Vitals
My measurement is 103/70
I am a normal blood pressure
What area should smoking be documented in the chart?
Social History
Name a 4 systems and a disease to match
Endocrine- Diabetes-Cushing Syndrome
Urinary- CKD, UTI, Renal Calculi
Muscular- Myalgia, Muscular Dystrophy, Arthritis
Respiratory- Asthma, Bronchitis, Rhinitis
Nervous-System- Alzheimer, Shingles, Sciatica
Integumentary- Eczema, Skin cancer, Dermatitis, Cellulitis
What are the routes of medication administration?
Intradermal
Intramuscular
Orally
Subcutaneous
Intravenous
Topical
Vaginal or rectal
What type of question are these questions?
A. Can you describe your symptoms?
B. Do you have broken finger?
A. Open
B. Closed
Name 3 other screenings included in Vital Signs
1. Tobacco Screenings
2. Alcohol Screenings
3. HIV Screenings
4. Depression Screenings
What is objective information and tell 2 identifiers?
1. Blood pressure
2. Heart rate
3. Weight
4. EKG Strip
What does ML, QD, BMI, SQ, IM, BID, DNR mean?
Milliliter, every day, basal metabolic index, subcutaneous, intramuscular, twice daily and do not resuscitate.
Forms of medication and its route
drops - nasal, otic, ophthalmic
Patches-topical
injectable liquid, IM, SQ, IV
Elixir, oral
Aerosol-Inhalation
Foam- Vaginal
Forms of communication and an 2 examples
Verbal - written and words
Non-Verbal- gestures, facial expressions, eye contact
Factors that can influence blood pressure.
1. Condition of the heart
2. Increase or Decrease in blood volume
Name signs of increased anxiety or depression.
1. Inability to focus (anxiety)
2. Shortness of breath (anxiety)
3. Heart palpitations (anxiety)
4. A sense of panic (anxiety)
5. Change in appetite (depression)
6. Profound sadness (depression)
7. Difficulty sleeping (depression)
Name scans used to detect disease processes and they are obtained.
x-ray
CT scan
MRI
Ultrasound
Nuclear Medicine
What is the common measurement used in prescription doses and is it is important to be able to convert?
Metric and because most at home doses in metric.
What are two types of consent and describe?
Informed consent explained to patient and signs forms
Expressed Consent given by oral or written you ask a patient if this procedure is ok to start
Implied Consent signs actions or conduct of patient
Common Errors of troubleshooting blood pressure readings.
1. Air leakage
2. Failure to wait 1-2 minutes between readings
3. Nervous or anxious patient
4. Arm position above or below the level of the heart
5. Cuff applied improperly, released to fast
6. Patient drank or smoke within 30 minutes of taking blood pressure
Name areas to obtain pulse.
1. Temporal
2. Carotid
3. Radial
4. Femoral
5. Popliteal
6. Posterior Tibial
7. Brachial
Name Vitamins and a benefit for extra 100 points
Vitamin- A -Vision D- Bone and Tooth Health E- Protection of cells - K-Blood clotting B1- Carbohydrate metabolism B12- Protein and fat metabolism C- Iron absorption, immunity
ST. JOHN WORT, MELATONIN (SLEEP REGULATION), BLACK COHOSH (RELIEF OF MENOPAUSE SYMPTOMS), GINGKO BILBOA(MEMORY)
How much does - 15 gtt =
1 teaspoon
1 tablespoon
1 fluid ounce
1 cup
1ml, 5ml, 15ml, 30ml, 240ml
What is the legal document naming a health care proxy?
Durable Power of Attorney
Contraindication to taking blood pressure in the wrong limb.
1. Mastectomy
2. Bilateral Mastectomy
3. Lymphedema
4. Dialysis fistula
Name normal pulse rate for infant and toddler
infant 1-2 yr 100-180
child 6-15 75-118
Adolescent and older 60-100
Preschool 3-5yr 80-100
How much of the Human body is made up of water and name the six primary nutrients?
Male 65%, Female 60%
carbs, protein, fats, minerals and vitamins, water
Name 5 medication class and a drug within it
Antipsychotic- Haloperidol
Antipyretic-Tylenol
Antitussive-Guaifenesin
Anxiolytic- Clonazepam, diazepam
Contraceptive-Medroxyprogesterone Acetate
Diuretic-furosemide, hydrochlorothiazide
Laxative-Docusate, Bisacodyl
Oral hypoglycemic- Metformin, glyburide
Hypnotic- Zolpidem, temazepam
Name 4 professional codes of ethics
Nonmaleficence- do no harm
Beneficence- doing the most good
Justice- what is consistent and fair to all
Autonomy- the ability to act and think in your own best interest