Final lab practical Flashcards
THA Anterior
Anteriolateral
Minimally Invasive
hip extension
ER
adduction
incision
Direct lateral
transgluteal
transtrochanteric
abduction
and general precautions
incision
Posterior
Posteriolateral
Resurfacing
flexion past 90
IR
adduction
incision
TKA
no SLR to avoid varus/valgus stress to joint
no pillow under knee for long periods of time
incision
TAA
0-2 weeks NWB
ROM restrictions from surgeon
incision
Achilles Tendon
no PROM/AROM for 6 weeks
WB out of boot at 10-12 weeks
incison
ACL Repair: Hamstring
no hamstring contraction for 4 to 6 weeks
no long arc quads
incision
ACL patellar tendon
no kneeling
incision
TEA
1 pound for 3 months 2 pounds at 6 5 repetitive 10-15 max no golf or tennis forever end range flexion or extension no pushing/pulling incision
Wrist arthroplasty
1 pound for 3 months 2 pounds at 6 5 repetitive 10-15 max no golf or tennis forever end range flexion or extension no pushing/pulling no mobilization for 2 weeks incision
TSA
no end range stretching no dynamic stretching no weight bearing no lifting no reaching behind back incision
RCR
no AROM and left isometrics for 6 weeks
no reaching behind back
incision
RTSA
no adduction, extension or IR for 12 weeks
10-15 weight limit
incision
C spine
twisting/rotation extension with patients with laminectomy mobilizations on level of fusion long rolling incision 10 pounds
T spine
twisting/rotation extension with patients with laminectomy mobilizations on level of fusion log rolling incision 10 pounds
L Spine
twisting/rotation extension with patients with laminectomy mobilizations on level of fusion log rolling incision 10 pounds
Lab values to ask for:
INR, Hct, Hgb, platelets
Cardiac Transplant
PPE sternal precautions no pushing or pulling, no lifting more than 10 pounds, no resistive exercises or loading past 90 flexion and abduction RPE 90-115 bpm BP; 80-150/less than 90 PPE
Mastectomy
no muscles involved: ROM 24 hours post
muscles involved: UE ROM restrictions for 6 weeks
no abduction or flexion above 90
incision
Transplant
verbalize PPE
early mobilization; if medically stable 2-7 days for ROM
MAP 60-70 mmhg
Kidney transplant
PPE
MAP 60-70 mmHg
incision
BP above 110mmHg
Liver transplant
PPE MAP 60-70 mmHg deep breathing for lung collapse incision Biluribin .04
ORIF
NWB
incision
Burn
PPE no shearing vitals skin graft: 2-7 days until healed incision
Amputation
incision
dehiscence and edema
blance
Diabetes
100-250 BGS 250: check ketones 300: unsafe to exercise feet when did you last eat
Bariatic
Egress Test
stop if HR increases or decreases by 20 bpm
systolic increases by 20 mmHg /diastolic decreases by 20
skin intergrity
RPE
HR
O2
Anaestesia
Egress Test
vitals
DVT, nausea
skin integrity
Hgb less than 8
ADL/ no exercise
Hgb 8-10
ADL/ light exercise and aerobics; 1-2 pounds
Hbg over 10
exercise and resisive
Hct less than 25
hold exercise
Hct 25-35
light exercise and resistance (1-2 pounds)
Hct over 35
exercise and resistance
Platelets less than 10,000
hold exercise
Platelets 10,000-20,000
light exercises
Platelets over 20,000
exercise and resistance
CRF Aerobic duration
20 mins, maybe 5-10 mins, 2-3 x times a day
CRF Aerobic intensity
40-60% of HRR
CRF Aerobic Frequency
3-5 days per week
CRF Resistive Duration
1-2 sets of 8-12 reps of 8-10 exercises
CRF Resistive Duration for deconditioned
1 set w/ increased repetitions of 12-15 for endurance
CRF Intensity
60-70% of 1 RM
CRF Intensity Duration for deconditioned
decreased resistance to 30% of 1 RM
CRF Resistive Frequency
2-3 days/week with 48 hours between
CRF Resistive Frequency fatigue
increased recovery sessions
CRF Flexibilty Duration
4 reps of 10-30 second hold of slow static stretches, focusing on cancer treatment deficits or functional needs of the patient
CRF Flexibility Frequency
greater than 2 days a week
