Chapter 7: E-Medicine in Respiratory Care – Flashcards
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what is the definition of E-Medicine?
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refers to the use of computerized or digital technology to enhance efficiency and effectiveness of health care and more specifically patient care
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what are examples of E-Medicine?
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digital applications related to electronic health records, disease management, etc
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what are electronic health records(EHR)?
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the sum of all electronic medical records produced by a patient during the different encounters with various health care entities throughout a lifetime
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what are electronic medical records(EMR)?
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computerized records produced every time a patient uses health services; owned by the hospital or health care organization
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what are examples of nonclinical information that is also saved electronically?
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patient demographics, health insurance, history and physical exam, progress notes, labs/tests, and vitals
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why does it help that physician orders are also computerized?
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it saves time and reduces transcription errors due to handwriting clarity issues and also helps facilitate patient care and reduce medical errors
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what are the issues in health care organizations when it comes to software packages?
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using separate software packages for individual functions
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what is the Health Information Technology for Economic and Clinical Health Act(HITECH Act)?
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its part of a national strategy for building a national health information infrastructure
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why is it good to use a single comprehensive software package to address issues?
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to provide integral functionality to enhance both efficiency and effectiveness, as well as comply with HITECH Act
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what are some applications of electronics in diagnostics?
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hemoglobin monitoring, blood gas and point-of-care testing, medial imaging applications, and pulmonary function testing
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what is PACS?
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an application that allows for imaging storage, portability, communication, and clinical integration of all imaging modalities with the EHR
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what are the 2 applications of electronics in acute care settings?
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mechanical ventilators and therapist-driven protocols
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what do mechanical ventilators have the potential to do?
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to improve the quality and consistency of ventilator charting; also improve completeness, accuracy, consistency, and efficiency
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what do therapist-driven protocols do?
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evidence-based protocols can improve health outcomes; automated protocols can assist with spontaneous breathing trials
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what is an example of an automated breathing trial?
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ventilator weaning
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what are the applications of technology in non-acute care settings and chronic diseases?
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to develop protocols to address main reasons for readmissions to emphasize patient and family education and follow-up
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what are the 2 chronic diseases?
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asthma and COPD
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what does technology do to help monitor asthma?
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use monitored patient data to tailor the adjustment to the plan of care
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what does technology do to help monitor COPD?
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E-medicine applications facilitate education, self-management, and timely feedback from health care providers
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what are the 3 types of treatments for tobacco use and dependence?
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phone-based applications, internet-based treatment programs, and automated contacts via e-mail or text messages
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what are health informatics?
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combines advances in computer science and technology to improve clinical care, manage the health of populations, and accelerate research
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what is business intelligence(BI)?
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set of tools that permit capture, storage, and transformation of data into useful and actionable information
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what are key performance indicators(KPI)?
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indicators of quality and efficiency that are selected based on reporting or operational requirements
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what is the purpose of telemedicine?
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support health care at a geographically different location from the patient to increase access to specialty care
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when coupled with electronic health record, clinical decision is particularly useful in: a. disease management b. influenze care c. resp. therapy d. post-trauma care
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a. disease management
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in what automated response. care protocol has shown that use of a handheld computer helped shorten the patient's stay in the ICU? a. ventilator initiation b. ventilator weaning c. high-flow oxygen (O2) therapy d. airway care
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b. ventilator weaning
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the process by which the underlying primary, secondary, and other notable causes of a medical error are indentified is referred to? a. continuous quality improvement b. a root-cause analysis c. value-based purchasing d. web analytic
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b. a root-cause analysis
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which of the following are ways health care workers and facilities conform to HIPPA regulations concerning securing patient confidentiality within electronic medical records? 1. refraining from sharing passwords 2. accessing electronic patient information only on a need- to-know basis 3. utilizing thumbprint protected security 4. allowing close family members to view patient health information from a hospital computer
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1,2, and 3
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what are the 3 basic missions of academic medicine?
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to heal, to teach, and to discover
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what entity is responsible for approving experimental procedures prior to collecting data? a. AARC b. IRB c. NBRC d. NIH
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b. IRB
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what search engine looks for scholarly publications in a wide variety of fields and includes peer-reviewed manuscripts, abstracts, theses, and books from academic publishers, professional societies, and university libraries? a. Medline.org b. Google Scholar c. Minimed.org d. Cochrane.org
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b. Google Scholar
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what is the name of the database often purchased and used by hospitals and university libraries to provide key research information on a large variety of medical topics? a. SPAN b. OVID c. CINUP d. MITO
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b. OVID
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which of the following describes a database that is a structured collection of facts? a. synthesized databases b. portal databases c. electronic journal databases d. bibliographic databases
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d. bibliographic databases
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True or false: the membrane that covers the lungs is called the visceral pleura
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true
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what is a faster than normal, very rapid respiratory rate called?
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tachypnea
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what does dyspnea mean?
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labored or difficult breathing
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what does apnea mean?
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temporary cessation of breathing
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what does bradypnea mean?
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abnormally slow breathing
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the condition used to define when the chest wall moves paradoxically with respiration as a result of multiple fractures of the ribs is called what?
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flail chest
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what does hemothorax mean?
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blood in the thoracic cavity
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what does pleural effusion mean?
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accumulation of fluid in the pleural space, which compresses the underlying position of the lung; resulting in dyspnea
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what is silicosis?
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a lung disorder caused by inhalation of silica dust, resulting in the formation of small nodules
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what is apnea also known as?
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asphyxia
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what is heart failure from pulmonary disease called?
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cor pulmonale
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what is congestive heart failure(CHF)?
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defective blood-pumping system, marked by breathlessness and abnormal retention of sodium and water
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what is myocardial infarction?
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gross necrosis of the myocardium, caused by decreased blood supply to the area
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what is a pneumothorax?
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a collection of gas or air in the pleural cavity, resulting from a perforation through the chest wall or the visceral pleura
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what is pleurisy?
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inflammation of the pleura
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what is pertussis?
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acute upper respiratory infectious disease caused by bacterium, bordetella pertussis, commonly called whooping cough
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what is Cheyne-Stokes?
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a condition where the patient breathes deeply a short time and then breathes slightly or stops altogether with the cycle repeating itself
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what is SIDS?
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sudden infant death syndrome; cause unknown; associated with failure of synapse of nerves to activate diaphragm
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what is Kussmaul breathing?
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gasping, labored breathing, also called air hunger
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what is arrhythmia?
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irregular heartbeat or a variation from the normal heart beat
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what is an aortogram?
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an invasive diagnostic test using a catheter to inject dye into the aorta
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the is the bundle of His?
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cardiac muscle fibers connecting the atria with the ventricles of the heart
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what is the pulmonary semilunar valve?
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located between the right ventricle and pulmonary artery
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what is the vena cava?
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largest vein going all through the body
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what is the epicardium?
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the visceral pericardium
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true or false: cardiac arrest is the cessation of heart function
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true
