patient interview Flashcards

1
Q

Who developed HIPAA

A

Depart. of Health and Human Services (enacted 1996)

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2
Q

What is HIPAA for?

A

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

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3
Q

What does HIPAA do for the patient?

A

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

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4
Q

What is anothers for indentification sheet?

A

registration sheet

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5
Q

what information does the consent form have?

A

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

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6
Q

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

A

Consult done by a subspecialty

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7
Q

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

A

Subjective
Objective
Assessment
Plan

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8
Q

What is the difference between subjective and objective?

A

subjective - what patient tells you

objective - what you find on exam

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9
Q

What must the physicians orders contain?

A
  1. date/time
  2. order being given
  3. physician’s signature
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10
Q

what is normal range for blood pressure?

A

90/60 - 120/80 mmHg

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11
Q

what is normal range for heart rate?

A

60 - 100 bpm

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12
Q

what is normal respiratory rate?

A

12-20 breaths/min

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13
Q

What is normal temperature?

A

97.8 - 99.1 F (36.5 - 37.2 C)

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14
Q

What is a normal pusle ox range?

A

95 - 100 %

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15
Q

Define systolic pressure

A

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

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16
Q

Define diastolic pressure

A

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

17
Q

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

A

perfusion pressure

1/3(S-D) + D

18
Q

what is ideal MAP?

A

> 60 mmHg to perfuse organs

>70 mmHg to perfuse organs (HTN pt)

19
Q

what B/P range is stage 2 HTN?

A

S > 160 or D > 100

20
Q

What B/P range is stage 1 HTN?

A

140 - 159 / 90 - 99

21
Q

What is considered prehypertension

A

120-139 / 80-89

22
Q

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

23
Q

how do you take radial pulse?

A
  1. feel rate for 15 sec

2. multiply x 4

24
Q

what is the term for deep breathing?

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