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Emergency Department Course Flashcards

(107 cards)

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1
Q

CBC

A

Complete Blood Count
WBC,Hgb,Hct,Plt
[H&H]

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2
Q

High WBC (Leukocytosis)

A

Infection

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3
Q

Low Hgb

A

Anemia

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4
Q

Low Hct

A

Anemia

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5
Q

Low Plt (Thrombocytopenia)

A

Prone to bleeding

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6
Q

CBC w/ Differential

A

Infection or anemia

CBC, Bands (Band Cells), Segs (Segmented Neutrophils), Lymphs,Monos,Eos (Eosinohils)

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7
Q

High Bands (Bandemia)

A

Serious Infection

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8
Q

High Segs (Left Shift)

A

Acute Infection

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9
Q

High Lymphs

A

Viral Infection

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10
Q

High Monos

A

Bacterial Infection

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11
Q

High Eos

A

Parasitic Infection

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12
Q

BMP

A

Basal Metabolic Panel, Chem-7
Electrolytes, Renal function, glucose
Na,K,BUN (Blood Urea Nitrogen), Creat,Gluc,HCO3,Cl

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13
Q

High Na (Hypernatremia)

A

Dehydration

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14
Q

Low Na (Hyponatremia)

A

Dehydration

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15
Q

High K (Hyperkalemia)

A

Poor kidney function

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16
Q

Low K (Hypokalemia)

A

May cause arrhythmias

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17
Q

High BUN

A

Renal insufficiency or failure

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18
Q

High Creat

A

Renal insufficiency or failure

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19
Q

High Gluc (Hyperglycemia)

A

High blood sugar

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20
Q

Low Gluc (Hypoglycemia)

A

Low blood sugar

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21
Q

High HCO3 (Hypercarbia)

A

Possible respiratory disease

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22
Q

Low HCO3 (Hypocarbia)

A

Hyperventialation (Possible DKA)

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23
Q

High Cl (Hypercloremia)

A

Possible dehydration

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24
Q

CMP

A

Comprehensive Metabolic Panel, Chem 12
BMP, T Prot/Alb (Total Protien/Albumin), T bill (Total billirubin), { AST(SCOT) (Aspartate Transaminase), ALT(SGPT) (Alanine Transaminase), Alk Phos (Alkaline Phosphatase) } — LFT (Liver Function Tests)

