Mod 4-7 Flashcards

1
Q

Wheelchair Measurement: Seat width

A

measure posterior width (widest buttocks/thigh) & add 1.5 in

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2
Q

Wheelchair Measurement: seat depth

A

measure buttocks to popliteal space & subtract 2”

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3
Q

Wheelchair Measurement: seat height/leg length

A

measure heel to popliteal fold & add 2”

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4
Q

Wheelchair Measurement: back height

A

measure chair seat to bottom axilla (w/ shoulder 90 deg) & subtract 4”

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5
Q

Wheelchair Measurement: armrest height

A

measure seat chair to olecranon process (w/ shoulder 90 deg) & add 1”

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6
Q

modified independent

A

uses assistive device to be independent

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7
Q

Supervision assist (SVA)/ standby assist (SBA)

A

need verbal/tactile cues or assistance with device set-up

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8
Q

contact guarding (CGA)

A

w/ contact- hand on gait belt or body

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9
Q

minimal assistance (min A)

A

pt. complete >75% of task independently

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10
Q

moderate assistance (mod A)

A

pt. complete 50-74% of task

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11
Q

maximum assistance (max A)

A

pt. complete 25-49% of task

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12
Q

dependent

A

needs complete physical assistance

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13
Q

Describe bed mobility transfers:
supine to side-lying (& reverse)
sidelying to seated (& reverse)

A

log roll or segmental roll
use upper extremity to push up
- lay down by using elbow, and kicking legs up to bed

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14
Q

Describe standing transfers:
sit to stand (& reverse)
stand pivot
squat pivot

A

scoot them forward
brace their knees w/ yours
pt. push from armrest
point feet in direction of finish

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15
Q

Describe slide board transfer

A

guard/protect pt
angle board
scoot/pivot them on & they use fist to brace
move high to low surface

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16
Q

total hip precautions: anterior lateral approach

A

no hip extension past neutral
limited ext. rotation

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17
Q

total hip precautions: posterior lateral approach

A

no hip adduction, int. rotation, or hip flexion > 90deg

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18
Q

pulmonary artery catheter (PAC)

A

catheter into pulmonary artery for diagnostic use
-detect heart failure, sepsis etc

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19
Q

intracranial pressure (ICP)

A

measures pressure within skull
-keep head of bed raised & no isometrics

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20
Q

central venous pressure

A

measures BP in R atrium/superior vena cava
-assess filling of R ventricle

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21
Q

electrocardiogram

A

records heart’s electrical activity w/ HR, BP, RR

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22
Q

arterial line

A

continually monitor BP (usually radial artery)

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23
Q

intravenous line (IV)

A

in superficial vein of upper extremity for nutrients, meds, and blood collection

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24
Q

Hickman catheter

A

central venous catheter through superior vena cava & jugular vein
administers chemo, removes blood

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25
Q

nasogastric tube

A

from nostril to stomach to feed or remove food

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26
Q

gastric tube

A

directly into stomach for longer term

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27
Q

Foley catheter

A

uses bag to drain urine with gravity
-tube through urethra into bladder

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28
Q

suprapubic catheter

A

directly into bladder (long-term)

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29
Q

external catheter

A

condom-style catheter

30
Q

nasal cannula

A

tube w/ 2 nostril openings
used if low-mod O2 needs

31
Q

ostomy device

A

ex: enterostomy
stoma in small intestine/abdominal wall to eliminate feces into bag

32
Q

traction device

A

pulling force to reduce/realign & promote healing of bone fracture

33
Q

External Fixation Device: Contraindications

A

avoid weight-bearing on affected side

34
Q

Internal fixation Device: contraindications & recommendations

A

use isometrics ex. (not concentric/eccentric)
- use joint mobilization

35
Q

arterial blood gas lab values:

A

O2, CO2 & pH in blood

36
Q

dec. RBC count =

A

anemia & limited therapy

37
Q

dec. WBC count =

A

dec. immune function

38
Q

(PTT) partial thromboplastin time test

A

measure how quickly blood clots

39
Q

Warfarin drug

A

anticoagulant drug used to treat/prevent blood clots

40
Q

normal blood glucose levels

A

100-130 range for exercise
(70-140 norm)

41
Q

Liver function tests levels of: (2)

A

bilirubin
serum albumin

42
Q

Kidney function tests levels of: (3)

A

serum creatinine
blood urea nitrogen
& glomular filtration rate

43
Q

medical vs. surgical asepsis

A

med: practices to keep microorganisms confined
surg: practices to eliminate microorganisms

44
Q

autonomic dysreflexia- who, symptoms

A

if injury to cervical/upper thoracic spine
hypertension, sweating, convulsions

45
Q

heat exhaustion vs. heat stroke symptoms

A

heat exh: (preliminary) sweat, pale, nauseous, dizzy, fast pulse
heat stroke: dry skin, high body temp*, altered mental state

46
Q

hypo/hyperglycemia response

A

ketoacidosis: insufficient insulin to correct blood sugar

47
Q

Orthostatic Hypotension response by caregiver

A

elevate LE w/ pt in supine; compress LE

48
Q

what is pulmonary embolism

A

blockage in pulmonary arteries, sending blood from heart to lungs

49
Q

1st stage of wound healing

A

inflammatory phase:
neutrophils & monocytes (WBCs)

50
Q

2nd stage of wound healing

A

Proliferative Phase:
collagen synthesis, epithelialization

51
Q

3rd stage of wound healing

A

Remodeling phase:
scar maturation

52
Q

necrotic tissue: eschar

A

hard, leathery; adhered to wound

53
Q

necrotic tissue: gangrene

A

death/decay of tissue b/c interrupted blood flow

54
Q

necrotic tissue: hyperkeratosis

A

callous-like

55
Q

necrotic tissue: slough

A

moist, stringy, mucinous, white/yellow; loosely attached

56
Q

Exudate: purulent/pus

A

indicated infection

57
Q

exudate: serous

A

watery (during inflammation)

58
Q

exudate: seropurulent

A

cloudy, opaque, yellow; warning for infection

59
Q

exudate: sanguineous

A

red, b/c presence of blood

60
Q

exudate: serosanguineous

A

pink & thin, normal; contains blood

61
Q

wound assessment factors

A

type, location, size, description of skin & healing

62
Q

wound eval/documentation

A

signs of inflammation, edema, infection; wound appearance: color, texture, exudate, type
odor

63
Q

PT/PTT/INR lab values for what?

A

anticoagulation

64
Q

wound vac function

A

uses negative pressure to promote wound healing

65
Q

redness that doesn’t blanch, but intact skin. Which wound stage?

A

Stage 1

66
Q

moist & pink, partial thickness (mainly epidermis). Which wound stage?

A

stage 2

67
Q

full thickness (epidermis & dermis), subcutaneous. Which wound stage?

A

Stage 3

68
Q

full thickness & destruction of deep tissue; visible bone/tendon/muscle. Which wound stage?

A

stage 4

69
Q

describe function of 3 dressing layers: contact layer, intermediate layer, outer layer

A

contact: non-adherent (closest to skin)
intermediate: for absorption, protection, moisture
outer: holds dressings in place

70
Q

describe donning PPE order: 6 steps

A

hand wash, isolation gown, face mask, face shield/goggles, hand wash, gloves

71
Q

describe doffing PPE order: 5 steps

A

glove in glove to remove, gown off, hand wash, face shield/goggles, mask