class 4: non systems 1 Flashcards
1
Q
can a PTA modify the plan of care
A
no
2
Q
who can do this - add a hamstring exercise to a program that say LE strengthening
A
PT and PTA
3
Q
who can supervise a PTA student
A
PT and PTA
4
Q
who can supervise a PT student
A
PT
5
Q
what does CMS to
A
determines how much will be reimbursed by medicare for pt care
6
Q
what does CARF do
A
accredits free standing rehab programs and facilties
7
Q
what does the joint commision do
A
accredits hospitals, SNF, home health agencies, PPO, HMO, and mental health intuitions
8
Q
what is the role of OSHA
A
determining the safety of the work enviroment
9
Q
what is used for droplet precautions - PPE
A
mask when working within 3 feet from the pt
10
Q
what is used for airborne precautions - PPE
A
N-95 mask
gown and gloves for severe contamination
11
Q
what kind of precautions do you use for PNA
A
droplet precautions
12
Q
what is the PPE for contact
A
gown and gloves
13
Q
contact hand hygiene
A
wash before entering or leaving room
14
Q
contact - can they leave their room
A
yes but try to min
15
Q
droplet example
A
mumps
PNA
flu
mengitis
16
Q
hand - airborne
A
wash before and after
17
Q
droplet - hand
A
wash before and after
18
Q
how far shoulder a pt monitor be
A
18-20 inches
19
Q
degree wise where should the pt’s monitor be
A
10-deg below eye level
20
Q
C1-C2 breathing muscles
A
SCM
upper traps
cervical extensors
21
Q
C3 - C4 breathing muscles
A
partial diaphragam
scalenes
levator scapulea
22
Q
C5-C8 breathing muscles
A
diaphragram, pec major and minor , serratus anterior, rhomids
, lats
23
Q
how long should a pregnant women stay in a supine position
A
a pregnant women should not exceed 5 mins of supine positioning any time after the first trimester
this is to avoid vena cava conpression of the uterus
24
Q
what is hematocrit
A
a blood test that measures the percentage of red blood cells in a person’s blood
25
how many chest compression should be performed per min
100-120/min
26
what is the depth to which chest compression should be performing
2 inch/ 5 cm
27
what is the normal amount of anteversion in adults
8-15 degrees
28
how manny brunnston stages are there
6
7 - technically beacsue this just mean every thing is back to normal
6 - no more spacity
29
when do we give breaths in CPR
after 30 compressions
each breath lasting over 1 secs allowing the chest to rise
30
what is a hickman catheter
cephalic or internal jugular vien
long term drug admin: this is used for providing antibiotics, nutritional solutions, and blood samples
31
what is a swan ganz catheter
balloon flotation device that is inserted through the internal jugular vein into the pulmonary artery
monitors pulmonary arterial pressure and heart function
32
what is a central venous catheter
indwelling venous catheter with a manometer
measures blood pressure directly from right atrium and superior vena cava
right ventricle function
circulating blood volume
33
what is the arterial line used for
inserted into art and attached to onto a monitoring system
used to monitor arterial blood gases and BP
34
what is the order for doffing PPE
gloves
goggles
gown
mask
(ABC order)
35
what is the purpose of the the pulmonary artery
carries deoxy blood to the lungs from the right ventricle
36
what is the function of Chest drainage tubes
may be used to remove air,
blood, purulent matter from the patient’s chest or pleural cavity
37
where are chest drainage tubes inserted
inserted through an incision
in the chest and may be connected to a mechanical or gravity-based suction system
38
what do you do if Chest tubes is disloged
If dislodged, have the patient exhale, place gauze
or a gloved hand over the area and call nursing staff
39
Catheters precautions
hang below level of bladder, do not empty bag if output is being monitored, empty or alert staff if overfilled
40
IV lines things sot know
arm should not be held above head for extended
periods, alert staff if fluid is low due to air bubbles
41
Arterial line if disloged
if dislodged, apply firm pressure and alert nursing immediately
42
Femoral line thing to avoid
avoid repetitive hip flexion and hip flexion >45 degrees
43
wheel chair measurements - seat height
how - Heel to popliteal fold + 2 inches
average - 19.5 to 20.5
inches
44
what is pleural effusion
where fluid build up in the pleural space
45
wheel chair measurements - seat depth
how - Posterior buttock along lateral thigh to popliteal fold - 2 inches
