LPC 68W Study Guide latest updated

Acetaminophen - Answer- Can cause liver damage Access to medical info - Answer- Patient care personnel, medical educators Acute Sinusitis s/s - Answer- Headache, discolored nasal drainage, nasal stuffiness, cough. Tender to percussion over frontal or maxillary sinuses. Animal bites - Answer- Wash with warm soapy water, irrigate wounds with a soapy water using a needle catheter and syringe. Ankle sprain - Answer- Most are a result of ankle inversion. Anti-Diarrheal Meds - Answer- Loperamide (Imodium) and Pepto-Bismol or Kaopectate. Antihistamine - Answer- Common side effects are mouth dryness and sleepiness. Diphenydramine (Benadryl). Aspirin (ASA) - Answer- Not intended for military members in combat. Can cause gastric irritation, hyperthermia, coma, respiratory stimulation, peptic ulcer or gastric bleeding. Do Not give to children. Asthma - Answer- Precipitating factors - Emotional upsets, physical exertions, URI. Treat acute attacks only, evacuate immediate if in the field. Back movement - Answer- Flexion and extension, lateral bending, rotation. Bursa - Answer- Saclike boy cavity located b/w joints or at points of friction b/w moving structures filled with synovial fluid. Cellulitis - Answer- Acute bacterial infection of the dermis and subcutaneous tissues. Caused by "bites." Cerumen impaction - Answer- Wax in the ear. Irrigate. Colon (large intestine) - Answer- Absorption of water and electrolytes (up to 5-7 liters per day). Contact Dermatitis - Answer- Skin inflammation. Linear streaks are characteristic. Oral corticosteroid may be given for 7-14 days in extensive cases. Contact precautions - Answer- Diseases include drug-resistant GI, respiratory, skin and wound infections, Hep A, herpes simplex, and acute diarrhea. Contagious Diseases - Answer- Diseases transmitted to many individuals quickly and easily. Convalescence Stage - Answer- Final stage when acute symptoms of the infection subside and the person recovers. Cutaneous Abscesses - Answer- Localized area of pain and swelling. Begins as a deep, tender, red papule that becomes fluctuant (pus filled). Fever not usually present. Primary treatment is incision and drainage (I&D). DD Form 689 - Answer- Individual Sick Call Slip. May be used as a means of communication b/w medical personnel and patient's commander. Diarrhea Diet - Answer- Liquid diet then progress to bland diet. Disclosure of medical info - Answer- Handled by the patient administrator. Droplet precautions - Answer- Microorganisms are propelled through the air from sneezing, coughing, talking. Earaches - Answer- In adults up to 50% are actually dental problems. Epinephrine - Answer- 0.3-0.5mg IM or SC for an adult. Epistaxis - Answer- Nosebleed. Maybe be an early sign of a significant illness. Have pt sit up and lean forward, tip head downward and pinch nose. External auditory canal (EAC) - Answer- Inspect for earwax (cerumen) or discharge. Fentanyl Contraindications - Answer- Caution given to casualty that has already been given morphine. Can increase chances of respiratory depression and narcotic side effects. Gallbladder - Answer- Located in RUQ. Stores bile formed by liver. Handwashing - Answer- Single most effective means of breaking the chain of infection. Herpes Zoster (Shingles) - Answer- Pain, tenderness and itching occur along site of the future rash 2-3 days prior. Most often occurs in the thoracic or lumbar region and is unilateral. Histamine - Answer- Stimulates gastric secretion and causes dilation of the capillaries, constriction of bronchial smooth muscle and decreased blood pressure. Impetigo - Answer- Superficial bacterial skin infection most frequently on exposed parts of the body especially the hands, face, neck, and extremities. Incubation period - Answer- First phase when the pathogen enters the body to the appearance of the first symptom of illness Infectious Mononucleosis - Answer- Throat pain, constantly tired, shaggy white-purple tonsilar exudate, abdominal pain may indicate inflammation of the spleen. Intradermal Injections - Answer- Testing for exposure to disease and allergy testing to environmental allergies and medication. Intramuscular Injections - Answer- Used when a large volume of medication is needed for a stronger effect. Primarily in deltoid muscle for volumes up to 2ml in an adult. Kidney stones - Answer- Patient will have obvious cramping, restless, constantly moving. Severe and colicky, awaken them from sleep, onset in the flank. Kidneys - Answer- Regulate the water, electrolytes, and acidbase content of the blood. Ligament - Answer- Band or sheet of tough fibrous tissue joining two or more bones or cartilages. Provide stability of joints and, when intact, limit their movement to that which is normal. Median cubital vein - Answer- First choice, well supported, least apt to roll. Medication administration - Answer- Chest with supervising health care provider on any doubts about the suitably of any medication for any patient. Microorganism - Answer- Microscopic living cells found almost everywhere in the environment. Middle Ear - Answer- Tympanic Membrane (TM or ear drum). Naloxone (Narcan) - Answer- May initiate narcotic withdrawal symptoms, which include nausea and/or vomiting and tachycardia. May wear off earlier than the drug allowing the casualty to slip back into respiratory depression. Nephrolithiasis - Answer- Kidney stones Nosocomial infection - Answer- Infections that patients acquire while in the health care facility. Reason being that many microorganisms are resistant to antibiotics. Ocular Burns - Answer- Eyes must be flushed first. Once mechanism of burn has been eliminated, then visual acuity is accomplished. Oral Antibiotics - Answer- Safest most convenient method to give antibiotic. Otitis Media - Answer- Middle Ear infection. PT has ear pain and may be running a fever. TM bulging and may look red. Otoscope - Answer- Used to inspect the EAC and middle ear. Use the largest speculum the ear canal will accommodate. Pancreas - Answer- Produces and secretes hormones (insulin and glucogon). Pathogens - Answer- Microorganisms that