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PHTH 564 - ICU > Organ Transplants > Flashcards

Flashcards in Organ Transplants Deck (50)
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31

There is increase in extravascular ______ post lung transplant from disrupted pulmonary ______

water; lymphatics

32

Increased reliance on ______ metabolism post lung transplant

anaerobic

33

Regular chest clearance techniques required as pt not usually able to clear effectively without assistance (T/F)

TRUE

34

Limited _____ suction post lung transplant

deep

35

Use mechanical ______-
______ machine for feedback for diaphragm PT rx

insufflation - exsufflation

36

May need to rehab ______ post lung transplant

diaphragm

37

Most complications from liver transplant are due to pre op end stage liver disease (T/F)

TRUE

38

4 liver transplant considerations pre op?

1. hemorrhage
2. muscle weakness + tremor
3. confusion/decrease LOC
4. fluid retention (low albumin)

39

2 post op issues liver transplant?

1. CV instability and tachycardia
2. LBP

40

PT management pre - transplant?

1. exercise testing
2. exercise training
3. muscle strength
4. resp assessment and treatment
5. educate

41

PT management post transplant?

1. secretion removal and long reexpansion
2. early ambulation
3. ROM/mobility/strength
4. rehab programs with self management teaching
5. ongoing yearly monitoring of function

42

5 outcome measures to monitor pts?

1. borg scale / perceived exertion scale
2. talk test
3. BP
4. HR
5. O2 sat

43

VO2 max post heart transplant ?

70% age predicted max

44

VO2 max post lung transplant ?

4-60% age predicted max

45

VO2 max post kidney and liver transplants ?

normal exercise capacity

46

Recommended exercise prescription guideline for Canada?

150 minutes of mod intensity a week

47

Mod intensity programs (__-__ RPE) recommended for organ transplant pts, can build up to hight intensity

3-5

48

Need longer _____ __ / ____ ____ when exercising with post organ transplant pts

warm up / cool down

49

Precautions when working with transplant pts?

infection control; wiping down equipment; avoiding unwell populations; be aware of psychological considerations

50

4 long term PT goals post organ transplant ?

1. aerobic conditioning
2. prevent steroid induced mm atrophy
3. optimize secretion clearance and breathing
4. lessen OP effects secondary to diuretics and steroids