CCMA study

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CCMA study
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  1. CC
    Chief complaint
  2. Line between two waveforms
    Segment
  3. Arterial Depolarization
    P Wave
  4. How many 1mm boxes are in a 6 second Rhythm strip?
    30 one millimeter boxes
  5. The SA node represents which waveform on the EKG ?
    Only the P wave
  6. What is the reading you can get from the RR interval?
    Ventricular Pulse
  7. What is the primary stage of Hemolisis?
    Vascular phase and Platelet Phase together .
  8. What is Electophoresis?
    Analyzation of the chemical components of blood, e.g. hemoglobin, serum,urin,cerebrospinal Fluid based on electrical charge.
  9. Positive testing for occult blood in a stool sample turn which color?
    Turns Blue on a positive test for occult blood in feces.
  10. The stages of Hemostasis
    1. vascular,2.Platelet Phase,3.Coagulation Phase,4. Fibronolysis
  11. Aorta,arteries,arterioles,
    capillaries,venues,veins,
    superior and inferior
    vena cavae.
    blood vessels
  12. Outer connective tissue layer of a blood vessel
    Tunica adventitia
  13. Inner endothelial tissue of a blood vessel
    Tunica intima
  14. The inner smooth layer of a blood vessel
    Tunica tunica media
  15. The standards of right and wrong in a medical setting
    Code of ethics
  16. What do you find in capillaries?
    A mixture of venous and arterial blood is found
  17. The average adult has how many liters of blood?
    5-6 Liters
  18. What is the percentage of water in Blood?
    92%
  19. Percentage of Plasma in blood
    55%
  20. Percentage of Formed Elements in Blood
    45%
  21. 99% of formed elements in blood
    RBCs or Erythrocytes
  22. Where you find hemoglobin
    RBCs
  23. Where do all blood cells originate?
    Bone marrow
  24. How many RBCs per micro liter of blood
    4.2-6.2 million
  25. What is the second most numerous WBC?
    Lymphocyte with 20-40%
  26. Their numbers increases in intracellular infections and TB
    Monocytes
  27. Their numbers increase in bacterial infections and often are first on scene.
    Neutrophils
  28. These WBC,s play an important role in viral infection as well as in Immunity.
    Lymphocytes
  29. Number of leukocytes for average adult per micro liter
    5000-10000
  30. Decrease in WBC,s seen with viral infection and leukemia
    Leukopenia
  31. Comprises 3-8% of WBC or leukocytes
    Monocytes
  32. Largest In size of the leukocytes
    Monocytes
  33. Carries histamine
    Basophil
  34. Injury to a blood vessel that causes it to constrict ,slowing the clod of blood
    Vascular Phase of Hemostasis
  35. Preferred site for venipuncture
    Antecubital fossa
  36. Test used to evaluate the intrinsic pathway and monitor heparin therapy
    APTT also know as PTT
  37. Test used to evaluate the extrinsic pathway and also used to monitor Warfarin therapy
    PT
  38. Breakdown and removal of a clot
    Fibrinolysis
  39. Converts the temporary platelet plug into a stable fibrin clot
    Coagulation phase
  40. 2nd choice vein for venipuncture and most often the only one palpatable in an obese Pt.
    Cephalic vein
  41. Antiseptics used in Phlebotomy
    70% isopropyl alcohol pads most common, provolone - iodine for BC,s and chlorhexidine gluconate for patients that are allergic to Betadine/ Iodine.
