Exam 1 Flashcards

1
Q

National organizations and agencies focused on quality and safety (there are 7)

A

IHI
Health consumer assessment of healthcare
HCAHPS
The joint commission
CMS
QSEN institute
OSHA
State heath agencies

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2
Q

Injury

A

A particular form or instance of harm that has a recognizable pattern of occurrence

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3
Q

Major cause of death in adults and older adults

A

MVA

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4
Q

TeamSTEPPS

A

Evidence-based toolbox of communication techniques developed by the Dept. of Defense and AHRQ that includes SBAR, huddles, and debriefing

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5
Q

5 types of restraints

A

Physical, chemical, nonviolent/non-self destructive, violent, self-destructive, seclusion

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6
Q

Nonviolent/non-self destructive restraint

A

Physical or chemical restraint to prevent patients from ripping out IVs and tubing and negatively impacting treatment

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7
Q

Violent/self-destructive restraint

A

Four-point restraint used to prevent potentially life threatening injury

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8
Q

Class A fire extinguisher

A

Trash, wood, and paper (green)

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9
Q

Class B fire extinguisher

A

Liquids and gasses (red)

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10
Q

Class C fire extinguisher

A

Energized electrical sources (blue)

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11
Q

health assessment dimensions (4)

A

Physical, psychosocial, social, spiritual

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12
Q

What makes someone ANOx4? (what do they know)

A

Person, place, time, situation

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13
Q

PQRSTU

A

provocative or palliative
quality or quantity
region or radiation
severity scale
timing
understand patient’s perception

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14
Q

Order of physical exam

A

inspection, palpation, percussion, auscultation (except GI, auscultate before palpate)

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15
Q

Dyspnea

A

Pain while breathing

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16
Q

Percussion sounds

A

tympany, hyperresonance, resonance, dullness, flatness

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17
Q

Tympany

A

musical, drum like, high, loud (air-filled stomach)

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18
Q

Hyperresonance

A

Booming, very low, very loud (emphysematous lung)

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19
Q

Resonance

A

Hollow, low, loud (normal lung)

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20
Q

Dullness

A

Thud-like, medium, medium (liver or diaphragm)

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21
Q

Flatness

A

Extreme dullness, high, soft (sternum or thigh)

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22
Q

At what temperatures may death occur?

A

25C (77F) or 45C (113F)

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23
Q

Radiation

A

Similar to heat leaving a stove

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24
Q

Conduction

A

Heat loss from sleeping in a cold bed

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25
Convection
Heat loss from a fan being on
26
Evaporation
Heat loss through sweat
27
Normal oral temp
36.5C to 37.5C (97.6F and 99.6F)
28
Normal axillary temp
35.8C to 37C (96.6F and 98.6F)
29
Normal rectal temp
Between 37C and 38.1C (98.6F and 100.6F)
30
Normal tympanic temp
36.8C and 37.9C (98.2F and 100.2F) (pull pinna up and back for adults, down and back for kids)
31
Normal respirations
12-20
32
Apnea
Absence of respirations, greater than or equal to 10s
33
Biot
Shallow breathing alternating with periods of apnea
34
Cheyna-Stokes
Periods of respirations of increased rate and depth alternating with periods of apnea
35
Kussmaul
Increased rate and depth of respirations
36
Eupnea
Normal respiratory rhythm and depth (EUphoria is good, so EUpnea is also good)
37
How to calculate BP
COxPVR
38
How to calculate CO
SVxHR
39
Korotkoff sounds
Phase I: Offset of faint, clear, tapping sounds of gradually increasing intensity Phase II: Swishing sound Phase III: crisper, more intense sounds, clear intense tapping Phase IV: muffled, blowing sounds Phase V: silence
40
Normal BP
90/60-120/80
41
normal HR
60-100
42
Cardiac cycle
Diastole, atrial systole (ventricular diastole), ventricular systole (atrial diastole)
43
Diastole
Ventricles relaxed (heart is resting) AV valves are open Pressure in the atria is higher than in the ventricles Blood pours rapidly into the ventricles (in normal heart)
44
Systole
Ventricle pressure is higher than atrial (heart is pumping) Mitral and tricuspid valves swing shut so blood can flow then start over again Into aorta (oxygenated) and pulmonary arteries (deoxygenated)
45
Diastisis
Pause between relaxation and contraction (ventricles fill to 70%)
46
Electric/conduction system
Under regulation of ANS Electrical conduction (SAN to AVN to bundle of HIS to purkinje fibers
47
Heart rate is primarily determined by the
SA node
48
Stroke volume depends on
Amount of blood pumped from left ventricle Accommodation of incoming blood volume by heart Contractility of heart muscle (specifically left ventricle) Resistance to blood flow in the circulatory system
49
Orthopnea
Breathlessness while laying, relieved by sitting or standing
50
Jugular vs carotid
Jugular: brings deoxygenated blood from the head and face Carotid: Brings oxygenated blood to the head and face
51
Thrill
Vibration on the chest wall over an area where there is turbulent blood flow (usually heart murmur/disrupted turbulence)
52
Bruit
Turbulent blood flow
53
Where is S1 louder?
At the apex of the heart
54
Where is S2 louder?
At the base
55
Allen test
Tests blood flow to hands
56
What do myoglobin, creatine kinase (CK-MB), and troponin confirm?
MI (myocardial infarction, heart attack)
57
BNP (B-type natriuretic peptide)
Heart failure
58
What is EGFR
Glomerular filtration rate
59
Angiography
Radiopaque dye
60
What is S1
Ventricles contracting and AV/mitral and bicuspid valves closing
61
What is S2
Sound of semilunar valves closing (pulmonic, aortic) and ventricles relax
62
What is S3
Mostly abnormal, gallop, product of CHF (kentucky)
63
What is S4
Abnormal murmur (tenessee)
64
Aortic location
2nd right intercostal space
65
Pulmonic location
2nd left intercostal space
66
Tricuspid location
Left lower sternal border/4th intercostal space
67
Mitral location
5th intercostal space
68
What separates the left and right ventricles?
The septum
69
What separates the left atrium and left ventricle?
The mitral (bicuspid) valve
70
What separates the right ventricle and pulmonary artery?
Pulmonary valve
71
What separates the left ventricle and aorta?
aortic valve
72
What separates the right ventricle and aorta?
Tricuspid valve
73
What do patients get when their heart goes from 1 rhythm to another?
12 lead EKG
74
Metabolic syndrome
Elevated triglycerides, HDL less than 50, high LDL, waist circumference at belly button, fasting glucose, BP over 130/85), extreme risk for CVD: heart attacks, strokes, hypertension
75
Stenosis
Valve dysfunction; regurgitation