Exam 3 Flashcards

1
Q

what to do when choking

A

restore maintain patient airway to normal breathing
ask person if they’re choking first

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2
Q

bandages are

A

triangular

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3
Q

cravat is a

A

smaller cloth

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4
Q

ankle wrap, protective splints, sleeves, slings are other

A

support devices

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5
Q

allergic reaction can cause a

A

anaphalytic shock

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6
Q

what to do in anaphalytic shock

A

Epipen for 10 seconds with Nonerphrine

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7
Q

allergic reaction is a

A

immune system overreacting to allergen

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8
Q

severe allergic reaction symptoms

A

swelling of face, mouth
difficulty swallowing, speaking
difficulty breathing, abdomen pain
nausea, vomiting, syncope

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9
Q

lacerations prevent

A

contamination and control bleeding

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10
Q

lacerations can be

A

arterial- fast bleeding

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11
Q

what to do in shock

A

reduce/ remove cause and prevent / reduce extent of mind state

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12
Q

in shock put the head

A

lower than lower exteremities

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13
Q

hypovelmic is blood too

A

low

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14
Q

symptoms of shock and orthostatic hypotension

A

pale, moist, cool skin, swallow/ irregular breathing, dizziness, dilated pupils , weak /rapid pulse, diaphoresis, nausea, syncope

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15
Q

orthostatic (postural) hypotension is

A

when one stands too quickly from recumbent / sitting / kneeling

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16
Q

what to do when BP is dropping

A

have pt do ankle pumps
upper extremity activity before next positions
pt needs bandage or hose to lessen

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17
Q

fall risk

A

carelessness , i’ll, aging

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18
Q

fractures protect-
avoid-
prevent -
reduce-
guard-

A

fracture site
further injury
prevent shock
reduce pain
guard against contamination

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19
Q

burns prevent -
relieve-
prevent -

A

wound contamination
relieve pain
prevent shock

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20
Q

convulsions / seizures protect person from

A

injury, turn head to the side, provide pt modesty

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21
Q

hypo- sugar
hyper- sugar

A

provide sugar
no sugar

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22
Q

what patterns for forefoot and ankle

A

figure 8

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23
Q

seizures turn patient head to

A

side

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24
Q

heat exhaustion -
heat stroke-

A

least threnating to life
medical emergency

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25
Q

cause of heat related illness

A

hot humid, lot of activity, dehydration can depleted electrolytes

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26
Q

hypoglycemia patient may be

A

excited agitated behavior

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27
Q

hypoglrmic too ___ systemic insulin
too ____ food intake or ____ exercise

A

much
little
excessive

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28
Q

hyperglycemia too ___ systemic insulin
intake of ___ much food / improper food, ___ physical activity

A

little
too
no

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29
Q

hyperglycemia has

A

dry tongue , drowsy, glucose in urine, fruity breath

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30
Q

hyperglycemia can lead to

A

diabetic coma / death

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31
Q

which is a medical emergency where insulin is necessary

A

hyperglycemia

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32
Q

hyperglycemia is ___ which means do not give ____

A

acidosis
sugar

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33
Q

autonomic hypereflexia (dysreflexia) in spinal cord injury ___ or higher

A

T6

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34
Q

what to do is autonomic hyperreflexia

A

determine / remove noxious stimulus

(full bladder cath)- pt would sit up

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35
Q

symptoms of autonomic hypereflexia

A

severe hypotension
bradycardia
diaphoresis
headache
red skin bloctnes
pilorection

may convulse difficult with respiration, lose consciousness

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36
Q

causes of autonomic hyperreflexia

A

urine retention, fecal impact on, open pressure ulcer, tight strap, pressure, exercise, below level lesion

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37
Q

cardiac arrest/ death maintain

A

cardiopulmonary system at a level sufficient to sustain life

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38
Q

CPR is C-A-B
__ chest compressions prior to _ rescue breaths

A

30
2

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39
Q

how many times per minute is CPR

A

100 times per minute

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40
Q

Febreral seizure is

A

high temp

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41
Q

normal gait is
good BOS
foot clearance
step length
stride length
energy

A
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42
Q

gait is the

A

styles of walking is affecting with activity

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43
Q

gait is measured in
length
speed
trunk motion
arm swing

A
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44
Q

BOS is _____ in helps with balance and stability

A

2-4

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45
Q

center of gravity is

lower COG has more

A

5cm anterior S2 changes vertical/ horizontal

stability

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46
Q

stride is the

A

distance between points of initial contact with same foot
(left heel- left heel)

