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Clinical Procedures > exam 2 > Flashcards

exam 2 Flashcards

1
Q

purpose of a tilt table

A

to assess pt tolerance in upright position

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2
Q

inversion tables are good for what pathologies

A

SCI

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3
Q

tilt tables are especially good for __pts

A

bariatric

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4
Q

gait, balance, strength are all examples of

A

tests and measures

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5
Q

Berg, TUG, Bruce, RASS are all examples of

A

outcome measures (names)

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6
Q

Risks of tilt tables

A

fear of pts, nausea, ortho responses may be poor

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7
Q

the step before ambulation should almost always be

A

parallel bars

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8
Q

parallel bar ht is where on pt

A

GT

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9
Q

what part of wheel chair should be on the ramp in the bars

A

casters

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10
Q

good out come measure result for sit to stand to show a good indicator of ambulation readiness

A

5xs

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11
Q

3 subdivisions of walking

A
  1. Forward progress
  2. Single limb
  3. Limb length adjustments
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12
Q

Forward progress includes what 3 subdivisions

A

shock absorption
momentum control
forward propulsion

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13
Q

factors effecting shock absorption

A

shoes, ground, length, ROM, speed

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14
Q

synergy activity is crucial during which phase of forward progress

A

momentum control

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15
Q

Normal gait, feet are ___ inches apart

A

3

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16
Q

it’s normal to have valgus stress at ___ and ___ during walking

A

knee and ankle

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17
Q

Which leg works harder stance or swing

A

stance

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18
Q

If you are using tilt table with a NWB extremity, what can you do

A

get a block and use it on good side

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19
Q

initial stopping to assess vitals with tilt table occurs at

A

30 degrees

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20
Q

hold position for how long before checking vitals tilt table

A

3-5 min

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21
Q

check vitals every ___ degrees of mvmt with tilt table

A

15

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22
Q

When lowering tilt table, decrease it to level of ____ above end

A

15-20

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23
Q

a must for use of bars

A

full WB UE

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24
Q

which gait pattern is good for a NWB limb

A

3 pt

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25
Q

2 MMT to do before doing bars

A

quads, triceps

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26
Q

in bars, have pt turn to ___ side

A

strong

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27
Q

how pt gets out of wc in bars

A

pushes from wc, not pull with bars

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28
Q

progression of WB status

A

NWB to TTWB to WBAT to FWB

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29
Q

PWB is

A

30- 50%

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30
Q

always demo how

A

sit to stand to sit

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31
Q

bilateral weakness or unstability, which gait pattern

A

4 pt

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32
Q

how to document gait training

A 
device used
balance observed
WB status
Endurance
gait pattern used
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33
Q

never gait train

A

barefoot

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34
Q

explain 3 pt gait pattern

A

device or bars, then impaired, then good

DIG

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35
Q

walkers use which pattern

A

3 pt

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36
Q

which pattern is not efficient with only 1 crutch

A

3 pt

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37
Q

crutches should be ___-___ fingers below axilla

A

2-3

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38
Q

Sit to stand with crutches, where do they go

A

both on good side

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39
Q

with stairs and crutches, both crutches

A

will always go at same time

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40
Q

crutches with stairs with railing

A

crutches to 1 side, up with good down with bad

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41
Q

cane us places on ___ side

A

good

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42
Q

pattern with cane

A

cane, bad, good

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43
Q

to use a cane, pt must be

A

WBAT

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44
Q

the K in a pyramid cane goes

A

out

45
Q

for platform walker, pt must be

A

WB to UE

46
Q

3 straps on tilt table go

A

axilla, abs, knees

47
Q

2 straps on tilt table go

A

knees, abs

48
Q

knee injury with tilt table, strap goes

A

behind

49
Q

7 roles of a PT in gait

A
  1. Assess
  2. Recognize strengths and weaknesses
  3. Determine deficits
  4. Determine cause
  5. Intervention
  6. Devices
  7. Document
    A R D D I D D
50
Q

