Respiratory Care Lab Pratical #1

Front 1

List the 7 steps of Diagnostic Reasoning

Back 1

indentify the patient problem
Clarify the problem
Perform additional assessment procedures
Formulate list of potential causes
Obtain Specialized test
Determine Potential solutions Evaluate solution and Monitor the patient

Front 2

What are the 5 stages of Patient-Clincian Interaction

Back 2

Pre-Interaction Stage (few min)
Intro Stage (sets the tone)
Inital Assessment Stage (overlaps intro)
Treatment & monitoring
Follow up stage

Front 3

What is the social zone for introductions

Back 3

4 to 12 feet

Front 4

What is the personal space

Back 4

18 inches to 4 feet

Front 5

What is the Initmate Space

Back 5

0 to 18 inches for physical exam

Front 6

Ten Rules of Clinical Etiquette

Back 6

Maintain professionalism
Identify yourslef my name and role
Don't call adult patients buy their 1st name
Respect & preserve modesty
Don't sit on bed
Don't talk about patients in public areas
Don't discuss prognosis in front of patient
Don't argue in front of patient
Don't cricitize
Keep disagreemnets off patients chart.

Front 7

What is current

Back 7

flow of electrons from negative pole or cathode to postive pole or anode

Front 8

What is voltage

Back 8

pushes electrons through a circuit or wiring and also may be reffered to an relectric motive force

Front 9

What is Resistance measured in

Back 9

OHM

Front 10

What does Ohm's law state

Back 10

It expresses the relationship of voltage, current, and resistance.

Front 11

Calc. for Ohm's

Back 11

voltage/amperes

Front 12

Why would and RT move a patient

Back 12

Improve gas exhange
Properly perform therpaies
Transport patients to procedures
Aid other health care colleagues.

Front 13

What is Ambulation and why is it impt.

Back 13

Walking
it helps restore and maintain noraml body function

Front 14

Ambulation 10 steps

Back 14

Bed in low postion, wheels locked.
Place all equip. close to pt.
Move pt. to nearest side of bed.
assist pt to sit up.
Place on hand under pt farthest knee
rest pt in tghis postion until any dizziness passes.
Stand pt.
Walk pt.
Limit walk to 5-10 min for 1st time. Mointor pt.

Front 15

Calc for current

Back 15

voltage/resistance

Front 16

3 factors of why electrical current is harmful

Back 16

Amt of current flowing through the body
Duration
Path it takes along the skin or internally (vital organ damage)

Front 17

How many pronged plugs are hospitals req to have

Back 17

3

Front 18

RT role in a fire

Back 18

Medical gas shut off
Move pts
Treat and resusciate vitcims of smoke inhalation

Front 19

Good feedback in Healthcare Means Give feedback. Examples

Back 19

Attentiveness
Paraphrase
Request Clarification
Percpetion check, reconfirm what you heard
Reflect your feelings

Front 20

Barriers of Communication
Examples

Back 20

Use of symbols and words
Different value system
Diff. perceptionof the problem
Empahsis on staus (power)
Conflict of interest
Lack of acceptance
Feeling of personal insercurity

Front 21

If writing in a chart and you make a mistake what do you do

Back 21

place 1 line thru it and write error above it don't erase.

Front 22

What does POMR stand for

Back 22

Problem Orientated Medical Record
(it idnetifies a problem or diagnosis, develops a list of problems and tx plan care, documents progress of notes reflecting pt's probelm, resolution or on going care.

Front 23

What does SOAP stand for

Back 23

S= Subjective
O= Objective
A= Assessment analysis
P=Plan of Action

Front 24

Glucose

Back 24

70-105 mg/dl
too high endocrine disorder, diabetes
too low- insulinoma

Front 25

BUN

Back 25

7-25 mg/dl
too high= kidney disease, GI bleed, Excessive protein intake
too low= liver disease, malnutrion

Front 26

Direct Bilirubin

Back 26

0.2-0.4mg/dl
too low= kidney problems
too high= hemolytic sickel cell, anemia

Front 27

Cholesterol

Back 27

150-220 mg/dl
too high= heart attack, stroke,
too low =depression, anxiety, hemorraggic stroke.

