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Alle Oberthemen / Biology / CLS 103

CLS 103 Exam 2 Review (36 Karten)

Sag Danke
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Chief Complaint (CC)
Reason patient is seeking care.
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GYN Examination
Vaginal Speculum
Wooden spatula
Fixative
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Patient Instruction for GYN Examination
1. Ask  patient and remind to empty bladder.
2. Advise to undress and where to put clothing.
3. Explain that the drape is used as a sheet to cover the lower half of the body and prove extra comfort.
4. The cape should go on with the opening in the front to allow for the breast examination.
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Positioning:
Supine
Second position. Patient is moved into this position to allow physician to examine the breasts and abdomen.
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Positioning:
Sitting
Usually first and final position . Physician speaks to patient and instructions are given in this position .
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Positioning:
Lithotomy
Third position . This position requires the use of stirrups.
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Positioning:
Dorsal Recumbent
This position allows the physician to perform a Bi-manual and rectal exam. Done also if no examination table for performing a Pap smear.
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Proctoscope Examination
Clean and organize examination tray:
-gloves
-lubricant
-proctoscope
-drape
-tissue
-fecal occult cards and regent
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Positioning:
Prone
Allow patient to lie in a comfortable position until the physician is ready to begin the exam.
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Positioning:
Knee-chest
Used for proper proctoscopy.
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Positioning:
Sims
this is an alternative to knee-chest when performing a proctoscopy.
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Fecal Occult Blood Testing
used as a screening test for colorectal cancer for males at 50 years and women at 40 year
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Melena
Is visible blood in stool that gives stool a dark, tar like appearance.
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Proper patient education on diet  and preparations for guaiac card to help eliminate:
false positive results.
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How many guaiac cards and wooden sticks are given?
3
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How many drops of reagent are applied to the guaiac card to develop?
One
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Pediatric Examinations
Pediatric Vital Signs (use growth chart for tracking percentiles)
Recumbent Length in the Supine position
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Pediatric Examinations
Head Circumference
-use flexible , cloth tape measure
-measure around widest portion of head
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Measuring B/P of a Pediatric Patient
B/P taken at 3 years of age
cuff inflated to approx. 130mmHg and release pressure at a rate of no more than 2 to 3 mm/Hg per second.
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Newborn Screening:
Consists of collecting small amount of blood from infant's heel.
Test is  PKU (phenylketonuria) or hyperthroidism
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PKU Testing is done when?
Within the first 24 hours of birth

second done 10-14 days after  birth if inconclusive.
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What is the name of the Vision acuity test?
Snellen Eye Testing

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What is the medical term for nearsightedness?
Myopia
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Equipment for eye exam.
Eye chart and an eye occulder

The Big E chart for non English speaking
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What is the distance for administering an eye exam?
20ft.
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What is Normal vision is stated as ?
20/20
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When is the Object chart used?
So that a child can easily identify objects like boat, house and ball.
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The process of cleansing the external auditory canal with flowing solution to remove impacted cerumen.
Ear irrigation
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The process of cleansing the eye with a flowing solution
Eye irrigation
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Guidelines for obtaining a CC:
Use open ended questions
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When  physician is assisted by MA, exam can be performed in
-less time
-with greater effectiveness
-increased patient comfort
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MA responsibility  during exam:
-assisting with patient positioning
-providing assistance to physician and patient during exam
- instruct patient to dress and assist if necessary
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Preparing the tray( Mayo Stand)
Step 1: Clean tray using a cotton ball or gauze and alcohol
Step 2: Wipe tray in a circular motion, inward to outward and allow it to tray.
Step 3: Place a utility towel on the tray.
Step 4: Arrange equipment in order of use from left to right.
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Guidelines for obtaining a CC:
1.Use open ended questions
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Preparation of exam room is MA's responsibility:
1. exam room should be free from clutter and well lit
2. supplies well stocked
3. a comfortable room temp is maintained
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Preparation of patient includes:
Patient may nee to empty bladder
Kartensatzinfo:
Autor: CoboCards-User
Oberthema: Biology
Thema: CLS 103
Schule / Uni: Arizona College
Ort: Glendale
Veröffentlicht: 02.10.2014
Tags: Ms. Williams
 
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