  42. Length of needle commonly used in venipuncture
    1 inch ( up to 1.5")
  43. Gauge of needle that can cause hemolysis
    Smaller than 23 gauge
  44. Average gauge of needle used for drawing blood
    21-22
  45. 3 skills of the Phlebotomist
    Social,clerical,technical
  46. Analytical errors during collection of blood
    Extended tourniquet time,hemolysis,wrong order of draw,failure to invert tubes,faulty technique under filling tubes
  47. Analytical errors before collection of blood
    Patient misidentification,improper time,wrong tube, not fasting,exercise( cortisol levels),Pt.posture,poor coordination with other treatments,improper site prep,medication interference
  48. Analytical errors after blood collection
    Failure to separate serum from cell(glycolisis),improper use of serum separator( not inverting tubes or not spinning tubes) delays in processing, exposure to light,improper storage conditions,dimming clots
  49. Permanent surgical connection between an artery and a vein, never used for venipuncture
    Fistula
  50. Accumulation of fluid in tissue
    Edima
  51. Inflammation of a vein with clot formation
    Thrombophlebitis
  52. Explanation of Hemoconcentration
    The increase in proportion of formed elements to plasma caused by leaving on the tourniquet for more than 2 minutes
  53. Consequence of insufficient pressure applied after withdrawal of needle
    Thrombus
  54. additives in green top tube
    heparin, sodium,lithium,ammonium
  55. why is the green top tube never used for hematology?
    Green tops additive heparin interferes with the Wright's stained blood test
  56. common tests for the light blue sodium citrate tube
    Coagulation studies,PT(extrinsic,warfarin)APTT,PTT(intrinsic,heparin)TT,BT,FDP
  57. Common tests for the lavender EDTA tube
    CBC,differential or diff.,ESR,sickle cell screening
  58. common tests for this color tube are Chemistry tests performed on plasma such as Ammonia,carboxyhemoglobin and STAT electrolytes
    Green top tube(heparin) tests
  59. How long does it take for blood to clot by normal coagulation process in the red top tube
    30-60 mins
  60. The primary purpose is to provide reliable data about a patients health status by ensuring the accuracy of a test while detecting and eliminating error.
    What is Quality Control
  61. Common test for the red topped tube
    Serum chemistry tests, serology tests,Blood bank(glass only)
  62. order of the draw for capillary specimens
    lavender first, than tubes with other additives, than tubes without additives
  63. Antiseptic not used on a dermal puncture site
    betadine ( because it interferes with several tests like bilirubin, uric acid,phosphorus and potassium
  64. for which procedure would you warm the site for a minimum of of 3-4 minutes to increase blood flow?
    dermal punctures (heel sticks)
  65. which are the preferred sites for dermal punctures
    the distal segment of the third or forth finger of the non-dominant hand
  66. heel sticks are performed on which patients?
    infants less than 1 year old
  67. where on the foot is the dermal puncture made on patients less than a year old
    the medial and lateral areas of the plantar surface of the foot
  68. dermal puncture is made in
    the fleshy portion of the the finger slightly to the side of the center perpendicular to the lines of the fingerprints
  69. what will occur if you puncture the heel too deep more than 2 mm
    osteomyalitis
  70. What are the identification requirements for Blood Bank
    Patients full name and DOB, hospital ID # or SSN for outpatient,date and time of collection as well as the phlebotomist's initials
  71. What does the Toxicology section of the lab analyze?
    Plasma levels of drugs and poisons
  72. what is the percentage of the population with the D antigen present?
    85 % of the population
  73. the 4 blood types
    A B AB 0
  74. Which Blood Type has neither the Anti-A nor the Anti-B Plasma Antibodies?
    AB
  75. This section of the lab uses serum to analyze the presence of of antibodies to bacteria, fungi,viruses parasites and antibodies against the body's own substances?
    Serology (immunology) Section
  76. study of fungi
    Mycology
  77. The physical examination of urine consists of
    color, clarity specific gravity
  78. A low power microscope has a magnifying power of
    100X
  79. oil immersion objectives on the microscope reach maximal magnification of
    1000X
  80. This objective of the microscope is used for observing bacteria,WBC differential count and RBC morphology
    Oil immersion
  81. Eyepiece of the microscope
    Occular lens
  82. focal length is
    the distance of the object to be examined to the center of the lens
  83. meter to inches
    39.37
  84. high power objective on a microscope magnification
    400X
  85. 1000 meter are equal to
    1km
  86. 1mm to inches
    0.04 inches
  87. 0.3 meter of tubing is how many inches
    12 inches
  88. 1kg is how many pounds?
