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CCMA revisions > Mod 3: Gen Pt Care 2 (56%) > Flashcards

Mod 3: Gen Pt Care 2 (56%) Flashcards

1
Q

define MEDICAL RECONCILLIATION

A

compare pt current list of medications to list on records

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2
Q

the sterile field on a mayo stand should be located where in relation to your body

A

slightly above the waist and at least 12 inches from the body

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3
Q

when opening a sterile packet on the mayo stand, what is the order the flaps should be opened

A

flap farthest from you, the sides, flap closest to you

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4
Q

a border of __ around the sterile drape is considered nonsterile

A

1 inch

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5
Q

what are the do nots of a sterile field

A
  • do not leave unattended
  • do not reach over
  • do not turn away
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6
Q

items within the sterile field that need to be rearranged should be moved with

A

sterile forceps

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7
Q

absorption of absorbable sutures gen happens around

A

5-20 days

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8
Q

the more o’s the

A

smaller the gauge

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9
Q

what is thicker 2-o or 8-o

A

2-o

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10
Q

delicate tissue such as the face and neck generally uses ____ sutures

A

5-o to 6-o

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11
Q

the benefits of staples are that they can be put under

A

high tension

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12
Q

places that staples may be used are

A

trunk, extremities, and scalp

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13
Q

staples should be removed in

A

4-14 days

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14
Q

sutures that are crusting should be ___ before being removed

A

soaked with saline

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15
Q

t/f the skin should be cleansed with alcohol or povidone-iodine solution before removing sutures

A

true

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16
Q

when you are removing stitches, you notice the wound is gaping/bleeding/there is exudate, what do you do

A

stop and notify the provider

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17
Q

what can be used to assist reinforcement of wound closure once sutures are removed

A

butterfly strips

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18
Q

should you lift the staple remover when squeezing the handle to remove staples

A

no

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19
Q

aka severe hypoglycemia

A

insulin shock

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20
Q

pt is presenting with irritability, moodiness/change in behavior, sweating, hunger, and rapid heart rate. what may they be experiencing

A

mild hypoglycemia

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21
Q

pt is presenting with fainting, seizures, confusion, headache, coma, and potentially death. what may they be experiencing

A

severe hypoglycemia

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22
Q

tx hypoglycemia

A

glucagon/sugar

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23
Q

pt is presenting w/thirst, muscle cramping, lightheadedness, chest pain, confusion, lethargy, and potentially death. they recently experienced a significant loss of fluid through severe dehydration and hemorrhaging. what may they be experiencing.

A

hypovolemic shock

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24
Q

pt is experiencing muscle cramping, sweating, pale and clammy skin. what may they be experiencing

A

heat exhaustion or heat stroke

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25
Q

tx hypovolemic shock

A

control blood loss, blood transfusion, fluids

26
Q

pt is experiencing frostbite, red and tingling skin, pale and numb skin, shivering, confusion, paleness, and loss of consciousness. what may they be experiencing

A

hypothermia or frostbite

27
Q

pt is pale, perspiring, and complains of nausea/dizziness. what may they be experiencing

A

syncope

28
Q

shock can result from

A

trauma, electrical injury, insulin shock, hemorrhage, drug reaction, illness, respiratory distress, fever, heart attack, and poisoning

29
Q

if someone is going into shock, what is the first thing that should be done if they are available (after calling 911)

A

lay pt down and elevate legs and feet slightly

30
Q

the pt may experience these after having a seizure

A

confusion, headache, exhaustion

31
Q

sx of poisoning include

A

discoloration/burns on lips, unusual odor, emesis, presence of suspicious container, drowsiness, unconsciousness, difficulty/stopped breathing, seizures

32
Q

what is the first steps to control arterial bleeding

A

put pressure with sterile gauze and elevate site of bleeding (put tourniquet if necessary)

33
Q

when cleaning a wound, how should it be done

A

from top to bottom

34
Q

what should be done when changing dressings that are stuck to a wound

A

soak the dressing in sterile saline or sterile water

35
Q

difference between dressings and bandages?

A
  • dressings are sterile and cover wounds
  • bandages are nonsterile and cover dressings
36
Q

what are the 3 phases of wound healing

A

inflammatory, proliferative, maturation

37
Q

the inflammatory phase takes

A

3-4 days

38
Q

the proliferating phase takes

A

4-21 days

39
Q

the maturation phase takes

A

21 days - 2 years

40
Q

describe the inflammatory phase

A
  • blood clot forms
  • pain, swelling, loss of function at wound site
41
Q

describe the proliferating phase

A

fibrin extend across wound and scab begins to form

42
Q

describe the maturation phase

A

wound closes and scar thins and fades

43
Q

wound complications include

A

infection, hemorrhage, dehiscence, and evisceration

44
Q

define DEHISCENCE

A

separation of wound edges

45
Q

define EVISCERATION

A

separation of wound edges and protrusion of abdominal organs

46
Q

burns that cover ______ require hospitalization

A

more than 10% of the body

47
Q

sx first degree burn

A

red and discolored skin with slight swelling

48
Q

sx of second degree burn

A

red or mottled skin, skin is wet, pain and swelling, blisters

49
Q

sx third degree burns

A

skin is charred and white & less pain

50
Q

t/f: fourth degree burns are often painless

A

true (the nerve endings are usually destroyed)

51
Q

how should minor burns be tx

A
  • put under cool running water for 10 min
  • apply lotion w/aloe vera or cocoa butter
  • wrap loosely with clean bandage
52
Q

if a blister from a burn breaks, how should it be treated

A
  • gently clean with water
  • apply antibiotic ointment
  • cover burn with clean bandage
53
Q

what should be done to treat a major burn

A
  • remove jewelry/belts/other tight items
  • loosely cover area with gauze or clean cloth
  • raise burn above heart
  • watch for signs of shock
  • separate fingers if affected
54
Q

why should tight things be removed form burn pts

A

burned areas swell

55
Q

atropine is given for

A

bradycardia

56
Q

prochlorperazine suppositories are give for

A

nausea and vomiting

57
Q

sx of an MI include

A
  • chest pain/heaviness/discomfort
  • pain/discomfort in one or both arms/back/shoulders/neck/jaw/abdomen
  • SOB when resting/slight physical activity
  • excessive sweating for no reason
  • feeling unusually fatigued
  • nausea/vomiting
  • rapid or irregular heartbeat
  • lightheadedness/sudden dizziness
58
Q

when performing CPR, a pulse should not be palpated for more than

A

10 seconds

59
Q

DME are

A

medical devices/supplies that can be used repeatedly

60
Q

aka DMEs

A

DMEPOS

61
Q

what are the requirements for DMEs

A
  • serve medical purpose
  • be prescribed/ordered by provider
  • able to be used repeatedly
  • have expected lifetime of at least 3 years
  • be used in home
  • only be useful to pts who have injury/disability
62
Q
A

CCMA revisions (9 decks)

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