class 4: non systems 1 Flashcards

1
Q

can a PTA modify the plan of care

A

no

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2
Q

who can do this - add a hamstring exercise to a program that say LE strengthening

A

PT and PTA

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3
Q

who can supervise a PTA student

A

PT and PTA

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4
Q

who can supervise a PT student

A

PT

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5
Q

what does CMS to

A

determines how much will be reimbursed by medicare for pt care

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6
Q

what does CARF do

A

accredits free standing rehab programs and facilties

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7
Q

what does the joint commision do

A

accredits hospitals, SNF, home health agencies, PPO, HMO, and mental health intuitions

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8
Q

what is the role of OSHA

A

determining the safety of the work enviroment

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9
Q

what is used for droplet precautions - PPE

A

mask when working within 3 feet from the pt

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10
Q

what is used for airborne precautions - PPE

A

N-95 mask

gown and gloves for severe contamination

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11
Q

what kind of precautions do you use for PNA

A

droplet precautions

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12
Q

what is the PPE for contact

A

gown and gloves

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13
Q

contact hand hygiene

A

wash before entering or leaving room

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14
Q

contact - can they leave their room

A

yes but try to min

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15
Q

droplet example

A

mumps

PNA

flu

mengitis

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16
Q

hand - airborne

A

wash before and after

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17
Q

droplet - hand

A

wash before and after

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18
Q

how far shoulder a pt monitor be

A

18-20 inches

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19
Q

degree wise where should the pt’s monitor be

A

10-deg below eye level

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20
Q

C1-C2 breathing muscles

A

SCM

upper traps

cervical extensors

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21
Q

C3 - C4 breathing muscles

A

partial diaphragam

scalenes

levator scapulea

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22
Q

C5-C8 breathing muscles

A

diaphragram, pec major and minor , serratus anterior, rhomids
, lats

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23
Q

how long should a pregnant women stay in a supine position

A

a pregnant women should not exceed 5 mins of supine positioning any time after the first trimester

this is to avoid vena cava conpression of the uterus

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24
Q

what is hematocrit

A

a blood test that measures the percentage of red blood cells in a person’s blood

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25
Q

how many chest compression should be performed per min

A

100-120/min

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26
Q

what is the depth to which chest compression should be performing

A

2 inch/ 5 cm

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27
Q

what is the normal amount of anteversion in adults

A

8-15 degrees

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28
Q

how manny brunnston stages are there

A

6

7 - technically beacsue this just mean every thing is back to normal

6 - no more spacity

29
Q

when do we give breaths in CPR

A

after 30 compressions

each breath lasting over 1 secs allowing the chest to rise

30
Q

what is a hickman catheter

A

central line that is tunneled under the skin

this is used for providing antibiotics, nutritional solutions, and blood samples

31
Q

what is a swan ganz catheter

A

balloon flotation device that is inserted through the internal jugular vein or the femoral artery into the pulmonary artery

monitors blood flow and the function of the heart

32
Q

what is a central venous catheter

A

measures blood pressure directly from right atrium and superior vena cava

33
Q

what is the arterial line used for

A

used to monitor arterial blood gases

34
Q

what is the order for doffing PPE

A

gloves

goggles

gown

mask

(ABC order)

35
Q

what is the purpose of the the pulmonary artery

A

carries deoxy blood to the lungs from the right ventricle

36
Q

what is the function of Chest drainage tubes

A

may be used to remove air,
blood, purulent matter from the patient’s chest or pleural cavity

37
Q

where are chest drainage tubes inserted

A

inserted through an incision
in the chest and may be connected to a mechanical or gravity-based suction system

38
Q

what do you do if Chest tubes is disloged

A

If dislodged, have the patient exhale, place gauze
or a gloved hand over the area and call nursing staff

39
Q

Catheters precautions

A

hang below level of bladder, do not empty bag if output is being monitored, empty or alert staff if overfilled

40
Q

IV lines things sot know

A

arm should not be held above head for extended
periods, alert staff if fluid is low due to air bubbles

