Exam 2 - inpatient stuff

Question 1

bed rest and immob on cardiovascular

Answer 1

• inc resting HR
• dec SV, CO, VO2 max
• orthostatic hypotension

Question 2

bed rest and immob on pulmonary

Answer 2

• dec lung vol, capacity, respiratory muscle strength
• alveoli collapse
• inc risk of infection

Question 3

bed rest and immob on musculoskeletal

Answer 3

• atrophy
• bone demineralization
• dec mitochondrial stuff
• weakens cartilage and connective tissue

Question 4

bed rest and immob on nuromuscular

Answer 4

• dec balance, coordination, reflex attenuation

Question 5

bed rest and immob on body composition

Answer 5

• inc fat

- malnutrition

Question 6

bed rest and immob on endocrine

Answer 6

• inc cortisol release
• insulin resistance
• alt temp and sweating response

Question 7

bed rest and immob on GI and GU

Answer 7

• dec appetite, bowel motility (constipation)

Question 8

bed rest and immob on psych

Answer 8

inc anxiety, agitation, delirium and depression

Question 9

At what levels of glucose do you stop exercise?

Answer 9

< 70

>200

Question 10

at what HR do you stop exercise?

Answer 10

140

Question 11

at what SBP do you stop exercise?

Answer 11

200

Question 12

at what SaO2 do you stop exercise?

Answer 12

88% or 10% drop in resting

90????

Question 13

THA cemented vs uncemented

Answer 13

cemented = allows earlier WBing. Large loss of bone with revision

non-cemented = younger puts, more restriction initial to WBing, easier to revise

Question 14

Signs and symptoms of PE

Answer 14

• tachycardia most freq (85%)
• sudden dyspnea and CP (40%)
• cough, apprehension, alt cognitive status, fever ect..

Question 15

4 steps to fracture healing

Answer 15

• hematoma formation
• soft callus
• hard callus
• bone remodeling

Question 16

Posterior dislocation of hip

Answer 16

• add, IR, flexed hip and knee, knee resting on other thigh

Question 17

Anterior dislocation of hip

Answer 17

• motorcycle pic

- flexed thigh sharply abd, and ER

Question 18

Spine precautions after surgery

Answer 18

• lifting restriction
• log roll
• limit trunk flex/ext and rotation
• avoid extended periods of sitting

Question 19

Lethargic

Answer 19

• sluggish, lazy, lack of energy

- easy arousal with normal speech

Question 20

somnolent

Answer 20

• roused by carious stimuli

- tired and ready to fall asleep

Question 21

obtunded

Answer 21

-mild to mod reduction in arousal with limited response to environment

Question 22

stupor

Answer 22

• deep sleep or unresponsiveness but may be roused only by vigorous stim

Question 23

coma

Answer 23

no response.

Question 24

disorientation, confusion, delusion, dementia, and delirium

Answer 24

blahhhhhh. gets worse as you go down list

Question 25

what FIM score do you give if 2 people are needed for task?

Answer 25

FIM of 1: total assist

Question 26

FIM and gait. requirements for 3+ etc

Answer 26

``` 3+ = walk min of 150 feet 2 = 50-150 feet 1 = walk < 50 ft ```

Question 27

FIM and stairs

Answer 27

* 1 flight - 12-14 stairs ``` 3+ = 1 flight 2 = 4-6 stairs ``` household exception, 4-6 stairs ind/mod I = 5