Flashcards in Organ Transplants Deck (50)
There is increase in extravascular ______ post lung transplant from disrupted pulmonary ______
Increased reliance on ______ metabolism post lung transplant
Regular chest clearance techniques required as pt not usually able to clear effectively without assistance (T/F)
Limited _____ suction post lung transplant
Use mechanical ______-
______ machine for feedback for diaphragm PT rx
insufflation - exsufflation
May need to rehab ______ post lung transplant
Most complications from liver transplant are due to pre op end stage liver disease (T/F)
4 liver transplant considerations pre op?
2. muscle weakness + tremor
3. confusion/decrease LOC
4. fluid retention (low albumin)
2 post op issues liver transplant?
1. CV instability and tachycardia
PT management pre - transplant?
1. exercise testing
2. exercise training
3. muscle strength
4. resp assessment and treatment
PT management post transplant?
1. secretion removal and long reexpansion
2. early ambulation
4. rehab programs with self management teaching
5. ongoing yearly monitoring of function
5 outcome measures to monitor pts?
1. borg scale / perceived exertion scale
2. talk test
5. O2 sat
VO2 max post heart transplant ?
70% age predicted max
VO2 max post lung transplant ?
4-60% age predicted max
VO2 max post kidney and liver transplants ?
normal exercise capacity
Recommended exercise prescription guideline for Canada?
150 minutes of mod intensity a week
Mod intensity programs (__-__ RPE) recommended for organ transplant pts, can build up to hight intensity
Need longer _____ __ / ____ ____ when exercising with post organ transplant pts
warm up / cool down
Precautions when working with transplant pts?
infection control; wiping down equipment; avoiding unwell populations; be aware of psychological considerations