Mobility Unit Flashcards
How to reduce swelling and decrease healing time after amputations
Position amputated limb resting on a pillow for the first 24 hours and then flat after that
Identify complications of amputations
Hemorrhage, Infection, Phantom limb pain, Neuroma (sensitive tumor consisting of damaged nerve cells), Flexion contractures
Which meds are used for constant, dull
Burning pain after amputation?
Beta-Blockers
Which meds are used for knife like or sharp burning pains after amputation?
Anti-epileptic
Describe the pathophysiology of Duchenne’s
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
Which gender is affected by Duchenne’s and why?
The gene is X linked recessive, meaning that mean the boys are affected and they receive the gene from their mothers
Identify ways to assess neuromuscular function in toddlers
Changes in gait Recent trauma Poor feeding Lethargy Fever Weakness Alteration in muscle tone Lab/diagnostic testing Xray
Explain the Gowers sign
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
Psuedohypertrophy
Muscular dystrophy that begins in early childhood
Typical age for chile with muscular dystrophy to have difficulty raising arms?
School age
Typical ages for child with musc. Dystrophy to lose ability to sit up without support?
Teen years
Typical ages for child with musc. Dystrophy to lose ability to ambulate and need wheelchair totally?
Teen years to early adulthood
Typical ages for pneumonia problems to occur with musc. Dystrophy
Early adulthood to middle age
What lab and diagnostic tests are done to rule out musc. Dystrophy?
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.
Which med can reduce PLP?
Calcitonin
