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13 Cards in this Set
- Front
- Back
- 3rd side (hint)
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the proper usage of words that may sound alike but are spelled differently and possess a dissimilar definition that gives way to a different meaning or presentation of the word picture
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Diction
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examples are
their, there, they're |
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Info required for signature of AMA
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1. Legal capacity (age or emancipation)
2. Mental capacity (compentant) 3. Adequate info. for decision-making (informed pt.) |
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Nonclinical people that can access your PCR
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billing agents
insurance auditors local, state or fed. investigators risk managers EMS admin. police officers detectives forensic specialists attorneys expert witnesses jurors |
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Legal purpose of PCR
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clearly document your assessment and actions as well as to protect you and defend your actions in the event of an accusation of professional misconduct or malpractice
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PASTE
(mnumonic) |
P rovoke, Progression: (what was happening when the SOB began? has it gotten better or worse?
A ssociated chest pain: do you have any chest pain? S putum, color and amount: are you coughing? is there any sputum? what color is it? T ime, trauma, temperature: how long have you been SOB? do you have a fever? have you fallen or otherwise been hurt? E xertion, exercise tolerance: does activity make the SOB worse? |
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9 Pulse points
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temporal
facial carotid brachial radial femoral popliteal posterior tibial dorsalis pedis |
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Korotkoff sounds
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sounds heard during blood pressure measurement using a stethoscope applied over the brachial artery
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trending
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using vital signs to detect changes in pt. condition
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hypertensive #'s
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systolic 140 and up
diastolic 90 and up |
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factors that can affect the accuracy of bp measurement
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incorrect bladder size
improper pt. or arm positioning poor cuff and stethoscope placement |
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gold standard of bp management
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remove clothing around upper arm
place cuff 2-3cm above AC supporting the arm inflate cuff 30mmHg above the point at which the radial pulse disappears deflate at a rate of 2-3mmHg per sec. |
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Pulse
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When the left ventricle of the heart contracts, blood is forcefully squeezed out of the chamber and into the systemic circulation, causing a pressure wave to occur in the arteries. This pressure wave causes the arterial walls to briefly expand and the recoil, forcing blood through the arteries.
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GCS
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assesses level of consciousness based upon how the pt. responds to the environment and external stimuli.
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