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other PTFE Flashcards

(62 cards)

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1
Q

dermis sensory

A
  • free nerve endings: pain/itch
  • merkel’s disc: touch/pressure
  • ruffini/krause: temperature
  • meissner/pacinian: vibration
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2
Q

how do partial thickness wounds heal

A
  • epithelization - restores epidermis
  • epithelial tissue proliferates from wound edges and restores surface
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3
Q

full-thickness wounds heal via?

A
  • granulatino tissue - beefy, red, vascularized fibroblasts
  • gradually fills in with a collagen matrix (aka scar tissue)
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4
Q

what are the 4 types of burns

A
  • superficial: red, hot to touch, no blisters (like sunburn)
  • superficial partial thickness: skin mostly intact, blisters, redness, very painful
  • deep partial thickness: extends > 50% through dermis, yellow, white, some blistering - open
  • full thickness: white/brown/black, painless, dry
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5
Q

typical presentation of arterial wounds

A
  • punched out, even edges
  • loss of hair, cyanotic, pale, ashen
  • painful
  • minimal drainage
  • low ABI < 0.8
  • rubor of dependency
  • linked to atheroscleorsis, claudication, DM, HTN, hyperlipidemia, smoking
  • decreased blood supply
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6
Q

typical presentation venous wounds

A
  • large, irregular edges
  • shallow w/ inflamed skin around
  • edema, indurated, hyperpigmented, hemosiderin staining, red
  • above malleoli
  • minimal pain - decreases with elevation
  • mod to max drainage
  • high ABI > 0.8
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7
Q

hydrofiber wound dressing

A
  • most absorptive
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8
Q

milroy’s disease

A
  • autosomal disorder
  • causes bilat LE lymphedema
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9
Q

edema pitting w/ lymphedema

A
  • pitting edema in early stages
  • nonpitting in later stages
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10
Q

long stretch bandage

A

ACE wrap

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11
Q

lymphedema banadages

A
  • short stretch bandages
  • low resting pressure - create semi-rigid shell
  • high working pressure - increase muscle pump action
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12
Q

lymphedema decongestive therapy

A
  • work proximal to distal
  • gental, fingertip pressure
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13
Q

ADA minimum door width

A

32 inches

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14
Q

ADA ramp landings

A
  • straight - 60 inches
  • turn - 60x60 inches
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15
Q

ADA minimum bathroom sink height

A

29 inches from floor

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16
Q

ADA toilet seat height

A

17-19 inches from floor

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17
Q

ADA hallway width

A

36 inches

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18
Q

ADA grade of ramp

A

8.3%

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19
Q

null vs alternate hypothesis

A
  • null: no relationship between groups, any relationship is due to chance
  • alternate: there IS a relationship among groups
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20
Q

nominal measures

A
  • attributes are named
  • like number on a soccer jersey
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21
Q

ordinal measures

A
  • attributes are ordered
  • like Borg RPE scale
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22
Q

interval

A
  • like temperature scale
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23
Q

normal bell curve

A
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24
Q

sensitivity

A
  • proportion of people with a disease who have a positive
  • correctly identifies positives
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25
specificity
- proportion of people without disease who have a negative test - correctly identify negatives
26
type I error
- false positive
27
type II error
false negative
28
pulmonary artery catheter
- diagnostic - directly measures heart BP (R atriam, ventricle, pulmonary artery) | swan ganz catheter
29
central IV
- delivers meds that could irritate BV lining - administer meds, chemo, parenteral nutrition
30
peripherally inserted central catheter (PICC)
- central IV line inserted at peripheral site and used for prolonged period (>2 weeks) - chemo, antibiotics, parenteral nutrition
31
arterial line (A-line)
- diagnostic catheter into artery (typically radial, femoral, or brachial) - monitors BP in real-time - obtain blood samples for arterial blood gas analysis
32
chest tubes
- tubes in pleural space around lungs - remove air and fluid from pleural space - keep chest drainage below level of lungs
33
CPR
- check for responsiveness - summon advanced medical personnel - open airway - check for bleeding - 30 compressions:2 breaths - AED ASAP
34
standard precautions
- gloves - disinfect
35
contact precautions
- gloves and gown in room - limit pt in hallway or other rooms - MRSA, VRE, GNB, c-diff
36
droplet precautions
- for flu, RSV, adenovirus - facemask&goggles, gloves, gown
37
airborne precautions
- TB, measles, chickenpox, herpes - negative pressure - gloves, gown, goggles, N-95, hand hygeine
38
positive pressure environment rooms
- for severely immunocompromised patients - neutropenia - HIV, cancer, solid-organ transplant - visitors use precations - force air out of room to prevent infectious diseases from drifting in
39
paroxysmal cold hemoglobinuria
- blood in urine d/t cold pack
40
cryoglobulinemia
- gel like blood
41
sensory TENS vs motor TENS
- sensory - pain relief: decr duration, higher frequency (30-150 Hz) - motor: lower frequency (2-4 Hz)
42
IFC TENS shaped like
- clover shape
43
NMES
- preferentially hits Type 2 fibers - 1:3-5 duty cycle - 30-85 Hz
44
hi volt (HVPC)
- stim for wound healing - double-peaked pulses - assist w/ polarity of various phases of healing
45
cervical traction parameters
- C1-2: 0-5 deg flexion - C2-5: 10-20 deg flexion - C5-7: 25-35 deg flexion - 20-30 lbs to overcome soft-tissue resistance
46
lumbar traction
- 30-50% body weight to overcome soft tissue and improve vertebral separation - 25-50# for soft tissue relaxation
47
ultrasound parameters
48
reactive arthritis (reither's syndrome)
- can't see - conjunctivitis - can't pee - urethritis - can't bend the knee - arthritis | recovery in 6 months
49
plantarflexion promotes knee _ , and dorsiflexion promotes knee _
- PF - extension - DF - flexion
50
AFO stops and assists
- stops limit excessive motion - assists promote a weak motion
51
scoliosis curve to R
52
coupled motions of spine w/ scoliosis
53
PTB prosthesis
54
PPP rule | elbow motion
- at proximal radioulnar joint, use posterior glide to promote pronation
55
BPPV basics
- epley's for posterior canalithiasis (short s/s) - liberatory maneuver for posterior cupulolithiasis (long s/s) - down beating = anterior canal involvement - up beating = post canal involvement
56
pericarditis s/s
- inflammation of pericardial sac - chest pain, cough, difficulty swallowing, positional pain relieved with sitting, leaning forward, breath holding
57
contraindications for OP cardiac rehab
58
obstructive lung vs restrictive lung conditions
- obstructive: lower FEV1/FVC, difficulty exhaling, air trapping - restrictive: higher FEV1/FVC, difficulty with inhalation
59
karvonven formula
- target HR = RHR + (% x HRR) - HRR = HRM - RHR
60
heart block poem
- 1. if the R is far from P, then you have first degree - 2.1 longer longer longer & drop, then you have a Wenkeback - 2.2 if some P's don't get through, then you have mobitz 2 - 3 if p's and qs don't agree, then you have a third degree
61
S3 vs S4
- S3: increased volume of blood causes blood to rush in quickly, ventricular gallop - CHF, athletes, prenancy - S4: blood hitting stiff ventricular wall, atrial gallop - MI, HTN
62
why is A fib concerning
- can throw clots

NPTE (32 decks)

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