Front 28

Sodium

Back 28

137-147 mEQ/L
too low= kidney problems heart failure
too high= dehydration,

Front 29

Potassium

Back 29

3.5-4.8 MEQ/L
too low= muscle cramps, tiredness
too high= weak, nauseated

Front 30

CO2

Back 30

21-32 mmol/L
too high= primary acidosis
too low= primary metabolic alkalosis

Front 31

WBC

Back 31

5,000-10,000 greater than 10,000 = infection

Front 32

RBC

Back 32

less than 4 = hypoxemia

Front 33

Hgb

Back 33

12-17
< 9= blood transfusion

Front 34

Prothrombin

Back 34

12-14 seconds
decrease = clot formation
longer than 14 sec = bleeding disorder

Front 35

What is a DIC Panel and what does it show

Back 35

Dissemination Intravascular Coagulation
prothrombin time, fibrogen levels, platelt counts

Front 36

What is Etiology

Back 36

occurence all factors involved in the devlopment of a disease

Front 37

What is Pathology

Back 37

study of structural & functional changes that result form a disease

Front 38

What are the 2 types of Asthma

Back 38

Extrinstic, allergic or atopic

Intrinsic, non-allergic or non atopic

Front 39

What is Extrinstic Asthma

Back 39

where the pt has a sensitivty or allergy to certain substances antigens, pollen, dust, mites, food and dander

Front 40

What is Intrinsic Asthma

Back 40

No clear cut cause, predisposing situations, anxiety, aerosols, dust, cold air, excerise, infection, self induced.

Front 41

What are the symptoms of asthma

Back 41

SOB, Wheeze, coughing, spitting, cyanosis, Increase WOB

Front 42

TX for Asthma

Back 42

albuterol
inflammation steroids
oxygen if needed

Front 43

What is the Etiology of Atelectasis

Back 43

collapsed alveoli, postoperative

Front 44

Pathology of Atelectasis

Back 44

change in breathing pattern, dec VT, short shallow breaths

Front 45

Symptoms of Atelectasis

Back 45

SOB, abnormal breath sounds

Front 46

Tx for Atelectasis

Back 46

hyperinfaltion therpay
incentive spirometry
deep breaths
coughing
positive pressure (CPAP)

Front 47

COPD Symptoms

Back 47

SOB, repeated infections, hemoptysis,

Front 48

Diagnostic lab findings of COPD

Back 48

ABG'S, CBC, RBS WBS BS and PFT's all abnormal due to repeated infections

Front 49

Tx for COPD

Back 49

quit smoking

Front 50

Etiology of Pleural Effusion

Back 50

inflammatory processes, tumors

Front 51

Symptoms of Pleural effusion

Back 51

SOB, Dyspnea, abnormall ABG's

Front 52

Tx of Pleural Effusion

Back 52

Thoracentesis, chest tube drainage

Front 53

Etiology of Pnemonia

Back 53

predominatley bacterial infections, maybe viral or fungal

Front 54

Pathology of Pnemonia

Back 54

outpouring of fluid, contain infammatory responses = WBC's

Front 55

Symptoms of Pnemonia

Back 55

fever, cough, sputum production, SOB, and chest pain

Front 56

TX of Pneumonia

Back 56

antibiotics, supportive therapy- breathing oxygen

Front 57

Etiology of Pnemothorax

Back 57

internal; something ruptures on the inside allowingair to go from airways inlungs to plural space.

Front 58

Symptoms of Pneumothorax

Back 58

dyspnea, abnormal ABG's

Front 59

Tx of Pneumothorax

Back 59

needle insertion or chest tubes

Front 60

Etiology of CHF

Back 60

BP, heart valves don't work properly, COPD, drugs

Front 61

Symptoms of CHF

Back 61

fluid retention at tissuelevel peripheral edema, pulmonary edema, dyspnea, abnormal BS, cough, hypoxia

Front 62

TX of CHF

Back 62

reduce cardiac workload
drugs
proper oxygenation

Front 63

What is cross contamination

Back 63

the spread of a disease from one patient to another by the means of a healthcare worker

Front 64

What is a nosicmal infection

Back 64

infection acquired while in the hopsital

Front 65

What is the proper procedure for gowning and gloving

Back 65

wash hands
apply shoe covers
apply hat covering hair, wash hands
apply mask
apply gown and tie
apply gloves (double glove if necessary)