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Exam 2
Fundamentals of Medicine
43
Medical
12th Grade
07/24/2013

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Cards

Term
Good interviewing reduces the rate of ______
Definition
False Positives/Negatives
Term
What is the main purpose of the NURSE technique?
Definition
To express Empathy
Name emotion
Understand emotion
Respect the emotion
Support The Patient
Explore the meaning
Term
Components of the interview
1.CC
2.HPI
3. PMH
4. etc.
Definition
1. Chief Complaint
2. History of Present Illness
3. Past Medical History
4. Medications/Allergies/Family history etc.
Term
5 Steps of Medical Interview
1.
2.
3.
4.
5.
Definition
1. Set the stage
2. Elicit CC(Chief Concern) and Set Agenda
3. Let Patient Tell His/Her Story
4. Learn More about the Story
5. Transition to the middle of the interview (Doctor-Centered)
Term
OARS Method
Definition
Open-ended questions
Affirmations
Reflections
Summarizations
Term
What does it mean to be Ambivalent?
Definition
The coexistence of opposing attitudes or feelings
I.E = "I need to lose weight, but I hate Exercising"
Term
Normal Heart Range:
Definition
60-100 Bpm
Term
Normal Body Temperature
Definition
37 o C or 98.6 o F
Term
Normal Respiratory Rate
Definition
12-16 breaths/minute
Term
Normal Blood Pressure
Definition
120/80 mmHg
Term
Blood Pressure sounds
A.K.A Korsakoff Sounds
Definition
1st sound is the systolic pressure and when the sound stops is the diastolic pressure
Term
Repercussions of wrong sized cuffs
Too big vs. Too Small
Definition
Too Big = Blood pressure will be artificially high Because when cuff is too big you need to pump more air leading to a higher rating
Too Small = Blood Pressure will be artificially low
Term
Which artery is used when taking blood pressure?
Definition
Brachial
Term
Of the total 8 spots, identify 3 points where you can take pulses on the human body (Know Names)
Definition
Carotid = Neck
Radial = Wrist
Brachial = Arm
Femoral/inguinal = Groin
Popliteal = Behind the knee
Dorsal Pedal = Top of Foot
Abdominal aorta/Apex of the Heart = On Rib Cage
Term
Organs Responsible for Regulation of Body Temperature
Definition
Hypothalamus in brain and skin
Term
Examples of people who can administer drugs
Definition
Nurse Practitioners, Patients (Diabetes), Parents, Doctor, Nurse (#1 Medication giver 60-65% of all medications given come from nurses)
Term
Main Organ for Medication Metabolism
Definition
Liver
If Liver doesn’t work want to give a higher does so that the desired amount of medication can be absorbed
Term
First Pass Effect
Definition
Some of the drug is absorbed in the liver after it is taken
Term
Main Organ for Medication Excretion
Definition
Kidneys
If Kidneys not working want to give less of a dose so it doesn’t stay in body for so long
Term
Pharmacokinetics vs. Pharmacodynamics
Definition
Pharmacokinetics = What body does to drug
Pharmacodynamics = What drug does to body
Term
Routes of medication Administration
There are a bunch so I'd say name 5 or 6
Definition
Oral
Nasally
Vaginally
Buccally (Cheek)
Rectally
Sub-Lingual
Eye Drops
Topical Creams
Inhalers
IV
Term
Onset
Peak
Duration
Definition
onset: when the drug starts working.
peak: drug at its highest level.
duration: how long it lasts.
Term
Function of the Cardiovascular System
Definition
Oxygen and Nutrient Transport
Removal of Metabolic Waste
Hormone Transport
Term
Where does blood travel through the Heart?
Definition
Body -> Right Atrium -> Right Ventricle -> Lungs -> Left Atrium -> Left Ventricle -> Body
Term
How does blood get from _____ to lungs??
Definition
Right Ventricle to lungs via pulmonary arteries
NOTE: ONLY ARTERY WITH DEOXYGENATED BLOOD
Term
How does blood get from lungs to ______??
Definition
Lungs to Left Atrium via pulmonary veins
NOTE: ONLY VEIN WITH OXYGENATED BLOOD
Term
Vessels that carry blood to supply the muscles of the heart
Definition
Coronary Vessels
Term
Pacemaker of the heart is known as the
Definition
Sinoatrial Node, located in right atrium
Term
Tricuspid Valve
Definition
Connects right atrium to right ventricle
Term
Pulmonic Valve
Definition
Connects Right Ventricle to pulmonary artery
Term
Bicuspid/Mitral Valve
Definition
Connects left atrium and left Ventricle
Term
Aortic Valve
Definition
Left Ventricle to the Aorta
Term
Systole vs. Diastole
Definition
Systole = Contraction of ventricle that generates enough force to pump blood out of the heart
Diastole = Filling phase of a heart beat
Period of time when the atria are filling with blood= Atrial diastole and other is ventricular diastole
Term
2 Mechanisms in which the hearts can fail
Definition
1. If it is not strong enough to pump blood out
2. Able to pump blood out, but is too fast or too slow
Term
Which heart failure is more common?
Definition
Left, actually is the most common cause of right heart failure
Term
Modifiable vs. Non-Modifiable Risk Factors
Definition
Modifiable = Things like diet and exercise
Non Modifiable = Things like age and gender
Term
Lub-Dub
Definition
Lub= S1 = Atrioventricular Valves (Bi/Tricuspid closing)
Dub= S2 = Semilunar Valves (Aortic and Pulmonic closing)
Term
All
Physicians
Take
Money
Definition
Aortic
Pulmonic
Tricuspid
Bicuspid/Mitral
Are ways to listen to heart
Term
sinus rhythm
Definition
Normal Rhythm of heart, feel to check
Term
Atrial Fibrillation
Definition
Example of an abnormal rhythm
Flutter or abnormally fast heartbeat
Not a lot of difference between the P and the T parts on graph
Term
AV node
Definition
Delays cardiac impulses from the sinoatrial node to allow the atria to contract and empty their contents first.
Basically, allows there to be time for blood to go from atria to ventricles so that it isn't just one squeeze
Term
AV bundle/ Bundle of His
Definition
Carries cardiac impulses down the septum to the ventricles via the Purkinje fibers.
Just a pathway for signals from AV nodes
Term
Purkinje Fibers
Definition
Relays cardiac impulses to the ventricular cells causing the ventricles to contract.
Tells ventricles to contract now that it is ensured that all of the blood from the atria are in the ventricles
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