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16 Cards in this Set
- Front
- Back
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Generic Name |
Name assigned to a drug by the USAN (United States Adopted Name) Council for ea. pharmaceutical co. that manufactures the drug after the pt. runs out of original manufacturer of the drug. (Name is not usually capitalized) |
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Inscription |
Section appearing on a prescription showing: - the name of the drug - quantity of ingredients - dose strength |
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Inunction |
The act of applying oil or ointment |
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Signature |
Section of a prescription that gives instructions to the pt. on how to take or apply the meds. aka "Transcription" |
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Transdermal |
relating to or denoting the application of a medicine or drug through the skin, typically by using an adhesive patch, so that it is absorbed slowly into the body.
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Subject Filing |
Alphabetical arrangement of records filed by topic or grouped under a main theme |
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surname |
an individual's last name |
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Charge-out system |
A procedure in a filing system provided to account for items removed from the files |
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Integrated record system |
Files all documents in chronological order w/o regard to their source. (comparing info from the same source is difficult bec. they're scattered throughout the record) |
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Digital Signature |
secure because it can't be forged or altered w/o detection (if altered, then signature is invalidated) -used to authenticate portions of the medical record - an individual w/ computer access uses an ID encryption sys., electronic writing, fingerprint, etc. |
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Chief complaint (CC) |
A concise statement, usually in the pt's own words, describing the symptom, problem, or condition - typically subjective information describing any indication of disease or disorder that the pt. experiences; but can be objective if a pt. complains of something that can be seen, felt, heard (rash/bump) - CC is required for all levels of history |
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prognosis |
Forecast of the outcome of a disease or injury |
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Medical report |
Permanent, legal document in letter or report format formally stating the elements performed and results of an examination & treatment ot pt. |
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Audit |
Periodic examination/review of pt. records to verify recordkeeping, documentation for level of service billed, and proper medical care. |
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Shelf life |
Length of time a drug may be kept before it begins to deteriorate |
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Analgesic |
To relieve pain |
