assessment 6 + 7 Flashcards
what is active ROM
someone can move their own joints without assistance
whats passive ROM
patient can tolerate someone else moving their joints
what is contracture
permanent tightening of muscles, tissue, and skin
what are the 6 ps of compartment syndrome
pain
parasthesia
pulseless
pallor
pressure
paralysis
what is hemodynamic stability
how your body copes with blood loss
what do you do if you cant feel a pulse
confirm that its pulseless through a doppler
what are the 2 DMARDS
methotrexate and infliximab
what drug class is celecoxib
NSAID
where are bouchards located
your bigger finger joint
what does ESR and c reactive protein diagnose
RA
whats a diagnostic for osteoarthritis
literally X-ray and CT
what lab values should be monitor for a pt on methotrexate
CBC, liver enzymes, urea and creatinine
what should you monitor for a patient on infliximab
hard on the heart, so monitor for peripheral edema and crackles
what is a pathologic fracture
fracture not caused by trauma
which MSK issue could cause a bunion
RA
what is the Romberg test and which part of the brain does it test
basically when they close their eyes can they still stand up
cerebellum
what is spasmodic dysphonia
skakey voice
what are thick and stiff arteries that result in restriction of blood flow
stenosis
what is the term for cell death due to inadequate blood supply
necrosis/infarct
are there warning signs for embolic stroke
non
why does BP increase after a stroke
to improve perfusion to the brain
what do you need to know before giving TPA
BP
type of stroke
CBC
what are your nursing priorities in a patient with hemorrhagic stroke
keep BP under 160, monitor ICP, monitor for seizures
what is Ataxia
loss of muscle and coordination of involuntary movement
what should you assess before giving meds to a stroke patient
can they swallow
what s anosognosia
being unaware of the condition you’re in
what are the main acute neuro assessment priorities
ABC
vitals
LOC
pupils
motor
what is a Yonker
used to assess gag reflex (oral suction)
what the window to the ICP soul
PERRLA
what GCS score indicates intubation
8 and under
what is supraorbital notch
pressure point on the eyebrow
what does meiosis mean
small/constricted pupils
what does mydriasis mean
large/very dilated pupil
what is palmar drift
same as pronator drift but with palms and used to assess stroke issues
what does CSF diagnose
meningitis
which med acts similarly to mannitol without diuretic actions
hypertonic saline
what is a myoclonic seizure
hidden jerking before and after waking up
what is articular cartilage
cartilage between 2 joints
what is cushings triad indicative of
high ICP
what is a rlly bad adverse effect that infliximab may cause
heart failure
what is the MOA of methotrexate
folic acid inhibitor which stops cell division in immune cells and other rapidly dividing cells
whats the difference between methotrexate and mitoxantrone
methotrexate is a DMARD used for RA, Mitoxantrone is an intense immunosuppressant used for MS
podagra and tophi, which ones acute and which one isn’t
podagra is acute, tophi is from chronic
what is dysarthria
muscle weakness assiciated with speech
what is anomic
trouble naming stuff
agnosia
cant recognise stuff