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47
Q

step length is the

A

distance beteeen point of initial contact with one foot then point of contact with the opposite foot
(left heel- right heel)

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48
Q

_ stride = _ steps

A

1
2

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49
Q

double support are both feet in contact with ground at %

A

20

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50
Q

single support only 1 foot on ground at %

A

80

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51
Q

pelvis rotates__ degrees when moving

A

8
4 right- 4 left

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52
Q

what stabilizes so no hip drop (tradenlenburg)

A

gluteus medius

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53
Q

arm swing is ______ to direction of pelvis

A

contra lateral

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54
Q

for balance and stability the rotation of shoulder arm and trunk occur

Pt with parkinson’s lose

A

arm swing

55
Q

need ___ of knee flexion when walking

A

60

56
Q

_______ eccentric prevent foot slap

A

ankle dorsiflexion

57
Q

pronation during toe off

A

foot shock absorber

58
Q

stance phase of gait is %

A

60%

59
Q

foot contacts until it leaves the ground

A

stance phase

60
Q

swing phase is % of gait

A

40

61
Q

time foot is off ground swinging

A

swing phase

62
Q

RLA stance -
initial ____
loading _____
______(all weight)
_____ stance (heel off)
______(toe off ground)

A

contact
loading response
midstance
terminal
preswing

63
Q

Traditional Stance
heel ____
foot ____
midstance
______
______[

A

strike
flat
midstance
heel off
toe off

64
Q

RLA swing
initial ____ toe up
_______ through space
______ swing initial contact

A

swing
mid swing
terminal

65
Q

lower extremity in gait
hip _______
_____
knee _____
______
ankle _______

A

extension
abduction
flexion
extensors
ankle plantarflexors

66
Q

upper extremity using ambulation device
needs elbow ____
scapula ______, shoulder _____, flex/ext, finger ___

A

flexion
stabilized
depression
flexion

67
Q

documentation / assessment

step to , step through (pass other foot)
reciprocal arm swing, arm guarding, trunk rotation - 8 degrees, LOB, step length(opposite feet)
VC or TC curing
walker mang. , posture

A
68
Q

NWB can be

A

TDWB and TTWB

69
Q

PWB is % (foot switches)

A

25-50%

70
Q

WBAT is

A

FWB

71
Q

NWB-TDWB-PWB-WBAT-FWB

A
72
Q

prepare

review medical record
limitation
capabilities
determine equipment
explain process to pt
clear space
confirm measurement
safety belt
understand follow
explain demonstrate
repeat back

A
73
Q

practice session before gait you can use

A

parallel bars sit to stand

74
Q

patient that need upright angle, check vitals

A

tilt table

75
Q

exercise to

A

stay healthy

76
Q

reasons why we exercise

A

decrease cardiovascular issues
smooth mobility in joints, muscle strength, balance- nervous system, ROM and endurance / muscular endurance

77
Q

what exercises do we do for cardiovascular

A

aerobic - cardio

78
Q

active is

A

assist independently , voluntary control

79
Q

passive is

A

someone doing it for them, unable to contract muscles

80
Q

adding ______ to build strength of muscle

A

resistance

81
Q

passive is unrestricted ___ of joint and ___ ____ strength or ROM

A

ROM
NO increase

82
Q

passive excerises are for maintaining

A

muscle mass
position - blood flow
passive ROM limit

83
Q

active increases _____move themselves

A

strength

84
Q

no increase joints range, no stretching

A

active

85
Q

what muscle test can you do for active

A

Manual muscle test

86
Q

normal Range is 5/5 or ____ or higher must have resistance to build

A

3+

87
Q

factor for endurance is

A

time

88
Q

active assistive ROM is

A

resistance where weakest external force resisting w motion

89
Q

active assistive ROM is for

A

muscle weakness , fatigue, pain

90
Q

strength and endurance AAROM

A

manual mechanical gravitational
isometric- how long can they hold

91
Q

valsalva maneuver can

A

increase perphieral BP
decrease output
decrease venous return (pass out)

