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Flashcards in patient interview Deck (34):
1

Who developed HIPAA

Depart. of Health and Human Services (enacted 1996)

2

What is HIPAA for?

Designed to provide privacy standards to protect patients medical records and other health information provided to health plans, doctors, hospitals, and other healthcare providers

3

What does HIPAA do for the patient?

Provides patients with access to their medical records and more control over how their personal health information is used and disclosed

4

What is anothers for indentification sheet?

registration sheet

5

what information does the consent form have?

Patient Name & Date
Name and Description of Surgery
Indication for Surgery
Risks & Benefits of Procedure
Alternatives to Procedure
Patient’s Signature, printed name, date, and time/Surgeon’s signature
*Patient must be competent to make medical decisions

6

what's the difference between a basic H&P and a consult note?

Consult done by a subspecialty

7

What does S.O.A.P. stand for?

Subjective
Objective
Assessment
Plan

8

What is the difference between subjective and objective?

subjective - what patient tells you
objective - what you find on exam

9

What must the physicians orders contain?

1. date/time
2. order being given
3. physician's signature

10

what is normal range for blood pressure?

90/60 - 120/80 mmHg

11

what is normal range for heart rate?

60 - 100 bpm

12

what is normal respiratory rate?

12-20 breaths/min

13

What is normal temperature?

97.8 - 99.1 F (36.5 - 37.2 C)

14

What is a normal pusle ox range?

95 - 100 %

15

Define systolic pressure

pressure exerted on the walls of the arteries during heart contraction (systole)

16

Define diastolic pressure

pressure exerted on the walls of the arteries during heart relaxation (diastole)

17

Mean arterial pressure (MAP) is a.k.a. ?

perfusion pressure
1/3(S-D) + D

18

what is ideal MAP?

> 60 mmHg to perfuse organs
>70 mmHg to perfuse organs (HTN pt)

19

what B/P range is stage 2 HTN?

S > 160 or D > 100

20

What B/P range is stage 1 HTN?

140 - 159 / 90 - 99

21

What is considered prehypertension

120-139 / 80-89

22

True or false. An athlete's resting heart rate can be in 40s (bpm)

true

23

how do you take radial pulse?

1. feel rate for 15 sec
2. multiply x 4

24

what is the term for deep breathing?

hyperpnea

25

what is the term for shallow breahting?

hypopea

26

What is the term for apnea alternating with tachypnea?

cheyne - stokes

27

What is the term for deep labored breathing seen with metabolic acidosis?

kussmaul's breathing

28

If the oral temp is 98.6 what is an estimate for the axilla temp? rectal temp?

a. 97.6
b. 99.6

29

what are the sources for core termp. measurements?

bladder
esophogeal
rectal

30

how does the pulse ox work?

measures saturation of hemoglobin
light of 2 different wavelenths passes through patient to photodetector
changing absorbance at each of the wavelengths is measured allowing determination of the absorbances due to the pulsing of arterial blood alone

31

what does CAGE stand for?

Cut down
Annoyed
Guilty
Eye Opener

32

what are Kublar Ross' s responses to death

denial & isolation
anger
bargaining
depression
acceptance

33

Define beneficence

"do good" for the patient

34

define nonmaleficence

first do no harm