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DD Form 689 - CORRECT ANSWER ✔✔individual sick call slip; initiates sick call process; communication between medical personnel and the pt's commander SF 600 - CORRECT ANSWER ✔✔Chronological Record of Medical Care; Must include 1) date and time of visit 2) Medical treatment facility where care was given 3) signature of person making the entry Who is responsible for requesting a disclosure of patient care information? - CORRECT ANSWER ✔✔The patient administrator SOAP acronym for documentation - CORRECT ANSWER ✔✔S) Subjective O) Objective A) Assessment P) Plan Subjective information (documentation) - CORRECT ANSWER ✔✔relevant history of the pts presenting symptoms or chief complaints; use direct quotes form the pt PMH - CORRECT ANSWER ✔✔past medical history
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PSH - CORRECT ANSWER ✔✔past surgical history Soc Hx - CORRECT ANSWER ✔✔social history OPQRST - CORRECT ANSWER ✔✔onset, provocation, quality, radiation, severity, time Profile types - CORRECT ANSWER ✔✔Quarters, Bedrest, Duty Quarters (profile) - CORRECT ANSWER ✔✔Restriction/rest in place of domicile (barracks, home). Free to move in living space (may use the day room). May not perform military duties. Normally will not exceed 72 hours. Bedrest (profile) - CORRECT ANSWER ✔✔Restricted to bed, may travel to dining facility and latrine. May not perform any military duties Duty - CORRECT ANSWER ✔✔Pt is returned to unit for full duty without restrictions
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Sterile - CORRECT ANSWER ✔✔The item is free of all microorganisms and spores disinfectant - CORRECT ANSWER ✔✔a chemical substance that kills harmful bacteria or viruses but not their spores Sterilization - CORRECT ANSWER ✔✔The process that completely destroys all microbial life, including spores. Medical asepsis - CORRECT ANSWER ✔✔clean technique surgical asepsis - CORRECT ANSWER ✔✔sterile technique Transmission based precautions - CORRECT ANSWER ✔✔airborne, contact, droplet reverse isolation - CORRECT ANSWER ✔✔Precaution used for individuals who are immune-compromised to protect them from harmful organisms; for immunocompromised (HIV, Geriatric, transplant patients)
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Hand washing - CORRECT ANSWER ✔✔The most effective way to fight or prevent infection nosocomial infection - CORRECT ANSWER ✔✔hospital acquired infection trade name - CORRECT ANSWER ✔✔the common brand name of a drug generic name - CORRECT ANSWER ✔✔legal noncommercial name for a drug side effects - CORRECT ANSWER ✔✔reactions to medicine other than the one intended Contraindications - CORRECT ANSWER ✔✔reasons not to give a medication indications - CORRECT ANSWER ✔✔reasons to give a medication
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- Right documentation Times to verify medications - CORRECT ANSWER ✔✔1. When removing from storage
- When preparing the dose
- When returning to storage allergic reaction - CORRECT ANSWER ✔✔Hypersensitivity to a substance; Signs and symptoms: pruritus, urticaria, erythema, tachycardia, swollen/watery/itchy eyes Tx: Antihistamines, bronchodilators Anaphylaxis - CORRECT ANSWER ✔✔life-threatening allergic reaction; Signs and symptoms: bronchoconstriction, vasodilation, wheezing, hypotension, tachycardia (chest pain), nausea, vomiting, craping, diarrhea, angioedema Tx: epinephrine Epinephrine dose - CORRECT ANSWER ✔✔0.3 - 0.5 mg IM/SC; repeat every 5-10 min if symptoms continue; concentration 1:
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How to ensure a Pt took oral medication - CORRECT ANSWER ✔✔Observe them swallow the pill What patients would need a spacing device on their inhaler? - CORRECT ANSWER ✔✔Patients who cannot coordination inspiration with activation of the inhaler Sterile parts of the needle - CORRECT ANSWER ✔✔All parts are sterile Gauge sizing - CORRECT ANSWER ✔✔the larger the number, the smaller the diameter Factors determining needle length - CORRECT ANSWER ✔✔type of injection being given, size of the patient, injection site, Filter needle - CORRECT ANSWER ✔✔only used when drawing medication from an ampule. A new needle must be used when administering the medication Intradermal (ID) injection - CORRECT ANSWER ✔✔Given directly under the first layer of skin
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Vastus lateralis for SQ injection - CORRECT ANSWER ✔✔Medication volume: 2ML Deltoid for IM injection - CORRECT ANSWER ✔✔Faster absorption than other IM locations; volume max at 2mL Gluteus Maximus for IM Injection - CORRECT ANSWER ✔✔5mL; may require a longer needle vastus lateralis - CORRECT ANSWER ✔✔5mL; safe but painful injection site antibiotics abbreviation - CORRECT ANSWER ✔✔ABX Main advantages of oral antibiotics - CORRECT ANSWER ✔✔SAFEST, most convenient, most economical, easy to give Advantages of IV administration - CORRECT ANSWER ✔✔rapid onset, precise control over the amount of drug entering the blood, suitability for use with large volumes of fluid, and suitability for irritant drugs.
