Equipment / Devices: WC/ Walkers, Lines, Tubes Flashcards
WC seating: Seat height leg length
measure heel to popliteal fold. add 2 in to allow clearance for foot rest. adult avg 19.5 -20in
WC seating: Seat depth
measure posterior buttock to popliteal fold. need 2 in to avoid pressure from seat against popliteal space. adult avg 16in
WC seating: Seat width
measure widest part of buttocks,hips, or thighs and add 2 inches. Adult avg 18 in
WC seating: back height
seat of chair to floor of axilla with shoulders flexed 90 deg. then subtract 4in. back rest should be below inferior angle of scapula. adult avg 16-16.5 in
WC seating: armrest height
measure from seat of chair to olecranon process with elbow flexed to 90 deg then add 1in. adult avg 9in above chair seat.
parallel bars fit
20-24 deg elbow flexion, grab 4-6 inches in front of body
Walker fit
20-25deg elbow flexion. uses 3 point gait pattern
axillary crutches fit
point 6 inches in front and 2in lateral to pt. 3 finger widths from the axilla. hand grip to ulnar styloid process. 20-25 deg elbow flexion. ( loftstrand arm cuff 1-1.5in below elbow.
Cane fit
20-25 deg elbow flex. handle at ulnar styloid process.
Gait patterns: 2 point
2 crutches or canes. move left crutch with R LE and vice versa.
Gait patterns: 3 point
walker or crutches. assisted device move first, then injured LE, then good leg
Gait patters: 4 point
advance crutch/cane set in place , then opposite LE
Swing to gait
advance LE simultaneously to point of AD. good for increased weakness, paresis, paralysis
NG Tube
for liquid feeding, med admin, remove gas from stomach. Hard to cough with tube in
G tube
through small incising in abdo into stomach. long term feeding or swallowing difficulty.
J tube
through abod wall to jejunum. long term feeding
Arterial Line
inserted into artery. Measures BP and take blood samples. more accurate that BP cuff
Central venous pressure catheter
measure pressure in R atrium or superior venacava. used to evaluate R ventricular function. R atrial filling pressure, circulating blood volume
Indwelling R atrial catheter
inserted though cephalic of jugular vein. to superior vena cava and R atrium. long term admin of substances into venous system. (chemo, antibiotics, nutrition)
Intracranial pressure monitor
meaures pressures exerted on skull. can be epidural sensor, subarachnoid bolt, intraventricular catheter.
pulmonary artery catheter (Swan-Ganz)
soft flexible catheter through vein into pulmonary artery. measures pulmonary artery pressure. need to avoid excessive movement of head neck, and extremities
Nasal Canula
O2 admin up to 6L/min
Oronasal mask
admin O2, meds, mucolytic devices, humidity