    2.2 pounds
  89. Abbreviation for micro liter
    ul
  90. abbreviation for Decimeter
    dm
  91. gram stein positive stains
    deep violet ( violet to black)
  92. Gram stain negative stains which color
    light to dark red
  93. Bacteria that take up and retain the crystal violet and resist alcohol decoloration
    Gram positive bacteria, appear blue to black
  94. bacteria that are decolorized completely by ethanol and take up safrin counter stain
    gram negative bacteria, appear red
  95. Gram Stain Sequence
    crystal violet,Gram's iodine,95%ethyl alcohol/acetone mix/safranin stain
  96. The degree of angle of the pusher slide
    30 degrees
  97. The urinary system
    two kidneys,two ureters,bladder,one urethra
  98. when checking for hormones in urine when do you collect the urine sample
    first voiding in the morning
  99. which urine specimen provides the clearest,most accurate results?
    Clean catch midstream specimen
  100. which urine sample requires aseptic technique?
    Clean catch specimen
  101. Examination of urine consists of
    physical,chemical ,microscopic
  102. physical examination of urine consists of
    volume(adequate for testing, observing color and appearance,odor,specific gravity
  103. what amount of urine must you have to be sufficient for analysis?
    25ml
  104. what is the normal range of specific gravity of random collection
    1.005-1.030
  105. normal range of specific gravity of urine in adults with normal diet and fluid intake
    1.015-1.025
  106. microscopic examination of urine requires this amount
    10-15ml
  107. the ratio of weight of a given volume of urine to the weight of the same volume of distilled water at a constant temperature
    Urine Specific gravity
  108. presence of glucose in the urine
    Glycosuria
  109. normal PH of freshly voided urine
    4.5-8.0 within this range the ph of most healthy patients is around 6.0
  110. symptoms of patients with diabetes mellitus
    glycosuria,polyuria and thirst
  111. pH of 0 to 7.0
    acidic
  112. pH of 7-14 in urine
    alkaline or basic pH in urine
  113. distilled water has a pH of
    7.0 pH or neutral
  114. A urine pH of what is considered neutral?
    7.0 pH
  115. a positive urine nitrate test is an indication for
    a significant number of bacteria are present
  116. what color is a test positive for nitrate in urine
    pink
  117. the copper reaction test is used for what?
    screening for glucose in urine
  118. The presence of leukocytes in urine is an indicator for what?
    bacteriuria or UTI
  119. Urine Screening for UCG or hCG
    Pregnancy test
  120. HIPAA is for?
    Patient Confidentiality
  121. the four elements of Negligence are
    Duty,duty of care,derelict breach of duty of care,direct cause,damage
  122. wrongful act that results in injury to one person to another
    Tort
  123. Exampled of Tort
    Battery, Invasion of Privacy,Defamation of character
  124. Defamation of character by written statement is considered
    libel
  125. Consists of injury to another person's reputation, name,or character through spoken (slander) or written (libel)
    Defamation of character
  126. unprivileged touching
    Battery
  127. The release of medical records without the patients knowledge or permission
    Invasion of privacy
  128. Rendering first aid within the scope of knowledge by a health care worker without the fear of being sued for negligence
    Good Samaritan Law
  129. regulates and maintains body temperature
    Hypothalamus
  130. Functions necessary for life
    heart function, Blood pressure,respiration,temperature
  131. Rectal temperature range in Celsius
    37.0-38.1C
  132. Oral temperature range in Fahrenheit
    97.6-99.6 F
  133. Axillary temperature range in Celsius
    35.9-37.0C
  134. Tympanic temperature range in F and C
    98.6F and 37C
  135. fluctuating fever that return to or below the baseline than rises again
    Intermittent fever
  136. fluctuating, remains elevated does not return to baseline
    remittent fever
  137. remains constant above baseline ,does not fluctuate
    continuous fever
  138. rectal temperature is not taken from the following patients
    patients with heart disease
  139. when taking axillary temperature how long should it be taken
    5-10 mins or as required by office policy
  140. pulse is taken where and how long
    radial for 30sec x2,if tachy or brady take it 1 minute
  141. explain blood pressure
    measurement of amount of force blood excertes on peripheral artery walls
  142. BP cuffs too short and narrow can give false reading of what?
    hypertension
  143. if the brachial artery is far below the heart level the BP reading can be
    falsely high readings
  144. while taking BP the deflation rate is
    2-3 mm Hg
  145. taking BP hearing two consecutive beats gives which reading
    Systolic
  146. the disappearance point whilst taking BP is usually what?