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Antifungals - CORRECT ANSWER ✔✔A fungicide that treats mycoses tinea corporis - CORRECT ANSWER ✔✔ringworm of the body tinea pedis - CORRECT ANSWER ✔✔Fungal infection of the foot (athletes foot) tinea capitis - CORRECT ANSWER ✔✔Fungal infection of the scalp tinea cruris - CORRECT ANSWER ✔✔ringworm of the groin (jock itch) Histamine - CORRECT ANSWER ✔✔A chemical that is responsible for the symptoms of an allergy; Symptoms of histamines: increase gastric secretions, vasodilation, bronchial constriction, hypotension Leukotrienes - CORRECT ANSWER ✔✔contribute to inflammation in asthma and bronchitis patients
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Aceteminophen - CORRECT ANSWER ✔✔Dose: 650 mg bi-layered tablets, 2 caplets PO every 8 hrs Ketamine - CORRECT ANSWER ✔✔Indications: if the pt may become unresponsive or their respiratory rate may drop Dose: 20 mg slow IV push (over 1 min) or 50 mg IN/IM. repeat every 20 mins (stop administering when pain threshold is met or nystagmus develops) Naloxone (Narcan) - CORRECT ANSWER ✔✔opioid antagonist Dose: 0.4-2mg slow IV push (1-2 mins) may need to be repeated 3- times. Stop administering when respiratory rate returns to normal Duration: 1-2 hours Non-steroidal anti-inflammatory drugs (NSAIDs) - CORRECT ANSWER ✔✔analgesic, anti-inflammatory, antipyretic Effects of Overdose: tinnitus, vertigo, deafness, hyperthermia, CNS stimulation followed by depression Aspirin (ASA) - CORRECT ANSWER ✔✔Never indicated for soldiers before combat, antiplatelet aggregate (prevents blood from clotting)
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Preferred sites for blood draw in order - CORRECT ANSWER ✔✔1. Cubital median
- Cephalic
- Basilic Reseans for venipuncture - CORRECT ANSWER ✔✔1. draw labs
- start IV's
- Administer medications Sclera - CORRECT ANSWER ✔✔white of the eye; connects to the muscle that allow movement conjuctiva - CORRECT ANSWER ✔✔mucous membrane that lines the eyelids and outer surface of the eyeball Retina - CORRECT ANSWER ✔✔Contains sensory receptors that process visual information and sends it to the brain; continuation of the optic nerve Cornea - CORRECT ANSWER ✔✔The clear tissue that covers the front of the eye
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left eye (OS), right eye (OD), both eyes (OU) - CORRECT ANSWER ✔✔abbreviations relating to the eyes PERRL - CORRECT ANSWER ✔✔Pupils are equal, round, and reactive to light Red Eye - CORRECT ANSWER ✔✔General term; can be a sign/symptom of many diseases or problems. Vision loss - CORRECT ANSWER ✔✔Is always considered a medical emergency Conjunctivitis - CORRECT ANSWER ✔✔pink eye, infection of conjunctiva; can be allergic, viral (clear discharge), or bacterial (purulent discharge) auricle (pinna) - CORRECT ANSWER ✔✔external portion of the ear; shaped to collect sound Tragus - CORRECT ANSWER ✔✔The small, rounded, fleshy bulge that lies immediately anterior to the ear canal.
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middle ear - CORRECT ANSWER ✔✔the chamber between the eardrum and cochlea containing 3 tiny bones (hammer, anvil, and stirrup) that concentrate the vibrations of the eardrum on the cochlea's oval window bones of the middle ear - CORRECT ANSWER ✔✔malleus (hammer), incus (anvil), stapes (stirrup) Eustachian tube - CORRECT ANSWER ✔✔connects the middle ear with the nasopharynx and allows passage of air Red flags of ear complaints - CORRECT ANSWER ✔✔Fever of 101 degrees or greater, embedded foreign bodies physical examination of the ear - CORRECT ANSWER ✔✔Examine normal ear first, use the largest speculum that the ear can accommodate; for adults, pull the auricle back and out Valsalva maneuver - CORRECT ANSWER ✔✔Any forced expiratory effort against a closed airway such as when an individual holds his or her breath and attempts to exhale
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Red Flags of sinus complaints - CORRECT ANSWER ✔✔Temperature of 101 degrees or more. paranasal sinuses - CORRECT ANSWER ✔✔
