CP: exam of patient

Question 1

Normal vitals for adult & ped/toddler newborn ((HR/BP/O2/respiration/temp)

Answer 1

Adult: 60-100 bpm; <120/<80; 95-100%; 12-20/ 96.8-100.4 deg F
Ped: 80-110 bpm; 70-110 SBP; 95-100%; 20-30 breaths
1-3 y/o: 80-125 bpm; 90-105/55-70

Question 2

A patient 2 weeks post op comes to PT with their R lower leg swollen, pitting edema, and tender along the saphhenous vein. What is the most appropriate next step?

Answer 2

Refer for possible DVT

Question 3

Why is someone with VI prone to skin breakdown and ulceration?

Answer 3

B/c all the proteins may leak into interstitial space which affects O2 transport

Question 4

List 5 tests for AI

Answer 4

Palpation of pulses-2=normal (3=bounding, 0=absent)
ABI-done when pulses not palpable
Cap refill-AI will have reduced cap refil
Venous filling time-with AI=refil time of 20+ seconds

Question 5

A patient comes in with a wound through the epidermis and part of dermis, what severity is this?

Answer 5

Partial thickness

superfical=only epidermis
full thickness=through epi & dermis down to subQ

Question 6

A patient with a full thickness burn should be educated that the area in the burn won’t have what?

Answer 6

Sweating, they need to apply moisture to area, no hair growth

Question 7

You see a wound that has a beefy red apperance, what is the most approriate step?

Answer 7

Nothing that is granulation tissue so it’s healing!

Question 8

List steps of wound exam (4 of them)

Answer 8

1) Wound atributes (location/size/wound bed/drainage)
2) periwound attirbutes (around it) (intact, erythmea, maccerated, callus, etc.)
3) vascular exam (like pulses, ABI, etc)
4) Sensory exam

Question 9

You change a dressing that has 25-75% of exudate, what should you do next?
What if it was serosangunious?

Answer 9

apply dressing that will absorb moderate exudate
Serosangunious=watery drainage found in inflmmation & proliferation (normal to new wound)
sanguinous=red/bloody
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