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25
Low T Prot/Alb
Poor Nutrition
26
High T bill
Jaundice/Liver failure
27
High AST (SGOT)
Liver Damage
28
High ALT (SGPT)
Liver Damage
29
High Alk Phos
Liver Damage
30
CEP
Cardiac Enzyme Panel ***Trop***(acute MI if high),CK (Creatine Kinase), CK-MB (CK-Muscle Breakdown), CK-RI (CK-Relative Index), Myo (Myoglobin)
31
High Trop
Specific to heart damage
32
High CK
Heart damage or Rhabdomyolysis
33
High CK-MB
Heart damage
34
High CK-RI
Heart damage
35
High Myo
Heart damage
36
D-Dimer
PE considered, excreted by clots of blood (+) Possible PE --> CTA Chest or VQ (-) No PE
37
Respiratory Labs
BNP (B-type natriuretic peptide)[CHF}, ABG (Arterial Blood Gas), VBG (Venous Blood Gas)
38
High BNP
CHF
39
Low pH
Acidosis
40
High/Low HCO3
Metabolic problems
41
High/Low pCO2
Respiratory problems
42
Low pO2
Hypoxia
43
High pH
Alkalosis
44
Cardiac Orders
CBC, BMP, CK,CK-MB, Troponin, EKG, CXR
45
CSF Analysis
Cerebrospinal Fluid - Micro Analysis | CSF Gluc, CSF Prot, CSF RBC, CSF WBC, CSF Gram Stain
46
Abnormal 1st two tubes vs. Abnormal in all 4 tubes
Likely contamination vs. Valid results
47
COAGS
Coagulation Studies, Coumadin Level | PT (Prothrombin Time), INR (International Normalized Ratio), PTT (Partial Thromboplastin Time)
48
High PT
Blood is too thin
49
>3 INR (Supertherapeutic)
Too much Coumadin
50
Not enough Coumadin
51
High PTT
Blood is too thin
52
ENT Labs
Ears,nose,and throat | Strep,Monospot,Influenza A+B,RSV (respiratory syncytial virus)
53
Pancreatic Enzymes
Lip,Amy
54
High Lipase
Specific to pancreatitis
55
Thyroid Labs
TSH, T3,T4 (usually just if admitted)
56
Inflammation Labs
CRP (C-reactive protein), ESR or Sed Rate (Erythrocyte sedimentation rate) Active inflammation in the body if high
57
OB/GYN Labs
HCG (urine) (Pregnant yes or no), Serum HCG Quant (Further in pregnancy or failed)
58
Pelvic Exam Labs
Wet Prep, GC (Gonococcus), CT (Chalamydia Trachomatis), Genital Cx
59
Wet Prep
For Bacterial Vaginosis (BV), Trichomonas (STD), Vaginal yeast infection
60
GC
Indicates Gonorrhea
61
CT
Indicates Chlamydia
62
Urine Dip
Leuks, Nit, Gluc, Blo | UTI or blood
63
Positive Leuk in Urine
Likely UTI
64
Positive Nit in Urine
UTI
65
Positive Gluc in Urine
DM
66
Positive Blo in Urine
Kidney stone
67
Microscopic Urinalysis
WBC, RBC, Bact, Epi (more detailed)
68
Sepsis Labs
CBC, Lactate, Blood Cx | Typically also febrile(>100.5F), tachycardic(>100 bpm), hypotensive (
69
Cultures
BCx, UCx, Wound Cx, Stool Cx | "_____ cultures ordered, results pending"
70
Toxicology Labs
ASA(acetylsalicylic acid), APAP (Serum acetaminophen), EtOH, UTox
71
Diabetes Labs
Ketones (DKA), Accu-Chek (blood sugar levels)
72
Medication Levels
[Dilantin (Serium phenytoin), Dig (Digoxin), Tegretol (Serum carbamazepine), Keppra (Serum Keppra)]--Sz INR (Coumadin)--Blood thinner
73
3 Key Labs for Efficiency
D-Dim, Trop, Creat | "rate limiting steps"
74
X-Rays
CXR (PNA, PTX,CHF, Pleural effusion) AAS/KUB (free air, SBO) All other X-Rays (Fracture, dislocation, joint effusion)
75
CT Scans
CT w/o, CTA - CT w/, CT A/P w/ PO
76
CT w/o findings
Hemorrhagic or Ischemic CVA, spinal fracture, PNA, PTX, Pleural effusion, Rib fracture, Kidney stones, Pyelonephritis
77
CTA - CT w/ findings
PE, Aortic Dissection, Hemorrhagic or Ischemic CVA, Carotid dissection, carotid occlusion
78
CT A/P w/ PO findings
Appendicitis, SBO, Diverticulitis, Ischemic Gut
79
Ultrasounds
US Doppler LE, US RUQ, US OB/Transvag/Pelvis, US Scrotum
80
US Doppler LE findings
DVT
81
US RUQ
Cholecystitis
82
US OB/Transvag/Pelvis
IUP, Ectopic Pregnancy, Ovarian cyst, ovarian torsion
83
US Scrotum
Testicular torsion. Testicular mass.
84
Orthopedic Procedures
Splint Application, Joint Reduction, Arthrocentesis
85
Critical Care Procedures
Lumbar Puncture, Procedural Sedation, Intubation, Central Line Placement, Chest Tube, Cardioversion, CPR, CPAP/BiPAP
86
NSR
Normal sinus rhythm (60-100 bpm)
87
SB
Sinus Bradycardia (
88
ST
Sinus Tachycardia (>100)
89
A fib
Atrial Fibrilation
90
A flutter
Atrial Flutter
91
Paced
Pacemaker is functioning
92
SVT
Supraventricular Tachycardia
93
PVC
Premature Ventricular Contraction
94
PAC
Premature Atrial Contraction
95
LAD
Left Axis Deviation
96
RAD
Right Axis Deviation
97
LAFB
Left Anterior Fascicular Block
98
LBBB
Left Bundle Branch Block
99
RBBB
Right Bundle Branch Block
100
1* AVB
First Degree AV Block
101
LVH
Left Ventricular Hypertrophy
102
PRWP
Poor R Wave Progression
103
ST Inc
Acute ST Elevation
104
ST dec
Acute ST Depression
105
NSST Delta's
Non-specific ST/T changes
106
Consultations
1. Timestamp 2. Name of provider being consulted. 3. Specialty of provider being consulted. 4. What was discussed
107
Re-Evaluations
1. Timestamp 2. Re-evaluation. 3. Pt feels (better/unchanged/worse) after ____ 4. Objective assessment or plan

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