Exam and Eval 3 and 4 Flashcards

Question

Cystic Fibrosis - is what

Answer 1

Multisystem disorder y an autosomal recessive gene that effects the exocrine glands - involves all major organ systems

Answer 2

ventilatory impairment, chronic airflow limitation | They have a ton of secretions in their lungs so their ventilation is impaired

Answer 3

``` Exercise Nutritional eval Antibiotics BD Lung or lung and heart transplant ```

Answer 4

``` Exercise tolerance varies Strength and endurance ex Postural drainage Autogenic drainage Controlled cough techniques Airway clearance Postural changes Positioning ```

Answer 5

Reduce inflammation Corticosteroids, immunosuppressives, O2 Remove them from environment contributing to the fibrosis Can do lung transplant - but not effective long term

Answer 6

``` Body positioning Modified ex program Pulm rehab program Max QOL Reduce work of breathing Inc strength and peripheral oxygen extraction Education ```

Answer 7

high rep, low weight

Answer 8

``` fatigue fever reduced apetite weight loss night sweats hemoptysis cough ```

Answer 9

lower lobes

Answer 10

No one medication is approved - there is a regimen of 9 to 12 Antibiotics If severe maybe take part of the lung out - or get chemotherapy

Answer 11

Modified ex program Percussion and postural drainage Other airway clearance Relaxation and postural alteration

Answer 12

often no PT | Unless just want ROM with them

Answer 13

swelling warmth pain red color

Answer 14

Not working with them (3 or more)

Answer 15

Wait for further testing to come back (1-2)

Answer 16

you are okay to work with them

Answer 17

Antithrombolytic agents | Used to bedrest - just know what meds they are on and this will tell you

Answer 18

4 hours after this one

Answer 19

wait 1 day or 2 to work with them unless they were on coumadin prior

Answer 20

Check with MD when to start activity Monitor and listen to patient sx Possible bed rest - depends on meds Make sure they are walking heel to toe

Answer 21

High - (over 6) - not treating Mod - (2-6) - waiting Low (less than 2) - you can work with

Answer 22

Thrombolytic agents Sedative (to dec anxiety) O2 Sometimes (RARE) embolectomy

Answer 23

Need to get approved by MD for when they can get out of bed Know their meds Listen to patient sx Position upright!

Answer 24

monitor | anti-anginal meds

Answer 25

heart attack | but their O2 will dec readily whereas it may not for MI

Answer 26

Monitor with ex Know if it was Q wave or non Warm up, steady rate, cool down No sustained static postures or isometric ex (need to be doing AROM) Educate them on not laying on left side for prolonged period of time

Answer 27

No more than 20 beats above resting HR

Answer 28

``` Cardiac rehab Monitor with exercise RPE Tx below threshold! Body positioning (avoid left sl and supine!) Minimize stress ```

Answer 29

their shoulder may be sore incision through intercostal space chest tube put in to evacuate air and fluid

Answer 30

placed on bypass have high oxygen demand after surgery might have nightmares too!

Answer 31

``` Monitoring Many tubes and lines Medications Wound management Need warming blanket after surgery ```

Answer 32

``` Positioning Education Breathing control and supportive coughing Cardiac rehab Maintain ROM for thoracic Limit UE ROM for CV surgery ```

Answer 33

Noninvasive positive pressure vent Jeopardized by pt compliance Sometimes will do lung reduction surgery - problem is it will only help with diaphragm but not aeration

Answer 34

``` Max QOL Education - sleep and rest Strength and Endurance Reduce work of breathing - purse lip Know meds Chest wall mobility Body positioning RPE, Borg, Dyspnea ```

Answer 35

you can always try it but if it creates anxiety you need to stop If they can do it - it will reduce work of breathing though!

Answer 36

surgical intervention if caught early | if metastasized - chemo, radiation

Answer 37

``` Secretion clearance Supportive care Reduce work of breathing Optimize strength and endurance Min effects of restrictive mobility Postural drainage Know meds they are on Optimize pain control ```

Answer 38

``` Exertional dyspnea Excessive fatigue Palpitations Fluid retention Orthopnea Most relieved with rest ```

Answer 39

Prophylactic antibiotics before dental procedures Surgical intervention Wellness program

Answer 40

Exercise, education, strengthening, chest mobility ex Energy conservation - use large mm versus small Upright positions vs. recumbant or supine

Answer 41

Smoking cessation Tx HPTN, glucose intolerance, diabetes, and monitor cholesterol Need to be cleared by MD for exercise Promote weight managemetn

Answer 42

Educate Max QOL Self assessment of skin Know what type of tx they are getting Recumbant position - dec claudication but inc work of heart Compression garments to increase venous return

Answer 43

dependent or non insulin dependent

Answer 44

Insulin resistant

Answer 45

Exercise program Diet Insulin if needed or meds Stress management

Answer 46

``` Educate and lifestyle changes Exercise Strengthening Know meds and where injects Monitor vitals RPE Check feet with the patient! ```

Answer 47

40-85% of peak functional work capacity

Answer 48

Mobilize when stable Position changes Monitor vital

Answer 49

Position changes Cough maneuvers and breathing control Postural drainage

Answer 50

Mob coordination with breathing control exercises Postural drainage Frequent position changes Patient education

Answer 51

Airway clearance techniques Mobilization Positioning Educate

Answer 52

``` Aid in removal of secretions Positioning Postural drainage Mobilization Deep breathing ```