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PT10114 - Cardiopulmo Renal Rehab > Subjective - Xtian > Flashcards

Subjective - Xtian Flashcards

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1
Q

sources of information

A

pt but if unable caregiver or family

medical charts or from HCPs

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2
Q

discuss dyspnea

A

air hunger - MC

when requirement for breathing is unable to provide by body

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3
Q

usual causes of dyspnea

A

inc awareness of breathing

inc work of breathing

abnormal ventilatory system

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4
Q

kinds of dyspnea based on time, appearance and progression

A

acute

dyspnea on exertion

PND

functional dyspnea

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5
Q

kinds of dyspnea based on body pos

A

orthopnea

platypnea

trepopnea

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6
Q

mMCR dyspnea scale

A

0: no trouble except strenous ex

1: SOB when hurry on level or slight hill

2: walks slower on level and stops

3: stops p 100 m or few mins

4: cant leave house or SOB during dressing

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7
Q

discuss borg ratings of RPE

A

6-20: interval type

linear c O2 and HR

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8
Q

discuss borg category ratio of RPE

A

ratio for pt c sx during training

0-10

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9
Q

ischemic chest pain or angina

A

diffuse and retrosternal

heavy on shoulder, jaw, arm, elbow and upper back

assoc c dyspnea, sweating, indigestion, dizzy, syncope and anxiety

(+) levine sign

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10
Q

stable angina or angina pectoris

A

heart works harder - 5 min or less

relieved by rest or nitroglycerin

feels like gas or indigestion

assoc c emotion, temp, heavy metal, smoking

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11
Q

unstable angina

A

acute coronary syndrome - blood clot

resting or sleeping and longer than stable

rest and medicine do no relieve

leads to heart attack

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12
Q

prinzmetal or variant angina

A

at rest or midnight and early morning

younger pt - spasm in coronary arteries

relieved by meds

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13
Q

microvascular angina

A

spasm of small arteries

10-30 mins

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14
Q

pleuritic chest pain

A

superficial and close to thoracic cage

worse c inhale, laughing and coughing

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15
Q

pulmonary HTN

A

mimics angina pectoris

during exertion or c dyspnea

not relieved by nitrates

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16
Q

pericardial chest pain

A

midline pain worse c deep inspiration, coughing, swallowing or lying

felt on heart beat

relieved by sitting, leaning forward and lying on R

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17
Q

esophageal chest pain

A

substernal pain on 1 or both arms

relieved by antacids or nitroglycerin

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18
Q

chest wall pain

A

intermittent c varying intensity

trauma on chest wall

tietze syndrome - local tender

pancoast syndrome - rad to shoulder, scap or medial arm

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19
Q

angina rating scale

A

1: mild barely noticable

2: moderate bothersome

3: mod severe and very uncomfy

4: most severe or intense

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20
Q

discuss cough

A

productive vs non

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21
Q

tracheobronchitis

A

cough c sore throat, runny nose and eyes

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22
Q

lobar pneumonia

A

cough preceded by upper respi infection

dry to productive

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23
Q

bronchopneumonia

A

acute bronchitis c dry or productive cough

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24
Q

viral pneumonia

A

paroxysmal cough

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25
excaxerbation of chronic bronchitis
