CCR 7

Question 1

Pulsatile lavage is an example of what type of debridement method?

Answer 1

non-selective

Question 2

Full thickness skin loss involving damage of subcutaneous tissue would be what stage of an ulcer?

Answer 2

Stage 3

Question 3

which type of ulcer can be more commonly seen in patients with a history of DVT

Answer 3

venous ulcer

Question 4

what are the normal values of pH, PCO2, and HCO3?

Answer 4

ACID Normal range Alkaline
pH - 7.35-7.45
PCO2 - 35-45
HCO3 - 22-26

Question 5

is it respiratory or metabolic problem? (PCO2 or HCO3)

Answer 5

if you have PCO2 it is a respiratory involvement

if you have HCO3 it is a metabolic involvement.

if it is a respiratroy problem, then the pH and PCO2 have a indirect (opposite) relationship. “as pH goes UP, PCO2 goes DOWN”
(O-pposite = c-O-2)

if it is a metabolic problem then the pH and HCO3 have a irect (same) relationship. “as pH goes UP, HCO2 goes UP”

(*sa-M-e = metabolic *)

Question 6

is ABG values are pH= 7.23, pCO2 =40, HCO3 = 15, what type of condition is the patient in

1) respitartory alkalosis
2) respiratory acidosi
3) metabolic alkaloss
4) metabolic acidosis

Answer 6

metabolic acidosis

Question 7

is ABG values are pH= 7.50, pCO2 =22, HCO3 = 26, what type of condition is the patient in

1) respitartory alkalosis
2) respiratory acidosi
3) metabolic alkaloss
4) metabolic acidosis

Answer 7

Respiratory alkalosis

Question 8

if you see symptoms of hypoventilation, disorientation, stupor, and/or coma with a decrease in pH, and an increase in PCO2….what condition are you thinking?

Answer 8

respiratory acidosis

Question 9

if you see symptoms of hyperventilation, hyperrelfexia, dizziness, lightheadedness, and increase in pH, with a decrease in PCO2….what are you thinking?

Answer 9

respiratory alkalosis

Question 10

what is the difference between infarction and ischemia?

Answer 10

infarction is complete occlusion of the vessel –> irreversible dead tissue

ischemia is the partial blockage of the coronary artery –> vasospasm, thrombus, embolism.

Question 11

EGG patterns with MI

1) ST depression, with or without T-wave inversion
2) ST elevation
3) ST elevation, deep Q-wave
4) indicates a previous infarction

Answer 11

1) ischemia
2) injury
3) infarction
4) Q-wave

Question 12

heart sounds
S1
S2
S3
S4

Answer 12

S1 colusre of mitral +tricuspid valves
S2 - closure of pulmonary vlaves (end of systole
S3) CHF -
S4) MI or chronic HTN -

Question 13

which heart failure (cor pulmonale) results is unable to adequately pump venous blood into the pulmonary circulation. this can cause fluid backup into the body resulting in edema

Answer 13

R sided heart failure

Question 14

which side of heart failure is unable to adequately pump blood into circulation causing back up of blood in the lungs?

Answer 14

left sided HR

Question 15

sympotoms of dependent edema (beginningin ankles), pitting edema, cyanosis of nail beds, increased fatigue, enlarged liver are signs and symptoms of what?

Answer 15

R sided heart failure

Question 16

Fatigue and dyspnea after mild physical exertion or exercise, paroxysmal nocturnal dyspnea (suddenly at night) pulmonary edema and weight gain, cool dry skin are symptoms of what?

Answer 16

L sided HF

Question 17

wounds for venous ulcers are usually found where?

Answer 17

found proximal to medial malleolus, dull pain, granulation tissue usually present in wound bed, large amounts of exudate.

Question 18

capillary refill time
ABI
rubor on dependency: examine legs in dependent position
allens test

Answer 18

capillary refill time less than 2 seconds (looks these up)
ABI (blood pressureo f ankle and brachial ) anything less than 0.9 is PAD
allens test -

Question 19

what are the three phases of cardiac rehab?

Answer 19

phase 1 - inpatient
phase 2- outpaitne
phase 3 - community (maintenance period)

Question 20

Phase 1 of cariac rehab, what are the RPE range for a patient?

Answer 20

9-10

Question 21

when should you terminate activity in phase 1 of cardiac rehab ?

Answer 21

DBP 110 >
SBP >220 or an increase > 20 from resting
HR increases > 20 bmp above resting.

Question 22

in phase II of cardiac rehab when should a patient start resistance training?

Answer 22

strength training if the patient has been in a cardiac rehab program for at least 3 weeks, and at least 5 weeks post MI and 8 weeks post CABG

Question 23

when does phase III cardiac rehab start?

Answer 23

usually begins 3-6 months after incident and could last up to 12 weeks

Question 24

what is the MET requirement for entry into phase III cardiac rehab?

Answer 24

5 MET

Question 25

what percentage of funcational capacity is required in cardiac rehab phase III

Answer 25

50-85%

Question 26

what RPE should you maintain in phase III cardiac rehab?

Answer 26

RPE of 11-13 (light to somewhat hard)

Question 27

what is the max heart rate for cardiac rehab?

Answer 27

80%. or RPE of 16