    a few mm Hg below the muffling point which marks the diastolic pressure
  147. Deflation the BP cuff faster than 2-3 mmHg can lead to
    underestimation of systolic and overestimating diastolic pressure
  148. how long should the arm rest between re-inflating the cuff during BP taking
    1- 2 minutes
  149. repetitive inflation of the BP cuff can result in
    venous congestion
  150. venous congestion cause by repetitive inflation of BP cuff can lead to
    artificially low systolic and high diastolic reading
  151. BMI and growth development in infants , children and adults
    Anthropometric measurements
  152. the four principles of a physical examination
    inspection,palpation,percussion,auscultation
  153. The position used for most physical examinations,Pt. lays on back legs extended
    Horizontal recumbent position
  154. patient laying on back with knees flexed, soles of feet on bed
    Dorsal recumbant
  155. this position is used to promote drainage or ease breathing
    Fowler's
  156. this position is used for examination of the pelvic organs
    Dorsal Lithotomy
  157. Prone position is used for
    used to examine back and spine
  158. patient lays on his/her stomach with head turned to one side for comfort
    prone position
  159. patient is on left side with the right knee flexed against abdomen
    Sim's Position
  160. Patients with leg injuries or arthritis can not assume this position
    Sim's
  161. This position is usually used for taking rectal temperature
    Sim's
  162. this position is used for rectal and vaginal examination
    Knee Chest position
  163. Never leave the patient alone in the room when he/she is in this position
    Knee Chest
  164. this position is used for surgical procedures of pelvic and abdomen and also for shock treatment
    Trendelenburg
  165. if skin or eyes come in contact with chemicals wash area with water for?
    5 minutes
  166. MSDS
    Material Safety Data Sheet
  167. higher than normal levels of potassium in the blood
    Hyperkalemia
  168. what are the symptoms of shock
    pale cold clammy skin,blank stare, rapid weak pulse,fast shallow breathing
  169. sudden loss of conciseness
    syncope
  170. first aid for shock
    open airway,call assistance,position head lower,control bleed if any,keep warm
  171. cycle of infection
    Infectious Agent, Reservoir, Portal of Exit, Transmission, Portal of Entry, Susceptible Host
  172. 2 methods of medical asepsis
    Standard and transmission -based precautions
  173. Modes of transmission are
    contact(direct, indirect)droplet,airborne,common vehicle,vector
  174. What is the difference between droplet and airborne
    droplet is less than 3 feet, airborne more than 3 feet
  175. destruction of pathogenic microorganisms after they leave body
    medical Asepsis
  176. what is the least expensive and most available disinfectant for surfaces
    1:10 bleach solution
  177. boiling water in today's medical environments is limited to items that
    will not be used in invasive procedures,will not be inserted inside the body nor in sterile proce.
  178. all microbial life , pathogen and non pathogens are destroyed
    surgical asepsis
  179. what is used at 250-254 F,15 pounds of pressure for 20-40 minutes
    Autoclave
  180. used for instruments that easily corrode
    dry heat sterilization
  181. what is the most important means of preventing the spread of infections?
