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
