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4N051B B set
CDC review 4N051B
67
Medical
Graduate
10/28/2011

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Cards

Term
Which healthcare providers foundi n the Air force medical facilities are authrorized to both treat and admit patients ?
Definition
Military and civillian physicians, dentist, certified nurse midwives, physician assistants, and nurse practitioners.
Term
Who is responsible for notifying the inpatient unit that a routine patient is being admitted ?
Definition
the physician or physicians assistant.
Term
what is the basic difference between a routine admission and a direct or newborn admission ?
Definition
Because of the order in which procedures are carried out.
Term
what two factors determine where the patient goes after finishing with the admissions and dispositions office ?
Definition
patients condition and facility policy.
Term
when are patients who are NOT eligable under the DEERS program treated/admitted to the air force medical facilities?
Definition
emergency circumstances only.
Term
what are two advantages of preadmissions ?
Definition
waiting time and fustration associated with normal admission procedures.
Term
when should you begin to assemble the inpatient record ?
Definition
when the patient is on the way or your preaddmission patient is arriving.
Term
Normally, what admission procedures are done by the admissions nurse and technician ?
Definition
nursing medical history, patient evaluation, vital signs, and height and weight.
Term
what two methods are used in inpatient units to help monitor the location of patients ?
Definition
patient status board and sign out registers.
Term
how are paraplegic patients transferred during aeromedical evacuation ?
Definition
the stryker frame.
Term
name three types of patient dispositions ?
Definition
transfer, subsisting elsewhere, and discharge.
Term
what air force instruction provides a list of forms to be assembled after the discharge of a patient ?
Definition
AFI 41-210
Term
what type of patient may have daily abdominal girth measurements ?
Definition
patients with cirrhosis of the liver.
Term
what is the OF 522 used for ?
Definition

Medical record-operative permit

document patient consent for a special procedure.

Term

What are three major goals during the preoperative period ?

 

Definition
prepare the patient mentally, physically, and spiritually.
Term
why is a chest x-ray taken prior to surgery ?
Definition
to rule out possible lung diesease.
Term
what routine labs are frequently completed the day before surgery ?
Definition
complete blood count (CBC) and a urinalysis.
Term
what action must be taken once pre med has been given ?
Definition
Bed rails up.
Term
what are some typical procedures performed in "same day" surgery units ?
Definition
myringotomy, odontectomy, cystoscopy.
Term
What does PERRLA stand for ?
Definition
Pupils equal round reactive to light and accomidation.
Term
How is plasma supplied ?
Definition
in 225 cc units as pooled, fresh frozen, or single donor plasma.
Term
Once the transfusion is initiated, how long should it run slowly ?
Definition
for the first 15-30 minutes.
Term
what is emergence delirium ?
Definition
irrational behavior emerging from general anesthesia.
Term
List three factors that can result in an orthapaedic problem.
Definition
congenital, infectious disease, trauma problems.
Term
what is a fracture that results from disease called ?
Definition
a pathologic fracture.
Term
what does the term crepitus mean ?
Definition
noise heard when bones are moved.
Term
define the term reduction.
Definition
to set the bone.
Term
how is a closed reduction performed ?
Definition
by manipulation and manual traction.
Term
define open reduction.
Definition
surgical procedure to set, align, and stabalize a fracture.
Term
What type of medication is given to reduce a fever ?
Definition
antipyretic
Term
how long is a tepid bath given ?
Definition
20-30 minutes
Term
what should not be used for a backrub on an elderly patient ?
Definition
alcohol
Term
what is the difference between type I and type II diabetes ?
Definition

Type I is insulin dependent and has a sudden onset. most common in children and young adults.

Type II is non insulin dependent and normally develops after 40 years.

Term
what is a stupor ?
Definition
partial or almost complete unconciousness.
Term
what are the ABC's of observing and reporting the patients condition ?
Definition
appearence, behavior, and conversation.
Term
describe third degree child sexual abuse.
Definition
consist of nudity disrobing, genital exposure, observation of child undressing, intimate kissing, fondling, and pornography.
Term
when a child discloses that he/she was sexually abused, what type of attitude should you as a medic display ?
Definition
nonjudgemental attitude.
Term
What type of patient is not usually able to communicat effectively ?
Definition
stroke victim
Term
what is the relationship between your stability and your center of gravity ?
Definition
stability increases as your center of gravity moves closer to your base of support.
Term
where are your largest muscles located ?
Definition
shoulders, upper arms, thighs, and hips
Term
where should the stretcher be positioned if the patient is to be transferred by lifting ?
Definition
90 degree angle to the foot of the bed.
Term
when do you serve patients who require the most assistance ?
Definition
last
Term
what method is used to explain the locations of foods to a blind patient ?
Definition
clock method
Term
what position is the patient placed in for the use of a nasgastric tube ?
Definition
high fowlers. (patients upper half is between 60-90 degrees)
Term
What term is used to denote feeding tubes ?
Definition
gavage
Term
how many minutes will it take to properly administer a tube feeding ?
Definition
10-20 minutes
Term
define the term lavage.
Definition
introduction of a solution into the stomach through a tube amd the siphoning the solution back out.
Term
how far into the urethra is the catheter inserted for the male patient ?
Definition
6-10 inches or until urine begins to flow for straight catheters and to the catheters bifurcation for the indwelling catheter.
Term
how far into the urethra is the catheter inserted for the female patient ?
Definition
2-3 inches or until urine flow.
Term
why do you pinch the tube prior to removing it ?
Definition
to prevent air from entering the bladder.
Term
what are two types of enemas ?
Definition
cleansing and retention
Term
what are three reasons for the use of cleansing enemas?
Definition
relieve constipation, prepare for surgery, and prepare for diagnostic procedure.
Term
what position is the patient placed in when administering an enema ?
Definition
left lateral recumbent or on his or her back.
Term
when giving a cleansing enema, howm any minutes should the solution be retatined ?
Definition
at least 5 minutes.
Term
when giving a retention enema, how high should the solution container be held above the rectum ?
Definition
aproximately 12 inches above the rectum, no more than 18 inches.
Term
what are retention enemas used for ?
Definition
treat diseases of the rectum and lower colon, soften fecal matter or soothe an irritated colon or rectum, and administer medications.
Term
what are two reasons for colostomy?
Definition
establishing fecal control and keeping patient clean.
Term
what is the most common reason for recieving a colostomy ?
Definition
cancer of the rectum.
Term
what term means the patient has a low oxygen content in the arterial blood ?
Definition
hypoxemia.
Term
hyperventilation can cause what type of acid-base imbalance ?
Definition
respiratory alkalosis.
Term
hypoventilation can cause what type of acid-base imbalance ?
Definition
respiratory acidosis.
Term
what type of mask is used to administer inspired oxygen concentrations of 60-90 percent ?
Definition
Nonrebreather mask.
Term
what type of mask is used when the patient needs low concentrations of oxygen, 24-50 percent ?
Definition
venturi mask.
Term
how often are humidifiers changed ?
Definition
every 48 hours
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