    Handwashing
  182. PPE includes :
    Mask,goggles,face shields,respirator
  183. All patients are presumed to be infective for blood borne pathogens
    Standard Precautions
  184. This is an infection control method designed to prevent direct contact with blood or other body fluids
    Standard Precautions
  185. This replaces Universal Precautions and body substance isolation
    Standard Precautions
  186. Don Gloves, face shields if danger of splashing ,dispose all needles without recapping into sharps container
    Standard Precaution
  187. This is the second tier of precautions used when patient is contagious
    Transmission Based Precautions
  188. reducing the risk of transmission of microorganisms direct or indirect
    Contact Precautions
  189. special air handling and ventilation are required to prevent
    Airborne diseases under Airborne Precautions
  190. this is an emerging and important problem in the health care field
    Latex sensitivity
  191. Every Health care worker with latex allergy should wear this
    medical alert bracelet
  192. po
    by mouth
  193. pr
    by way of rectum/suppository
  194. sl
    sublingual
  195. IM
    intramuscular
  196. SQ
    subcutaneous
  197. qd
    every day
  198. bid
    twice a day
  199. tid
    three times a day
  200. qid
    four times a day
  201. pc
    after a meal
  202. qhs
    each night or at bedtime
  203. prn
    as necessary or when needed
  204. sig
    from the latin,let it be labeled
  205. the innermost layer of the heart
    endocardium
  206. the sac containing the heart
    Pericardium
  207. a muscular hollow organ located in thoracic cavity between lungs
    the heart
  208. actually the inner visceral layer of the pericardium
    Epicardium
  209. prevents friction as the heart beats
    serous fluid
  210. receives deoxygenated blood returning to the heart from the body
    Right Atrium
  211. receives deoxygenated blood from the right atrium which it pumps to the lungs through the pulmonary artery
    Right Ventricle
  212. receives oxygenated blood from left atrium and pumps it to the body through the aorta
    Left vetricle
  213. The AV valves
    Tricuspid and Mitral(bicuspid)
  214. The semilunar valves
    Aortic and Pulmonic
  215. Valve located between the right ventricle and the pulmonary trunk
    Pulmonic valve
  216. Valve located between the left atrium and the left ventricle
    Mitral or Bicuspid
  217. heart sounds produced by closure of the valves
    Murmors
  218. caused by diseases of the valves or other structural abnormalities
    Murmors
  219. first heart sound due to the closure of the mitral and trucuspic valves
    S1 in the upper chambers or atria
  220. S2 in the ventricles
    second heart sound due to the closure of the aortic and pulmonic valves
  221. arteries supplying the heart
    right and left coronary from the aorta
  222. the ANS or autonomic nervous system is subdivided into
    sympathetic and parasympathetic nervous system
  223. The SP or sympathetic nervous system affects
    both, the atria and the ventricles by increasing heart rate, conduction and irritability
  224. The PNS or parasympathetic nervous system affects
    atria only by decreasing heart rate, conduction and irritability
  225. ability of the cardiac cells to initiate own electrical impulses without outside stimulation
    Automaticity
  226. ability of cardiac cells to respond to external stimulus
    Excitability or irritability
  227. ability of cardic cells to shorten (muscle contraction) in response to electrical stimulus
    Contractility
  228. drugs that increase the contractility of the heart
    Digitalis,dopamine,epinephrine
  229. Depolarization flows from
    endocardium to the myocardium to the epicardium
  230. Results in Myocardial relaxation
    Repolarization
  231. Found in the upper posterior portion of the right atrial wall below vena cava opening
    SA Node
  232. Consists of anterior, middle and posterior divisions that distribute electrical impulses by SA to AV node
    Internodal pathway
  233. Located at the posterior septal wall of the right atrium just above the tricuspid valve
    AV Node
  234. Found at the superior portion of the inter ventricular septum, pathway that leads out of the SA node
    Bundle of HIS
  235. Located within the ventricular endocardium, consists of small conduction fibers
    Purkinje Fibers
  236. this fires at 20-40 beats per minute
    purkinje fibers
  237. this has a 1/10th of a delay to allow blood to flow from atria to ventricles
    AV node
  238. has an intrinsic firing rate of 40-60 bpm
    Bundle of HIS
  239. normal firing rate of 60-100bpm and is the primary pacemaker of the heart
    SA node
  240. acts as a pacemaker when higher level pacemakers fail
    Purkinje fibers
  241. Limb leads consists of
    3 bipolar and 3 augmented leads
  242. These record electrical potentials in the frontal plane
    The limb leads
  243. Bipolar Standard leads are
    Lead I , lead II, lead III and the chest leads
  244. On Lead III which is the positive lead
    the left leg is positive
  245. What color is the lead V2
    yellow
  246. placed at the fifth intercostal space, anterior axillary line
    V5
  247. this is placed which lead is placed on the fifth intercostal space left midclavicular line
