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CCMA revisions > Mod 3: Gen Pt Care 1 (56%) > Flashcards

Mod 3: Gen Pt Care 1 (56%) Flashcards

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1
Q

dermal punch biopsies, dermal cutter, scalpel, gauze, Incision and drainage tray, and specimen collection swabs & containers are most likely used in

A

dermatology

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2
Q

3 channel EKG, electrodes, EKG paper, and a holter monitor are most commonly used in

A

cardiology

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3
Q

glucometers, alcohol pads, adhesive strips, test strips, and lancets are most likely found in

A

endocrinology

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4
Q

otoscope, ophthalmoscope, percussion hammer, penlight, tuning fork, safety pin, small vials containing hot & cold liquids, vials w/different scents & tasting liquids, and cotton balls are most likely found in

A

neurology

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5
Q

vaginal speculums & retractors, cytology kits, stitch removal sets, dressing kits, ultrasound, and fetal doppler machine are most likely found in

A

OB/GYN

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6
Q

a peak flow meter spirometry machine, and disposable mouthpieces and nose clips are most likely found in

A

pulmonology

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7
Q

this position relieves strain on lower back and relaxes the abdominal muscles. it is used to inspect the head/neck/chest/vagina/rectal/perineal areas and for digital vagina and rectal exams

A

dorsal recumbent

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8
Q

this position is used for exams of the head/neck/upper body, for those with breathing difficulties, or eating

A

Fowler’s

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9
Q

this position is used for postsurgical exams, breathing difficulties, lower back injuries

A

semi-fowler’s

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10
Q

aka: left lateral

A

lateral semi-prone recumbent or sims

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11
Q

this position is used for rectal exams/temperatures, enemas, perineal & pelvic exams

A

left lateral

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12
Q

this position is used for proctologic exams, sigmoidoscopy procedures, and rectal & vaginal exams

A

knee-chest

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13
Q

aka: nonparenteral

A

enteral

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14
Q

define parenteral

A

non-oral; does not go through GI

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15
Q

what is the difference between transdermal and topical meds

A

transdermals are generally administered via patch for slow release and topical usually comes in creams/ointments/emulsions for faster release

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16
Q

list the times the medication should be checked with the order

A
  1. when collecting meds
  2. when preparing meds
  3. when putting meds back
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17
Q

list the original rights of medication administration

A

pt, medication, form, dose, route, time, and technique

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18
Q

what are the 2 additional rights of medication administration

A

education and documentation

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19
Q

proper documentation of medication administration should include these elements

A

date, time, quantity, medication, strength, lot number, manufacturer, expiration date, consent obtained and pt outcome

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20
Q

aka eye instillation

A

ocular/ophthalmic administration

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21
Q

describe how to provide an eye instillation

A
  • use nondominant hand to gently pull down lower lid with thumb or 2 fingers
  • gently rest dominant hand on pt forehead while administering
  • release the lid and ask pt to close eyes and blot away any meds w/tissue
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22
Q

how should an eye drop be dispensed

A

about 1/2 inch above sac

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23
Q

how should eye cream/ointment be administered

A

even thick ribbon along inside edge of lower lid on conjunctiva moving from medial to lateral

