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Final Exam for scribe America(100% Latest Updated!)

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Comorbidity - ANSWERSthe simultaneous presence of two chronic diseases or conditions in a patient; complexity etiology - ANSWERSthe cause of a disease Systole (systolic) - ANSWERSphase of the heartbeat during which the muscle contracts pumping blood to the body Diastole (diastolic) - ANSWERSphase of the heartbeat during which muscle is relaxed and the heart fills with blood Diuretic - ANSWERSa substance that promotes the production of urine Paresthesia - ANSWERSsensation of tingling or numbness Polydipsia - ANSWERSExcessive thirst Ischemia - ANSWERSloss of blood supply to tissue Anticoagulant - ANSWERSa drug that prevents blood clotting chronic - ANSWERSAn illness is typically classified as blank when it lasts longer than 3 months 70% - ANSWERSChronic illnesses cause about blank of deaths in the US 90%, 75% - ANSWERSApproximately blank of seniors have a chronic illness and over blank have two or more - the treatment of one disease may affect or contradict the treatment of the second -adverse drug interactions -compounding symptoms may lead to poor compliance with treatment plan -if both illnesses affect a specific organ system, the patient is at increases risk of organ failure - ANSWERSPatients with comorbidities are complex in a number of ways

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Uploaded on
November 25, 2024
Number of pages
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Written in
2024/2025
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Final Exam for scribe America(100%
Latest Updated!)

Comorbidity - ANSWERSthe simultaneous presence of two chronic diseases or
conditions in a patient; complexity

etiology - ANSWERSthe cause of a disease

Systole (systolic) - ANSWERSphase of the heartbeat during which the muscle contracts
pumping blood to the body

Diastole (diastolic) - ANSWERSphase of the heartbeat during which muscle is relaxed
and the heart fills with blood

Diuretic - ANSWERSa substance that promotes the production of urine

Paresthesia - ANSWERSsensation of tingling or numbness

Polydipsia - ANSWERSExcessive thirst

Ischemia - ANSWERSloss of blood supply to tissue

Anticoagulant - ANSWERSa drug that prevents blood clotting

chronic - ANSWERSAn illness is typically classified as blank when it lasts longer than 3
months

70% - ANSWERSChronic illnesses cause about blank of deaths in the US

90%, 75% - ANSWERSApproximately blank of seniors have a chronic illness and over
blank have two or more

- the treatment of one disease may affect or contradict the treatment of the second
-adverse drug interactions
-compounding symptoms may lead to poor compliance with treatment plan
-if both illnesses affect a specific organ system, the patient is at increases risk of organ
failure - ANSWERSPatients with comorbidities are complex in a number of ways
including:

-symptoms in chronological order
-the status and progress of each illness

,-level of compliance with treatment plan - ANSWERSFor complex patients, it is
important to document:

bill - ANSWERSComplex patients often blank to higher level, so it is important to
document thoroughly and accurately

Systolic Blood pressure - ANSWERSmeasures the pressure in the arteries when the
heart contracts (beats)

Diastolic blood pressure - ANSWERSmeasures the pressure in the arteries when
relaxed (between heart beats)

90/60 to 120/80 - ANSWERSWhat is a normal systolic/ diastolic bp?

lowers blood pressure - ANSWERSdecreasing sodium intake does what?

- ANSWERSDon't forget to document "Low sodium diet encouraged" in the patients
chart when directed by provider

Diuretics - ANSWERSreduce the volume of fluid in the blood vessels by urinating
excess fluid

Beta-blocker - ANSWERSslow the heart rate and reduce the hearts workload

Ca Channel Blockers - ANSWERSdilate the arteries and reduce the force of the hearts
contractions

ACE inhibitors - ANSWERSrelax arteries and block reabsorption of water by kidneys

ARBS - ANSWERSdilate the arteries

-Severity of HTN
-Effect of the medication on comorbidities
-Cost of medication/ insurance coverage
-patient/ provider preference
-effectiveess of medication for specific patient - ANSWERSHTN treatment with a
specific medication depends on:

Type 1 DM - ANSWERSInsulin insufficiency; the pancreas is unable to produce insulin
which moves glucose from the blood into cells; only 5% of todays DM patients; can only
be IDDM; treated only with insulin; diagnosed early in life, strong FHx components

Type 2 DM - ANSWERSInsulin resistance- consistently high blood glucose levels cause
cells to become resistant to insulin; 95% of todays today; can retreated with diet
changes, non insulin meds, or insulin; May be IDDM or NIDDM; FHx component but
also SHx factors including diet and exercise

, Insulin dependent - ANSWERSBoth Type 1 and type 2 can be

HDL- High Density Lipoprotein - ANSWERSGood Cholesterol; blank is able to remove
cholesterol from artery plaques and recycle it back to the liver

LDL- Low density lipoprotein - ANSWERSBad cholesterol; blank transports cholesterol
to arterial walls and aides the formation of plaques

MI - ANSWERSCAD is the #1 biggest risk factor for

Coronary Artery Disease, Acute Coronary Syndrome, Myocardial Infarction -
ANSWERSWhat are the main concern of CAD?

- do you have a home nebulizer?
-have you bee prescribed steroids recently?
-have you previously been hospitalized for asthma?
-have you previously been intimated (breathing tube) - ANSWERSWhat questions may
a physician ask the pt when trying to assess the severity of symptoms and previous
treatment?

Peak Flow - ANSWERSAsthma Diganosis:
Peak expiratory flow or PEF
Measured w a peak flow monitor
Measure in liters/ minute
Baseline PEF must be established at the time of Dx

Inhaler - ANSWERS-pressurized device that releases a "puff" of medication fro
inhalation
-one dose at a time

Nebulizer - ANSWERS-machine that delivers continuous aerosol mist
-treatment is delivered over a period of time

Patient Problem List - ANSWERSBlank organizes the patients past medical history and
allows the doctor to identify a patients active issues quickly, it includes all active and
resolved conditions (diagnoses or symptoms) and is used to keep track of both the most
concerning issue and any recurrent events

Problem List - ANSWERSA well designed blank provides the patients current and past
health problems

Chronic illnesses, Injuries suffered by the patient, any symptom or disease that has
affected the patient - ANSWERSA problem lists includes:
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