92
Q

passive exercises for

A

paralysis
comatose
pain with active
recovery from surgery prevents active

93
Q

PROM for

A

counteracts negative aspects of immobilization
evaluate joint ROM
sensory stimulation
reduce stress on cardiopulmonary

94
Q

contraindications for PROM

A

patient is independent moving would
benefit from AROM

increases pt symptoms / condition

95
Q

benefits PROM

A

maintain ROM
lubricate joints
minimize contractures
local circulation
mental sensory awareness
flexibility/ stability

96
Q

Limits PROM

A

no increase strength
does not prevent muscle atrophy
cannot reduce adipose tissue

97
Q

exercise better for circulation

A

active

98
Q

passive can still do you on cannot for past their limit ROM

A
99
Q

Contraindications AROM

A

modify cardiovascular dysfunction
unhealed fracture site
unprotected surgical site
soft tissue trauma

100
Q

benefits AROM

A

maintain elasticity
strength endurance contractility
increase sensory awareness joint motion
improvement cardiopulmonary

101
Q

AROM prevents

A

thrombus in PVD -ankle pumps

102
Q

isotonic- muscle contracts joints move
eccentric -
concentric -

A

lengthen increase strengthen faster
shorten

103
Q

isometric length does not change no joint motion no resistance applied muscle setting contracticted after MI

A
104
Q

isokinetic

A

speed movement controlled by equipment

105
Q

passive insufficiency
active insufficiency

A

lengthen over both
shorten/ contract over both

106
Q

passive (hamstrings)
active (rectus femoris)
hip flexion/ bend knee more motion

A
107
Q

PNF stands for

A

proprioceptive neuromuscular facilitation

108
Q

frontal motions

A

abduction adduction

109
Q

sagittal motions

A

flex , ext

110
Q

transverse motions

A

in rot ex rot
scaption

111
Q

PNF patterns multiple joints = ___ motion because of ____

A

one
function

112
Q

supine position - gravity is ____ in passive

A

eliminated

113
Q

safety is staying in range that is

A

pain free

114
Q

support is for off weight of joint to support

A

motion

115
Q

stabilize to ___ injured area

A

protect

116
Q

above and below ROM of injured area

A

hand and shoulder if elbow is injured

117
Q

hard end feel is the ___ only

A

elbow

118
Q

normal feel is hard ___to____

A

bone to bone

119
Q

firm is

A

capsular

120
Q

soft is soft tissue

A

stretch

121
Q

normal feel- elbow ____
firm - hip ____
soft- elbow / knee _____

A

ext
rot
flex

122
Q

abnormal muscle ____ or torn ____

A

spam
cartilage

123
Q

empty feel - not able to compete for _____ due to ___

A

FULL ROM
pain

124
Q

normal feel is _____,____,_____

A

hard
firm
soft

125
Q

abnormal feel is ____,_____,____

A

empty feel
bone to bone
springy block

126
Q

osteophyte formation

A

bone to bone

127
Q

meniscus tear

A

springy block

128
Q

PNF does not have a ____ plane
(driving, combing hair, dressed)

A

straight

129
Q

vertebral artery occlusion test - check for block
blood flow to brain
(double vision, nauseous)

A

hold each position for 10-15 sec
wait 10 sec between easch test before returning to neutral

130
Q

neck test is

A

flex ext
rot in ext
lateral flex

131
Q

D1 flex/ext - kicking a ball
flex-
ext-

A

dorsiflexion
plantarflexion

132
Q

D2 Flex/ Ext- karate kick
flex-
ext-

A

leg up internal rot
leg behind crossed

133
Q

alert and orientation
name dob (identifies)
time (month, day of week)
place (city, hospital)
situation (what are they here for)

A

STOP TREATMENT WHEN
hemoglobin less than 7 , not getting enough oxygen

INR .8-1.2 sec (medicine range 2-3sec)
greater than 5 sec ^blood thining

glucose 70-100 mg , greater than 200 less than 70