clinical affil vocab

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shmvii
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183312
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clinical affil vocab
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2012-11-12 22:31:53
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clinical affil vocab
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clinical affil vocab
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  1. hepatic steatosis
    • fatty liver
    • usually not harmful itself, but inticates some other problem (alcoholism)
    • In fatty liver, large droplets of fat, containing mostly triglycerides, collect within cells of the liver. The condition is generally not painful and may go unnoticed for a long period of time. In severe cases, the liver can increase to over three times its normal size and may be painful and tender.
    • Often, there are no symptoms associated with fatty liver. If there are symptoms, they can include pain under the rib cage on the right side of the body, swelling of the abdomen, jaundice, and fever. Symptoms that occur less often in alcoholic fatty liver, but more often in pregnancy related fatty liver, are nausea, vomiting, loss of appetite, and abdominal pain.
  2. EGD
    esophagogasroduodenoscopy - exam of upper digestive tract
  3. colonoscopy
    exam of lower intestinal tract or colon --- to detect and remove polyps
  4. hemicolectomy
    excision of half of colon --> anastomosis of the remainder or a colostomy
  5. HR norm
    60-100
  6. pt's on diprivan/propofol - hold or treat?
    hold -- bc creates hyptoension and apnea
  7. pt's on epinephrine/adrenaline - treat or hold?
    hold -- causes palpitations, tachycardia, anxiety, headaceh, tremor, HTN, acute pulmonary edema
  8. vasopressin/arginine/ADH - treat or hold?
    hold - excessive ADH --> hyponatremia
  9. amiodarone/cordarone - hold or treat?
    treat - safe for PT -- but may cause arrythmias
  10. poor- to good in endurance
    • poor-: sx present at rest, physical activity increases distresss, standing tolerance < 1 min
    • poor: ok at rest, light brief non-resistive activity causes trouble, standing tolerance 1-3 min
    • poor+: ok at rest, tolerates non-resistive activity 2-4min, needs frequent rest, stnading tolerance 2-4 min
    • fair-: tolerates non-resistive 5-10 min, needs rest periods, standing tolerance 5 min
    • fair: tolerates light to mod resistive activity 5-10 min, standing tolerance 5 min
    • fair +: 20-30 min tolerance of light resistive activity w minimal fatigue, standing tolerance 15 min
    • good-: standing tolerance 20 min, mod resistive activity
    • good: 30+ min standing, tolerates normal activity using mod to max resistance w no signs of fatigue, palpation, dyspnea, or pain
  11. sitting and standing static balance poor-good scale
    • poor-: max assist
    • poor: mod assisit
    • poor+: min assist
    • fair-: CG
    • fair: CS + verbal cues (VCs)
    • fair+: indep
    • good-: indep against min resist
    • good: indep against mod resist
    • good+: indep against max resist
  12. dynamic balance for sitting and standing poor-good scale
    • poor-: max assist
    • poor: mod assisit
    • poor+: min assist
    • fair-: CG
    • fair: CS
    • fair+: ok w DS or indep
    • good-: indep in basic dynamic balance activities
    • good: indep in functional dyn bal acts
    • good+: indep in high level dyn bal acts
  13. PICC line -- stands for what?
    peripherally inserted central venous catheter

    usually UE, biluminal, gives antibiotics
  14. PICC line - goes in where? what for?
    • sup vena cava via cephalic or basillar vens of antecubital fossa (elbow-pit)
    • for longtterm use to administer drugs or fluid
  15. peripheral iv details
    • short catheter (.75-1 inch long) inserted into a small peripheral vein
    • used for temp access to deliver IV meds
    • can't draw blood
  16. central (venous) line from where to where?
    iv line into subclavian, basilic, jugular, or femoral vein, going to the RIGHT ATRIUM
  17. purpose of central venous line
    vascular access for extended time periods for: total parenteral nutrition (TPN), repeated blood sampling, administration of drugs or fluids
  18. STE
    steps to enter (specify if it's descending)
  19. PTA
    prior to admission
  20. VSS
    vital signs stable
  21. on RA
    on room air (breathing normally)
  22. heplock
    needle inserted but not attached, waiting for an IV of something
  23. TLC
    triple lumen catheter (central line)
  24. CT
    chest tube (for pneumothorax
  25. Posey
    a restraining vest
  26. NGT
    nasogastric tube
  27. PEG
    feeding into the stomach
  28. SCD
    sequential compression device - a prophylactic to prevent clots
  29. SI LT
    ensory intact, light touch - write SI LT in notes if pt has normal sensation
  30. NT
    not tested
  31. RLL
    right lower lobe
  32. HHA - 2 options
    • hand held assist
    • home health aid
  33. LAQ
    long arc quads - seated calf raises
  34. POC
    plan of care
  35. 2/2
    secondary to
  36. IE
    initial eval
  37. NAD
    no accute distres
  38. SSS
    sick sinus syndrome - broad term for heart arrhythmia
  39. PPM
    permament pacemaker
  40. TPM
    temp pacemaker
  41. CAP
    community acquired pneumonia
  42. PMR
     physical medicine rehab
  43. GERD
    gastrointestinal reflux disease
  44. FHP
    forward head posture
  45. must include in O sect of soap
    • Chart reviewed.
    • Rec'd pt... (how you found the pt)
    • Details of all you did (but not the quality of it)
    • Position where you left pt.
    • All lines intact (if applicable)
    • Safety maintained.
    • RN aware.
  46. PLOF
    prior level of function
  47. CB
    call bell

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