    V4
  248. fouth intercostal space , right sternal border
    V1
  249. fourth intercostal space left sternal border
    V2
  250. which limb is always the ground
    right leg
  251. number of electrodes on a 12 lead EKG
    10
  252. 1mV will produce a deflection of
    10mm
  253. movement away from the isoelectric line either positive or negative
    Waveform
  254. waveform plus a segment
    Interval
  255. several Waveforms
    Complex
  256. The normal P wave in standard and precordial leads does not exceed
    0.11s in duration or 2.5 mm in height
  257. On the EKG paper the horizontal axis represents what?
    time 1mm=.004 sec
  258. The vertical axis on the EKG paper measures
    amplitude or voltage
  259. intial negative deflection produced by ventricular depolarization
    Q wave represents
  260. the first positive deflection produced by ventricular depolarization
    R wave
  261. the first negative deflection produced by ventricular depolarization that follows the first positive deflection, R wave
    S wave
  262. ventricular activation . the ventricle is polarized from the endo to the myo to the epicardium
    The QRS complex
  263. deflection produced by ventricular repolarization
    T wave
  264. deflection seen following the T wave but preceding the next P wave
    U wave
  265. what is the PR interval and how long?
    P wave plus a segment,0.12-0-2 sec.
  266. QRS interval, how long?
    no more than .1sec. in limb leads and 0.11 in precordial leads
  267. line from the end of the p wave to the onset of the QRS complex
    PR segment
  268. point at which QRS complex ends and the ST segment begins
    J (RST) junction
  269. from J joint to the onset of the T wave
    ST segment
  270. the target heart rate for a stress test
    220- age
  271. the percentage of the target heart rate during a stress test that makes it valid
    85 %
  272. Normal indication for a stress test
    Evaluation of a patient with chest pain and a normal EKG, Arrhythmia,monitoring a PT. with a recent MI
  273. hematocrite is made up of
    hemoglobin x 3
  274. The percentage by volume of packed red blood cells in a given sample of blood after centrifugation.
    hematocrit
  275. opposite of anemia
    polycythemia
  276. drugs used for a pharmacologic stress test
    adeosine,dipyridamole,dobutamine
  277. When taking a pharmacologic stress test , it is concluded when
    85% of the target rate is achieved
  278. electrical impulses originating from somewhere else but the SA node
    Ectopic Rhythms
  279. electrical impulses of the heart bypass the normal pathway and instead go down an accessory shortcut
    Pre-Excitation Syndrome
  280. electrical impulses go down but encounter blocks and delays
    Conduction Block
  281. Indication for termination of a stress test
    SOB,chest pain,dizziness, blood pressure abnormalities
  282. decrease in amount of bloodflow
    Ischemia
  283. What is the hallmark of Infarction
    The presence of abnormal Q waves
  284. when is a Q wave ( hallmark of Infarction) considered abnormal?
    >1mm(0.04 sec.)wide and the height is greater than 25% of the height of R wave in that lead
  285. The WHO criteria for the diagnosis of MI ( at least two of them)
    Clinical history of ischemic-type chest comfort,changes on serial EKG tracings,rise and fall of serum cardiac markers.
  286. List some cardiac markers
    triponin,CK,LDH,SGOT,AST
  287. What is a negative holter?
    a negative holter will have no significant arrhythmias or ST changes
  288. How long is a holter monitor worn
    24 hours or longer
  289. Why is a holter monitor done?
    to rule out arrhythmia's or ischemia
  290. how many electrodes are on a holter monitor?