hemi cane and a frame cane is aka

A

pyrymid

51
Q

which walker is better with cardio resp issues

A

wheeled

52
Q

Most common gait pattern with MSK issues

A

3 pt

53
Q

opposites going at same time describes what gait

A

2pt

54
Q

most stable device

A

walker

55
Q

elbow should be ___-___ degrees with walkers

A

20-30

56
Q

medicare requires what for wheeled walkers

A

UE dx

57
Q

In order to use hemi walker, pt must have

A

full WB both legs

58
Q

platform walkers contraindicated with

A

UE fxs or injury

59
Q

EKG L2 is ___ plane

A

frontal

60
Q

EKG L5 is ___

A

intercostal60

61
Q

cardiac monitors usually read

A

L2, L5, MAP, PAC, O2 sat

62
Q

Swan monitors pressure in

A

heart

63
Q

No PT if MAP is under

A

60

64
Q

Chest tubes to get rid of air are placed at

A

3,4,5

65
Q

chest tubes to get rid of fluid are placed at

A

6,7,8

66
Q

what’s important about placement of drainage sxs

A

always below incision pt

67
Q

route for a vent through the po

A

ET

68
Q

pro and con of ET

A

pro- less infections

con - secretions get stuck

69
Q

modes of vents are ___ or ___ pre set

A

pressure or volume

70
Q

NG tube is for

A

gastric drainage or temp feeding

71
Q

HOB should be at ___ with NG tube (or any feeding tube)

A

30

72
Q

If you MUST supine with feeding tube pts, you MUST do what

A

put machine on hold first

73
Q

issue with G tubes

A

easiliy dislodges

74
Q

PUM

A

progressive upright mobility

start with HOB 30, then 60, then dangle feet

75
Q

way you can increase endurance in bed

A

ergometers

76
Q

SPO2 should not decrease more than ___% with ICU pt

A

4

77
Q

contraindications to move ICU pts

A

high vent issues, untreated DVT’s, abnormal vitals

78
Q

What to consider when writing goals

A

audience, behavior, details and numbers, time, functional

79
Q

A line and PICC are considered

A

peripheral

80
Q

3 central lines

A

SWAN, CVP, PAC (central venous pump, pulmonary artery cath)

81
Q

PICC goes where

A

SVC

82
Q

what to wait for with PICC pts

A

ok from radiology about placement

83
Q

no BP where for PICC Pts

A

in PICC arm

84
Q

avoid what motions with PICC arm

A

flex and abd of shoulder

85
Q

transducers with A lines must be

A

at heart level

86
Q

outcome measures (names) for balance

A

berg, tenetti, tug, best

87
Q

What is CDP

A

computer dynamic posturgraphy

88
Q

what do PTs look for when studying standing balance

A

magnitude of sway
velocity of sway
strategies uses

89
Q

what do PTs look for when assessing gait

A

speed
toe clearance
time in each stance

90
Q

our main roles in the ICU

A

decrease secondary issues
restore function
decrease length of stay
education

91
Q

only open drain

A

penrose

92
Q

never place a foley where

A

on you

93
Q

Long term wound drain

A

Jackson pratt

94
Q

endurance, cognition, arousal are

A

tests and measures for ICU

95
Q

2 parts of consciousness

A

arousal, content

96
Q

RASS

A

Richmond agitation sedation scale for LOC

97
Q

cognition includes 2 things

A

awareness and judgement

98
Q

readiness is

A

arousal

99
Q

delirium is usually

A

short term and dt med condition

100
Q

3 types of delirum

A

hyper, hypo, mixed

101
Q

consciousness is the ____ and RASS is the___

A

test and measure, Rass is outcome measure

102
Q

4 plus on RASS is

A

most combative (5 minus is comatose like)

103
Q

CPP is

A

cerebral profusion pressure

104
Q

what things make up CPP

A

MAP - ICP

105
Q

ICP should be at

A

4-15 (20 = no touch)

106
Q

CPP should be at

A

70-80

107
Q

what drains CSF

A

EVD

108
Q

what is tPA

A

tissue plasma activator - dissolves a clot (tx for stroke)

109
Q

precautions with tPA

A

BR for 24 hours

Clinical Procedures (2 decks)

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