RMA Study

heyguysitsclaire's version from 2016-07-07 17:34

Section 1

Question Answer
Autoclavesteam sterilization, 270degrees x20min for unwrapped items x30min for loosely wrapped items x40min for tightly wrapped items
Dry Heat Sterilizationhigher temps and longer exposure than steam sterilization, gas sterilization
Chemical Sterilization items must be sanitized first then the items are completely submerged in a chemical solution
Muslin Cloth (equipment)reusable, used to provide compression, prevent drying, prevent motion and retain surgical dressings and to prevent an injury from external contamination
Paper Squares (equipment)disposable
Sterilization Pouches (equipment)disposable, to keep medical tools sterile
Autoclave Tape (equipment)disposable, stripes appear when exposed to heat
Route 90degree angle (IM) Birth-12 months anterolateral thigh muscle
Route 90degree angle (IM) 12 months-10yearsthickest portion of the deltoid muscle, or anterolateral thigh may be used
Route 90degree angle (IM) Children and Adults thickest portion of deltoid muscle
Route 45 degree angle (SC) Birth-12months fatty tissue of anterolateral thigh
Route 45 degree angle (SC)12months and older fatty tissue over triceps
Immunizations are given bymouth, injection, intranasal spray
Tetanus, diptheria, pertussis (td/tdap)every 10 years
HPV human papillomavirus3 doses (female)
Varicella2 doses
Zoster 1 dose (60-64 years)
Measles, mumps, rubella (MMR) 1 or 2 doses (19-49 years) 1 dose (50-65years)
Influenza1 dose annually
Pneumococcal1 or 2 doses (19-64 years)
HepA2 doses
HepB3 doses
Meningococcal1 or more doses

Section 2

Question Answer
Immunizations for ChildrenHepA&B, Polio, Measles, Mumps, Rubella, Pertussis, Deptheria, Tetanus, Haemophilus, Influenza B, Pneumonia, Chicken Pox, Influenza, Rotavirus, Meningitis, Human Papillomavirus
MSDS Material Safety Data SheetIncludes melting/boiling point, flash point, etc... toxicity, healtheffects, first aid, reactivity, storage, disposal, protective equipment, and spill handling procedures
Chemical Controls- Bluehealth hazard
Chemical Control- Red flammability hazard
Chemical Control- Yellowreactivity or instability hazard
Chemical Control- White special hazard and the use of PPE
Hierarchy of Hazard Controla system used in industry to minimize or eliminate exposure to hazards: elimination, substitution, engineering, administration, PPE
Observation or Inspection is the process of observing the patient
Palpatationexam of the body by the feel of touch and may be used to help verify observations
Percussion process of eliciting sounds from the body by tapping with either a percussion hammer or fingers
Auscultation process of listening directly to body sounds, normally with a stethoscope ---- listens for lungs/heart sounds such as murmurs, rales or bruits
Mensurationexamination using the process of measuring height, weight, length of limb, amount of flexion and extension of extremity. Chest/Infant head circumference
Manipulation amount of flexion and extension of a joint by applying forceful passive movement on the joint
History of Present Illnesslocation, quality, severity, duration, timing, context, modifying factors, associated signs/symptoms
Six/Seven Rightsright drug, right route, right dose, right time, right patient, right documentation, right technique
Common Routes oral, parenteral (injection)
Subcutaneous (Parenteral)just below the surface of the skin, 45 degree angle
Intramuscular (Parenteral) within the muscle, 90 degree angle
Intradermal (Parenteral)within the dermal layer of the skin, 10-15 degree angle
Intravenous (Parenteral) within or into a vein

Section 3

Question Answer
EKG- V1fourth intercostal space at the right margin of the sternum
EKG- V2fourth intercostal space at the left margin of the sternum
EKG- V4fifth intercostal space at the mid clavicle line
EKG- V3midway between V2 and V4
EKG- V5horizontal to V4 at left anterior axillary line
EKG- V6horizontal to V4 at mid axillary line
BP- systole force exerted on the arterial walls during cardiac contraction
BP- diastole force exerted during cardiac relaxation
BP- first sound during phase 1systolic pressure
BP- disappearance of sounds in phase 5diastolic pressure
BP- korotkoff sounds sounds heard during blood pressure meaurement
BP- orthostatsBP readings from the supine to sitting to standing position
BP- pulse oxomiter measures the amount of oxygen present in the patients blood
Pulse common site for obtaining pulse radial
What is apical pulse used for cardiac pts and pts with arrhythmia and to obtain infant pulse rate
Characteristics of a pulse rate, rhythm, volume and condition of arterial wall
Characteristics of respirationrate, rhythm, depth
Rales rattling sounds heard during inspiration and expiration
Wheezeshigh pitched musical sounds heard on expiration
Stridorcrowing sound heard on inspiration as a result of an obstruction of the upper airway
Rhonchisounds similar to snoring
Aural Temperature tympanic thermometer, choice for pediatric patients older than 2 years, inaccurate readings can result if patients have impacted cerumen in ear
Oral Temperature electronic thermometer, first choice for children 5 years and older
Rectal and Axillary Temperature used for infants, young children, and patients who are unable or uncooperative with oral temperature measurement

Section 4

Question Answer
Formula for converting C to F and back9C=5F-160
Febrilefever is present
Pyrexiaanother term for fever
Therapeutic Drugs treatment of condition
Diagnostic Drugin conjunction iwth radiology and other diagnostic imaging
Curative Drug used to kill or remove the causative agent of the disease
Replacement Drugused to replace substances in the body
Preventive or Prophylactic Drugused to ward off or lessen the severity of disease
Schedule 1 Drug high potential for abuse and are not acceptable for medical use within the US (LSD, marijuana)
Schedule 2 Drug high abuse potential but have an accepted medical use within the US (morphine, codeine, percocet) a written prescription is required and the prescription cannot be renewed
Schedule 3 Druglow to moderate potential for physical dependence, but high potential for psychological dependency. Prescriptions can either be written, oral or e-prescribed. They can be refilled, but only 5 times within 6 months. Accepted in the US for medical use (vicodin, tyl3)