41
Q

Arterial line if disloged

A

if dislodged, apply firm pressure and alert nursing immediately

42
Q

Femoral line thing to avoid

A

avoid repetitive hip flexion and hip flexion >45 degrees

43
Q

wheel chair measurements - seat height

A

how - Heel to popliteal fold + 2 inches

average - 19.5 to 20.5
inches

44
Q

what is pleural effusion

A

where fluid build up in the pleural space

45
Q

wheel chair measurements - seat depth

A

how - Posterior buttock along lateral thigh to popliteal fold - 2 inches

average - 16 inches

46
Q

wheel chair measurements - seta width

A

how - Widest aspect of buttocks or thighs + 1.5 to 2 inches

average - 18 inches

47
Q

wheel chair measurements - back height

A

how - Chair seat to axilla - 4 inches (consider any seat cushions and add thickness to final value)

average - 16 inches

48
Q

wheel chair measurements - armrest height

A

how - Seat of chair to olecranon + 1 inch (consider cushions)

average - 9 inches

49
Q

how do we turn right on a wheel chair

A

Push the left wheel forward while pulling back on the right wheel

50
Q

how do we perform a Wheelie on a WC

A

Patient places hands back on
hand rims, then push them forward
abruptly and forcefully

51
Q

Ascending curb WC

A

Lift the front casters onto the curb by
performing a small wheelie

Push forward on the push rims to lift the rear wheels onto the curb

52
Q

Descending curb WC

A

Perform a wheelie and descend with rear wheels off the curb followed by castor wheels

OR

Descend backwards: Allow the rear wheels to slowly roll off the curb, followed by the castor wheels

53
Q

Standard Crutches (Axillary Crutches) - sizing

A
  • Axilla space of approx. 2”
  • Crutch is approx. 2” lateral and 4-6” anterior to the patient’s toe of the shoe
  • Elbow flexion approx. 20-25 degrees when grasping handpiece
54
Q

Forearm Crutches (Lofstrand Crutches) - sizing

A
  • Top of forearm cuff is just distal to elbow, approx. 1-1.5” below olecranon process
  • Crutch is approx. 2” lateral and 4-6” anterior to the patient’s toe of the shoe
  • Elbow flexion approx. 20-25 degrees
55
Q

Cane - sizing

A
  • Always goes on the opposite side
  • Cane is approx. 2” lateral and 4-6” anterior to the patient’s toe of the shoe
  • Elbow flexion approx. 20-25 degrees
  • Ascending = Good foot goes up first, followed by bad foot and cane
  • Descending = Bad foot and cane first, followed by good foot
56
Q
  • Longitudinal Arch (Scaphoid pad) used for what
A

Pes Planus

57
Q

UCBL (University of California Berkeley Lab) does what

A

̶Controls hindfoot valgus

̶Reduces subtalar motion.

Three-point counterforces – control
calcaneal eversion, forefoot abduction

58
Q

abd obestity WC

A

move rear axel anteriorly 2 inches

59
Q

obesity in the waist and hips WC

A

move rear axel 2 inches posteriorly

60
Q

bilateral amp WC

A

move rear axel post 2 inches

61
Q

what is addison’s disease

A

a rare disorder that occurs when the adrenal glands don’t produce enough of certain hormones.

62
Q

what are the signs and sym of addison’s disease

A

fatigue

hyperpigmentation

N/V

muscle pain

low BP

low blood sugar

63
Q

what is Posterior leaf spring used for

A

weak DF

63
Q

Posterior leaf spring - function

A

It recoils during swing phase to
produce dorsiflexion

64
Q

Plantarflexion stop/ resistance AFO is used for

A

PF tightness

Plastic hinged AFO with a posterior stop

65
Q

posterior approach hip replacement - what movement do we avoid

A

FADIR

66
Q

anterior approach hip replacement - what movement do we avoid

A

FABER

67
Q

what is Pes Equinus

A

Pes Equinus is a condition in which the upward bending motion of the ankle joint (dorsiflexion) is limited

68
Q
A