Respiratory therapy 101 Chapter 7/49 – Flashcards
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Telemedicine
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Use of computers and telecommunications to provide patient care in remote sites.
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Telemedicine allows access to what?
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Gives access to diagnosis, monitoring, & treatment for medically underserved who are geographically far away
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Where is Telemedicine used?
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in home care, emergency departments, & intensive care units.
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Respiratory care practitioners must know?
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How to efficiently retrieve electronic information.
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ARDS
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Acute respiratory distress syndrome.
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Computerized ventilator charting applications improve what two things
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Quality and consistency of ventilator charting. Improve patient outcomes (evidence based)
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Mechanical ventilators
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Use a microprocessors to control flow and pressure for triggering,limiting & cycling breaths. Equilibrate measured values with target values.
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Hemodynamic monitoring
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Thermodilution techniques used in pulmonary artery catheters; computers calculate cardiac output.
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Thermistor
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Linked to a computer and reads subsequent change in temperature of solution and deduces amount of blood flow or cardiac output.
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Blood gas Laboratories
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Computerized, and allow for immediate results and quality assurance.
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Pulmonary Function Laboratories
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Computer algorithms aid in interpretation of pulmonary function tests (PFTs)
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Cardiopulmonary exercise & Metabolic measurement systems use what?
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Desktop or notebook computers
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eHealth
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Helps with treatment of tabacco use & dependence. It is an online, individually tailored treatment. Can access via email, texting,
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Cognitive domain
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The knowledge needed to succeed. (Any factual information)
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Psychomotor domain
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The skills needed to be successful. (Respetition and active involvement)
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Affective domain
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The attitudes needed to succeed. (easy to master facts)
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Teaching an Adult
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Internally motivation, Self-directed, Question teacher, Have rich experiences, Learn from present, Learn more slowly, Problem oriented.
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Teaching Children
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Externally motivated, Directed by others, Trust teacher, Limited experience, Learn for the future, Learn quickly, Subject oriented.
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Disease prevention
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Immunizations, Early detection, Tertiary prevention to minimize acceleration.
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Action verb
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Demonstrate
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Condition
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Using equipment properly
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Standard
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How fast and how accurate
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DataARC
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web based database management system for documenting and reporting clinical educational activities for nursing and allied health professions including RT.
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Clinical decision support
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Systems match the characteristics of individual patients and their clinical interventions, drugs, and diagnostic tests to databases of scientific evidence and drug calculations and generate tailored recommendations, reminders, or even standing orders.
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What is associated with improved clinician performance, decreased unnecessary care, and adherence to evidence -based clinical practice guidelines.
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Clinical decision support
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what system is useful in preventative care., and decreased hospital visits
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Clinical decision support.
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Patient -Driven Protocols
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Can improve health outcomes. RT's use protocols to allocate and titrate respiratory care.
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Chronic disease presents a grave challenge to the U.S health care system.
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7-10 deaths are due to chronic disease. It is present in 8 out of 10 Americans on Medicare, and chronic disease account for three out of every four dollars of health care expenditures in the U.S.
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World wide web
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Rt's can "bookmark" helpful websites for clinical guidelines
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Google Scholar
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search engine for scholarly publications in a wide range of fields. Includes peer-reviewed manuscripts, abstracts, theses and books from academic publishers, professional societies and university libraries.
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PubMed and Medline
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free search engine of the National Library of Medicine for health information.
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Benchmarking
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Valuable for planning, organizing,directing, and evaluating. Helpful for managers.
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SPSS,SAS and Statistica
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instrumental in research. With knowledge of statistics, theses powerful programs can perform laborious and complex statistical tests for descriptive, analytic, and inferential analyses and reporting.
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HIPAA
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Health insurance portability and accountability act
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Ovid
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Extensive collection of web-based resources. Used by medical libraries and large hospitals. Medical encyclopedia, Medical research articles, videos of various surgical procedures. Online interactive tutorials for users.
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Point of care testing
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defined as medical diagnostic testing performed outside the clinical laboratory in close proximity to where the patient is receiving care. Performed by non-laboratory personnel and the results are used for clinical decision making.
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Evidence based medicine
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is the integration of best research evidence with clinical expertise and patient values.
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Disease management
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Applying the best health care practices to a population.Improving patient satisfaction, Reducing mortality, and improving quality of life.
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Microprocessors
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equilibrate measured values with target values.
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Toddler attention span
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2-3 minutes
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School aged children attention span
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10-15
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Adolescents and adults attention span
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20-30 minutes
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Electronic health records
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makes patients medical record avail across the continuum of care of geographic locations
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HIS (Hospital information system)
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comprehensive system for communication and information processing, supports both clinical and administrative purposes.
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Why Hemodynamic monitoring is used?
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To assure the adequacy of perfusion. Early detection of an inadequacy of perfusion - decision making: is monitoring sufficient, or does the patient need active intervention? To titrate therapy to specific hemodynamic endpoints in unstable patients. To differentiate among various organ system dysfunction's.