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24
Q

describe how to perform an ear instillation

A
  • pt lies on side w/affected ear up
  • hold applicator 1/2 inch above ear canal and administer
  • have pt remain in position at least 5 min
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25
t/f: anaphylaxis may occur hours after exposure to allergen
true
26
when performing an ear instillation for a child, how should you adjust the auricle of the ear?
pull auricle outward and down
27
after administrating epinephrine to a person experiencing anaphylaxis, what should be done
massage injection site and call 911
28
what should be asked and documented regarding medication allergies
- name of suspected meds (rx & otc) - timeframe of reaction from initiation - strength & formulation - description of reaction - indication for meds being taken - number of doses taken/days before reaction - route of administration
29
how long should a pt wait after receiving a medication to observe any adverse reactions
20-30 min
30
how long should the epipen stay in the thigh upon injection
at least 10 seconds
31
all instruments and equipment that penetrate skin/enter body/come in contact with other normally sterile bodies of body need to undergo
sterilization
32
what are the 3 categories of reusable medical devices
- critical - semi critical - non critical
33
define critical devices
reusable medical devices that come in contact w/blood or normally sterile tissue
34
define semi-critical devices
reusable medical devices that come in contact w/mucus membranes
35
define non-critical devices
reusable medical devices that come in contact w/unbroken skin
36
t/f: needles have an expiration date that need to checked
true
37
how many mL is 1 cc
1
38
the higher the gauge the
smaller the lumen
39
what common medications are injected via subQ
insulin, heparin, immunizations, allergy medications
40
subQ injections are generally less than
1.5 mL
41
list subQ injection sites
- upper outer arm - abdomen - upper thigh - scapula - lower back/upper buttocks
42
describe the process of injecting subQ
pinch at least 1 in of skin and inject below it at a 45 degree angle
43
list ID injection sites
mid forearm, upper chest under clavicles, scapulas
44
what is the max amount of medication injection in an ID
0.1 mL
45
common medications injected via IM are
- antibiotics - hormones - vaccines
46
common IM sites are
- deltoid - ventrogluteal - dorsogluteal - vastus lateralis
47
the deltoid can only hold
1 mL medication
48
deltoid IMs should be avoided for pts younger than
3
49
what is the preferred injection site for oily and irritating solutions
ventrogluteal
50
the ventrogluteal IM site can hold
up to 3 mL medication
51
what needle gauges should be used for subQ
23-25
52
what needle length should be used for subQ
5/8 in
53
what needle gauge should be used for ID injections
25-27 G
54
what needle length should be used for ID injections
3/4 to 1/2 in
55
what needle gauge should be used for IM injections
22-25 G
56
what needle length should be used for IM injections
1-1 1/2 in
57
this medication is generally supplied in 30-, 50-. or 100- unit measurements
insulin
58
from most to least, what sites absorb insulin the fastest
abdomen, arms, thighs, and buttocks
59
providers should be notified immediately if pts experience any of these after receiving an injection
- severe pain at site - tingling/numbness - redness/swelling/warmth at site - prolonged bleeding - signs of allergic reaction
60
should air be injected into a vial before drawing medication
yes
61
t/f: inject air, invert vial, withdraw meds
true
62
what is the purpose of a filter needle
prevent withdrawal of lass or rubber particulate especially from ampule
63
when drawing from an ampule, what should be prevented
prevent shaft and tip of needle from touching rim of ampule
64
these syringes generally vary from 0.5-60 mL
hypodermic
65
these syringes generally vary from 0.5-1 mL
tuberculin
66
100 units from an insulin syringe is equal to
1 mL
67
t/f: insulin syringes do not have detachable needles
true
68
define controlled substance
any medication that has the potential for abuse or addiction
69
refrigerated medication should be stored at
between 2-8 C (35-46 F)
70
frozen medications should be stored at
-50 to -15 C (-58-5 F)
71
how may medications be stored
alphabetically or by classification
72
define MEDICATION ADMINISTRATION RECORD
report serving as legal record of medications administered to pt
73
the MAR should include
- medication name - dose - date and time - route administered - special instructions - any reaction to medication - name of prescribing provider
74
define TRANSCRIBING
taking info from order and transferring it to the MAR
75
medications stored at room temp should be kept at
20-25 C (68-77 F)
76
in addition to the elements required on all prescriptions, electronically generated ones must have
- DEA # of prescribing provider if it is a controlled substance - phone number of provider - time and date of transmission - name of pharmacy sent to
77
define SPECIALTY PHARMACIES
pharmacies that provide medications not commonly found in community/retail pharmacies for more complex, chronic, and rare health conditions
78
list all the subsections of a pt medical record
- demographic - health history - physical exam - allergies - medication record - problem list - administrative data - correspondence - schedule/financial/billing info - progress notes - lab data - diagnostic procedures - continuity of care
79
what is the difference between EMR and EHR
- EMR is an electronic pt medical history - EHR has the EMR and can be incorporated across more than 1 health care organization
80
define INCIDENCE
new cases
81
define PREVALENCE
existing cases
82
define COMPUTERIZED PROVIDER ORDER ENTRY (CPOE) system
electronic process allowing provider to enter medical orders electronically into system
83
what is the benefit of a clinical decision support system (CDSS)
enhance decisions with targeted clinical knowledge & pt information such as checking for medication interactions/allergies/errors
84
t/f: a CPOE can correct misplaced decimals
false
85
what is the difference between telemedicine and telehealth
- telemedicine includes online health care provider & remote service visits - telehealth is more expansive and includes non-pt, non-clinical services, and education
86

CCMA revisions (9 decks)

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