chronic productive cough; mucoid sputum to purulent
26
chronic bronchitis
productive cough more than 3 months for 2 years concesuctive both mucoid to mucopurulent
27
brnochiecstasis
cough copious, foul and purulent
28
tuberculosis
persistent cough for wks months blood-tinged
29
tumor cough
non to productive wks to mo hemoptysis
30
foreign bodies cough
upper: cough c asphyxia lower: non prod c wheeze
31
smoking cough
more in morning slight productive
32
cardiac cough
from postural changes and relieved by upright non prod nocturnal or episodic
33
wheezing
on expi assoc c dyspnea or pulmonary edema
34
palipitations
pounding, fluttering or racing HR from stress, exercise or meds
35
edema
pedal or bipedal - CHF ascites - inc abdominal girth altered renal function
36
goal in ICU
hemodynamic stab and optimal oxygen optimal function
37
monitoring systems on ICU
ECG atrial and venous lines intra cardiac monitor ICP
38
considerations on ICU
IV lines chest tubes VAD
39
fluid and electrolyte sx on head and neck
excess: distended neck vein and edema loss: thirsty and dry mucous membrane
40
fluid and electrolyte sx on extremities
excess: pitting edema loss: weakness, tingling, tetany
41
fluid and electrolyte sx on respiration
excess: dyspnea, orthopnea, prod cough and moist breath sounds loss: change in rate and depth of breathing
42
fluid and electrolyte sx on circulation
excess: HTN, jugular pulse visibile, dysrhythmia loss: irreg pulse rate, rhythm, OH, sinus tachy
43
fluid and electrolyte sx on skin
excess: warm, moist, cool and taut loss: dry and dec turgor
44
fluid and electrolyte sx on abdomen
excess: inc girth and fluid wave loss: cramps
45
signs of acidosis
hypercapnia comatoes bicarb deficit hyperkalemia
46
signs of alkalosis
hypocapnia numbness and convulsion bircarb excess hypokalemia
47
blood gassess
SaO2 vs SpO2
48
assessing arousal
GCS, RAS electroencephalogram
49
discuss thoracic srugery
consider healing, LOM and weakness approaches and if muscle sparing anterolat posterolat median sternotomy
50
effects of vasodilators
hypotension, dizzy and syncope
51
effects of NSAIDS and ACE inhib
elevated BP
52
effects of NSAIDS and digitalis
fatigue, confusion, arrythmia
53
effects of diuretics
weakness and spams dizzy HA incoordination nausea
54
effects of beat blockers
monitor RPE and bradycardia
55
effects of aplha 1 blockers
hypotension and reflex tachycardia
56
effects of ACE inhib
rash, dry cough
57
effects of Ca channel blockers
swelling of feet and ankle hypotension HA nausea
58
effects of nitrates
HA dizzy tachycardia OH
59
effects of anticoagulants
hematoma nose bleed
60
effects of thrombolytic
if DVT resolves
61
effects of beta 2 receptor agonists
asthma
62
effects of theophylline or aminophylline
toxic effects
63
effects of steroids
cushing's
64
test for pulmonary function
spiromety
65
pH values
< 7.35: acidosis > 7.45: alkalosis
66
pCO2 valuse
less than 35: alkalosis more than 45: acidosis
67
HCO3 values
more than 26: alkalosis less than 22: acidosis
68
pO2 values
less than 80 - hypoxemia
69
O2 sat values
< 70% vital function in affected
70
discuss chest x rays
dark p air dark gray - fats light gray - muscles white - bones
71
compare CT scan to MRI
both high quality CT: ionizing MRI: non-ionizing
72
other clinical tests done
EKG CBC
73
classification of smokers
0: none 1-20: light 21-40: mdoerate >40: heavy packs per day x time taken = pack years
74
social drinking
celebrate/past time
75
conformity drinking
to fit in
76
enhancement drinking
seeks to get drunk
77
coping drinking
to forget worries
78
abuser drinking
extreme consumption
79
alcoholic drinking
addiction to alcohol
80
moderate drinker
1 drink a day for women 1-2 for men
81
heavy drinker
more than 3 drinks any day or 7 drinks a wk for more than 65 yo more than 4 drinks any day or 14 drinks a wk for less than 65
82
binge drinker
4 or more drinks in 2 hrs for women 5 or more for men
83
effects of opioid
arrhytmia stroke endocarditis
84
effects of metamphetamine
CHF arrythmia damge to heart muscles and vessels
85
type 1 and 2 diet
1: fruits, veggies, fish, poultry and lean meat 2: sat fats, cholesterol, salt, caffeine
86
87

PT10114 - Cardiopulmo Renal Rehab (20 decks)

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