average - 16 inches
46
wheel chair measurements - seta width
how - Widest aspect of buttocks or thighs + 1.5 to 2 inches
average - 18 inches
47
wheel chair measurements - back height
how - Chair seat to axilla - 4 inches (consider any seat cushions and add thickness to final value)
average - 16 inches
48
wheel chair measurements - armrest height
how - Seat of chair to olecranon + 1 inch (consider cushions)
average - 9 inches
49
how do we turn right on a wheel chair
Push the left wheel forward while pulling back on the right wheel
50
how do we perform a Wheelie on a WC
Patient places hands back on
hand rims, then push them forward
abruptly and forcefully
51
Ascending curb WC
Lift the front casters onto the curb by
performing a small wheelie
Push forward on the push rims to lift the rear wheels onto the curb
52
Descending curb WC
Perform a wheelie and descend with rear wheels off the curb followed by castor wheels
OR
Descend backwards: Allow the rear wheels to slowly roll off the curb, followed by the castor wheels
53
Standard Crutches (Axillary Crutches) - sizing
* Axilla space of approx. 2”
* Crutch is approx. 2” lateral and 4-6” anterior to the patient’s toe of the shoe
* Elbow flexion approx. 20-25 degrees when grasping handpiece
54
Forearm Crutches (Lofstrand Crutches) - sizing
* Top of forearm cuff is just distal to elbow, approx. 1-1.5” below olecranon process
* Crutch is approx. 2” lateral and 4-6” anterior to the patient’s toe of the shoe
* Elbow flexion approx. 20-25 degrees
55
Cane - sizing
* Always goes on the opposite side
* Cane is approx. 2” lateral and 4-6” anterior to the patient’s toe of the shoe
* Elbow flexion approx. 20-25 degrees
* Ascending = Good foot goes up first, followed by bad foot and cane
* Descending = Bad foot and cane first, followed by good foot
56
* Longitudinal Arch (Scaphoid pad) used for what
Pes Planus
57
UCBL (University of California Berkeley Lab) does what
̶Controls hindfoot valgus
̶Reduces subtalar motion.
Three-point counterforces – control
calcaneal eversion, forefoot abduction
58
abd obestity WC
move rear axel anteriorly 2 inches
59
obesity in the waist and hips WC
move rear axel 2 inches posteriorly
60
bilateral amp WC
move rear axel post 2 inches
61
what is addison's disease
a rare disorder that occurs when the adrenal glands don't produce enough of certain hormones.
62
what are the signs and sym of addison's disease
fatigue
hyperpigmentation
N/V
muscle pain
low BP
low blood sugar
63
what is Posterior leaf spring used for
weak DF
63
Posterior leaf spring - function
It recoils during swing phase to
produce dorsiflexion
64
Plantarflexion stop/ resistance AFO is used for
PF tightness
Plastic hinged AFO with a posterior stop
65
posterior approach hip replacement - what movement do we avoid
FADIR
66
anterior approach hip replacement - what movement do we avoid
FABER
67
what is Pes Equinus
Pes Equinus is a condition in which the upward bending motion of the ankle joint (dorsiflexion) is limited
68
Child CPR - ventilation to compression ratio
30:2 one recuser
15:2 two recusers
69
adult CPR - how many breaths per 6 secs
1 bretah
70
Child CPR - bpm for compression
100-120
71
Child CPR - how many breaths per 2-3 sec
1 bretah
72
Child CPR - compresssion depth
2 inch in child
1.5 inch in infant
73
Child CPR - compression hands
1 hand in small child
2 finger in infant center of chest
74
adult CPR - location of compression
2 hands on lower sernum
75
CPR - chets compression interuptions
min chest compression interupption to < 10 secs
76
what do we do when we have an AED and have child or infant with an unwitnessed collapse
give CPR from 2 min
then get AED
2 recuser - get the AEED while the other gives compressions
77
Child CPR - chest compression location
1/3 AP chest diameter
78
ergonomics - when sitting what should knee flexion be
90-deg
79
ergonomics - when sitting what angle should the elb be on armrests
90-deg
80
ergonomics - how far should the computer mointor bee from the patients face
20 inches
81
ergonomics - where should the top of the computer monitor be
just below eye level
10-deg below horizontal
82
ergonomics - where should wrist rest be placed
front edge of teh key board
83
ergonomics - mouse characteristics
contours to the hand
84
ergonomics - space underneath the desk
30 inches wide
19 inches deep
27 inch is height
2-3 inched between the top of the thigh and the desk
85
ergonomics - ankle angle
90
