CCR 7 Flashcards
Pulsatile lavage is an example of what type of debridement method?
non-selective
Full thickness skin loss involving damage of subcutaneous tissue would be what stage of an ulcer?
Stage 3
which type of ulcer can be more commonly seen in patients with a history of DVT
venous ulcer
what are the normal values of pH, PCO2, and HCO3?
ACID Normal range Alkaline
pH - 7.35-7.45
PCO2 - 35-45
HCO3 - 22-26
is it respiratory or metabolic problem? (PCO2 or HCO3)
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 *)
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
metabolic acidosis
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
Respiratory alkalosis
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?
respiratory acidosis
if you see symptoms of hyperventilation, hyperrelfexia, dizziness, lightheadedness, and increase in pH, with a decrease in PCO2….what are you thinking?
respiratory alkalosis
what is the difference between infarction and ischemia?
infarction is complete occlusion of the vessel –> irreversible dead tissue
ischemia is the partial blockage of the coronary artery –> vasospasm, thrombus, embolism.
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
1) ischemia
2) injury
3) infarction
4) Q-wave
heart sounds S1 S2 S3 S4
S1 colusre of mitral +tricuspid valves
S2 - closure of pulmonary vlaves (end of systole
S3) CHF -
S4) MI or chronic HTN -
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
R sided heart failure
which side of heart failure is unable to adequately pump blood into circulation causing back up of blood in the lungs?
left sided HR
sympotoms of dependent edema (beginningin ankles), pitting edema, cyanosis of nail beds, increased fatigue, enlarged liver are signs and symptoms of what?
R sided heart failure
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?
L sided HF
wounds for venous ulcers are usually found where?
found proximal to medial malleolus, dull pain, granulation tissue usually present in wound bed, large amounts of exudate.
capillary refill time
ABI
rubor on dependency: examine legs in dependent position
allens test
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 -
what are the three phases of cardiac rehab?
phase 1 - inpatient
phase 2- outpaitne
phase 3 - community (maintenance period)
Phase 1 of cariac rehab, what are the RPE range for a patient?
9-10
when should you terminate activity in phase 1 of cardiac rehab ?
DBP 110 >
SBP >220 or an increase > 20 from resting
HR increases > 20 bmp above resting.
in phase II of cardiac rehab when should a patient start resistance training?
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
when does phase III cardiac rehab start?
usually begins 3-6 months after incident and could last up to 12 weeks
what is the MET requirement for entry into phase III cardiac rehab?
5 MET
what percentage of funcational capacity is required in cardiac rehab phase III
50-85%
what RPE should you maintain in phase III cardiac rehab?
RPE of 11-13 (light to somewhat hard)
what is the max heart rate for cardiac rehab?
80%. or RPE of 16
