Mobility Unit

Question 0

How to reduce swelling and decrease healing time after amputations

Answer 0

Position amputated limb resting on a pillow for the first 24 hours and then flat after that

Question 1

Identify complications of amputations

Answer 1

Hemorrhage, Infection, Phantom limb pain, Neuroma (sensitive tumor consisting of damaged nerve cells), Flexion contractures

Question 2

Which meds are used for constant, dull

Burning pain after amputation?

Answer 2

Beta-Blockers

Question 3

Which meds are used for knife like or sharp burning pains after amputation?

Answer 3

Anti-epileptic

Question 4

Describe the pathophysiology of Duchenne’s

Answer 4

A gene mutation in the absence of dystrophin (a protein that is critical for maintenance of muscle cells). Absence of this protein leads to generalized weakness of voluntary muscles. This is a progressive disease that overtime initially affects the hips, thighs, pelvis, shoulders, and eventually cardiac and respiratory muscles. Rarely do the affected males survive beyond their early thirtys

Question 5

Which gender is affected by Duchenne’s and why?

Answer 5

The gene is X linked recessive, meaning that mean the boys are affected and they receive the gene from their mothers

Question 6

Identify ways to assess neuromuscular function in toddlers

Answer 6

Changes in gait 
Recent trauma 
Poor feeding 
Lethargy 
Fever
Weakness
Alteration in muscle tone
Lab/diagnostic testing 
Xray

Question 7

Explain the Gowers sign

Answer 7

Child rolls onto hands and knees, bares weight by using hands to support some of weight while raising posterior and uses hands to walk up legs to assume an upright position

Question 8

Psuedohypertrophy

Answer 8

Muscular dystrophy that begins in early childhood

Question 9

Typical age for chile with muscular dystrophy to have difficulty raising arms?

Answer 9

School age

Question 10

Typical ages for child with musc. Dystrophy to lose ability to sit up without support?

Answer 10

Teen years

Question 11

Typical ages for child with musc. Dystrophy to lose ability to ambulate and need wheelchair totally?

Answer 11

Teen years to early adulthood

Question 12

Typical ages for pneumonia problems to occur with musc. Dystrophy

Answer 12

Early adulthood to middle age

Question 13

What lab and diagnostic tests are done to rule out musc. Dystrophy?

Answer 13

Electromyography demonstrated that the problem lies in the muscles, not in the nerves. Serum creating kinase levels are elevated early in the disorder, when significant muscle wasting is actively occurring. Muscle biopsy shows balance absence of dystrophin (protein critical to muscle maintenance). DNA testing reveals presence of the gene.

Question 14

Which med can reduce PLP?

Answer 14

Calcitonin

Question 15

Pathophysiology of Duchenne’s

Answer 15

A gene mutation resulting in the absence of dystrophin (a protein critical for maintenance of muscle cells)
Leads to weakness of voluntary muscles

Question 16

Pavlik harness

Answer 16

For infants less than 6 months

Question 17

Pelvis/hip drops when leg is raised

Answer 17

Trendelenburg gait

Question 18

Osteoporosis clients should take how much calcium a dayb

Answer 18

1-1.5 g po

Question 19

What type of drug slows bone resorption ?

Answer 19

Bisphosphates

Question 20

Fosamax

Answer 20

Is a biphosphonate and slows bone reabsorption by bonding with Crystal elements in the bone

Question 21

Evista

Answer 21

And estrogen agonist in the mix estrogen and some parts of the body while blocking it’s effects elsewhere. It increases bone marrow density, reduces bone reabsorption and reduces the incidence of osteoporotic vertebral fractures

Question 22

Which drug should not be given to anyone with a history of VTE

Answer 22

Evista

Also monitor liver function with this drug