks called amino acids
Protein
determined by a cell’s nucleic acid sequence
Protein’s form and function
Last resort of energy for the cell
Protein
Biomolecules that carry the instructions for producing proteins
Nucleic acids
Examples of Nucleic acids are
DNA
RNA
Not a source of energy
Nucleic Acids
Carbohydrates are metabolized in the digestive system to form _________
to produce ______________.
glucose
energy
A hormone released by the pancreas.
Insulin
Function of insulin
Allows the cells to absorb glucose to utilize energy
Who is most at risk for Type 1 Diabetes?
Juvanials
Who is most at risk for Type 2 Diabetes?
Adults especially obese individuals