Six factors that are known to affect vital signs
stress, food intake, liquid intake, medical conditions, age, and physical activity
What does patient demographic information include?
name, address, telephone number, insurance information, and emergency contact
Information gathered from what a pt communicates. not measurable/described or experienced by the pt
Subjective data
what term reflects a pulse that is difficult or faint to detect?
thready
Fast/Rapid breathing
hyperventilation
5 causes of orthostatic hypotension
dehydration, heart disease, diabetes, some medications, and nervous system disorders.
Most common method of verifying the correct pt prior to tx?
have pt state their full name and DOB
Correspondence, financial and insurance information is found in what part of the health record ?
administrative section
What term reflects a pulse that is very strong?
Bounding
small clicking, bubbling, or rattling sounds
Rales
Difficulty going to sleep, profound sadness, change in appetite and loss of energy are signs of ?
depression
What pt identifiers are used to verify a pt for financial issues?
pt full name adn verify the last 4 digits of social security number
Social hx, medical hx and family history are found in what section of the pt chart?
Clinical section
Adolescent and older pulse ranges from ?
60-100 bpm
Excessively deep breathing
Hyperpnea
what should the CCMA write if the pt refuses to answer a question?
"pt declined to answer"
The primary reason for the office visit is called ____
Chief complaint
Information that can be observed or measured.
Objective data
Toddler pulse rate ranges from ?
98-140 bpm
Difficulty breathing unless in the upright position
Orthopnea
Difficulty focusing, irritability, feeling cold or sweaty, heart palpitations and SOB are common symptoms of ?
Anxiety
Comparing the pts list of medications to the medical record as a safety measure to reduce the risk of improperly prescribing an incorrect or contraindicated prescription is called _____________
Medication reconciliation
Social history
Term for slow respiratory rate
Bradypnea
Large airway sounds
Rhonchi