Exam 2 - inpatient stuff Flashcards
bed rest and immob on cardiovascular
- inc resting HR
- dec SV, CO, VO2 max
- orthostatic hypotension
bed rest and immob on pulmonary
- dec lung vol, capacity, respiratory muscle strength
- alveoli collapse
- inc risk of infection
bed rest and immob on musculoskeletal
- atrophy
- bone demineralization
- dec mitochondrial stuff
- weakens cartilage and connective tissue
bed rest and immob on nuromuscular
- dec balance, coordination, reflex attenuation
bed rest and immob on body composition
- inc fat
- malnutrition
bed rest and immob on endocrine
- inc cortisol release
- insulin resistance
- alt temp and sweating response
bed rest and immob on GI and GU
- dec appetite, bowel motility (constipation)
bed rest and immob on psych
inc anxiety, agitation, delirium and depression
At what levels of glucose do you stop exercise?
< 70
>200
at what HR do you stop exercise?
140
at what SBP do you stop exercise?
200
at what SaO2 do you stop exercise?
88% or 10% drop in resting
90????
THA cemented vs uncemented
cemented = allows earlier WBing. Large loss of bone with revision
non-cemented = younger puts, more restriction initial to WBing, easier to revise
Signs and symptoms of PE
- tachycardia most freq (85%)
- sudden dyspnea and CP (40%)
- cough, apprehension, alt cognitive status, fever ect..
4 steps to fracture healing
- hematoma formation
- soft callus
- hard callus
- bone remodeling
Posterior dislocation of hip
- add, IR, flexed hip and knee, knee resting on other thigh
Anterior dislocation of hip
- motorcycle pic
- flexed thigh sharply abd, and ER
Spine precautions after surgery
- lifting restriction
- log roll
- limit trunk flex/ext and rotation
- avoid extended periods of sitting
Lethargic
- sluggish, lazy, lack of energy
- easy arousal with normal speech
somnolent
- roused by carious stimuli
- tired and ready to fall asleep
obtunded
-mild to mod reduction in arousal with limited response to environment
stupor
- deep sleep or unresponsiveness but may be roused only by vigorous stim
coma
no response.
disorientation, confusion, delusion, dementia, and delirium
blahhhhhh. gets worse as you go down list
what FIM score do you give if 2 people are needed for task?
FIM of 1: total assist
FIM and gait. requirements for 3+ etc
3+ = walk min of 150 feet 2 = 50-150 feet 1 = walk < 50 ft
FIM and stairs
- 1 flight - 12-14 stairs
3+ = 1 flight 2 = 4-6 stairs
household exception, 4-6 stairs ind/mod I = 5