    5
  291. a positive holter is one that recorded at least one or more of these abnormalities
    Tachy or bradycardia,ST segment elevation or depression,Pauses
  292. when is the event monitor used?
    only when symptoms occur
  293. List drugs given for acute MI
    Oxigen,Epinephrine,Isoproterenol,Dopamine(Intropin),Beta Blocker (olol)Lidocaine,Verapamil,Digitalis,Morphine,Nitroglycerin
  294. what is a powerful smooth muscle relaxant with the side effect of headache
    Nitroglycerin patch or sl
  295. Digitalis does
    increases the force of cardiac contractions as well as cardiac output, toxicity in 20% of patients
  296. Butterfly
    winged infusion set
  297. What is the most important task of a Phlebotomist
    Patient ID
  298. With the bevel upward insert the needle at which angle?
    15-30 degrees
  299. Prandial
    Fasting
  300. What is important to do first after dermal puncture?
    wipe away the first drop
  301. Timed specimens
    Hormone levels,blood levels of medications,monitor Pt.condition e.g.hemoglobin level(internal bleeding0
  302. the BP cuff inflation for a Bleeding time test
    40mmHg
  303. Trough levels are collected
    30 minutes before the scheduled dose
  304. Indication for Blood Cultures
    FUO indication the presence of pathogenic microorganisms in the blood(septicemia)
  305. while administering a OGTT it is important to take what with each sample?
    Urine sample
  306. when ore OGTT scheduled to begin?
    0700 -0900 7-9 am
  307. the two hour postprandial test is used for?
    evaluation of diabitis mellitus
  308. the OGTT test is used for?
    diagnosing diabetis mellitus and evaluating patients with frequent low blood sugar
  309. The 3 hour OGTT is used to test for
    to test for hyperglycemia
  310. The 5 hour OGTT is used for
    to test for hypoglycemia , for disorders of carbohydrate metabolism
  311. test for babies and to detect phenylketouria, a genetic disease that cause mental retardation and brain damage
    PKU
  312. Cold Agglutinins
    antibodies produced in response to atypical pneumonia, must be kept at 37 C
  313. ABG,ammonia,lactic acid,pyruvate,parathyroid test handling
    Chilled in crushed ice and water mixture
  314. Bili
    Bile
  315. Light sensitive specimens
    bilirubin,beta-carotine,vitamin A and B6 and porphyrins(in urine it's the fingerprint for toxicity)
  316. which blood tests can NOT be done using dermal puncture
    ESR, BC
  317. you have the right to caring staff who believe your reports of pain
    example of the patient bill of rights for pain management
  318. Method of pulse taking used on children and Pt. with irregular heartbeat
    Apical pulse
  319. Normal reparation range and how long is it taken
    12-20 for 30 sec.x2
  320. Difficulty breathing when laying flat
    Orthopenia
  321. Regular pattern of irregular breathing breathing rate
    Cheyne- Stokes
  322. State in with a reduced amount of air enters the lungs resulting in decreased oxygen and increased carbon dioxide levels in blood
    Hypoventilation
  323. Medical Assistant role in physical examination
    Room prep,patient prep,assisting the doctor
  324. Physical,chemical,biological,
    Hazards
  325. This technique is not permitted in the lab
    Never draw a pipette by mouth
  326. Expressionless face and staring eyes are indications of
    Shock
  327. Any infective microorganisms ,viruses,fungi,bacteria,and parasites
    Agents are
  328. Water, food, drinking from the same glass, kissing
    a common vehicle
  329. Infectious agent enter a person who is not resistant or immune
    Susebtible host
  330. In the pulmonary trunk the arteries carry this kind of blood
    Deoxigenated blood
  331. During depolarization the electrical impulses flow
    From the endo to the myo to the epicardium
  332. During repolarization the electrical impulses flow from...
    The epicardium towards the endocardium
  333. What fires at 40-60 bpm
    AV junction, bundle of HIS
  334. Which are unipolar leads?
    aVR, aVL,aVF
  335. 0.1mV on EKG paper measures
    1mm
  336. On the vertical axis 1 large square equals what?
    5mm(0.5mV)
  337. On the horizontal axis 5 large Squares equal
    1second
  338. Which test is used to evaluate primary Hemostasis?
    Bleeding time test
  339. How long does is the lifespan of a platelet ?
    9-12 days
  340. When the vaccutainer method can not be used you would use
    10-20ml syringes
  341. Which tube must be filled completely ?
    Light blue sodium citrate tube, to maintain ration of 9:1

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