Final lab practical Flashcards

1
Q

THA Anterior
Anteriolateral
Minimally Invasive

A

hip extension
ER
adduction
incision

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2
Q

Direct lateral
transgluteal
transtrochanteric

A

abduction
and general precautions
incision

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3
Q

Posterior
Posteriolateral
Resurfacing

A

flexion past 90
IR
adduction
incision

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4
Q

TKA

A

no SLR to avoid varus/valgus stress to joint
no pillow under knee for long periods of time
incision

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5
Q

TAA

A

0-2 weeks NWB
ROM restrictions from surgeon
incision

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6
Q

Achilles Tendon

A

no PROM/AROM for 6 weeks
WB out of boot at 10-12 weeks
incison

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7
Q

ACL Repair: Hamstring

A

no hamstring contraction for 4 to 6 weeks
no long arc quads
incision

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8
Q

ACL patellar tendon

A

no kneeling

incision

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9
Q

TEA

A
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
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10
Q

Wrist arthroplasty

A
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
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11
Q

TSA

A
no end range stretching 
no dynamic stretching
no weight bearing
no lifting
no reaching behind back
incision
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12
Q

RCR

A

no AROM and left isometrics for 6 weeks
no reaching behind back
incision

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13
Q

RTSA

A

no adduction, extension or IR for 12 weeks
10-15 weight limit
incision

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14
Q

C spine

A
twisting/rotation
extension with patients with laminectomy
mobilizations on level of fusion
long rolling
incision
10 pounds
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15
Q

T spine

A
twisting/rotation
extension with patients with laminectomy
mobilizations on level of fusion
log rolling
incision
10 pounds
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16
Q

L Spine

A
twisting/rotation
extension with patients with laminectomy
mobilizations on level of fusion
log rolling
incision
10 pounds
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17
Q

Lab values to ask for:

A

INR, Hct, Hgb, platelets

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18
Q

Cardiac Transplant

A
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
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19
Q

Mastectomy

A

no muscles involved: ROM 24 hours post
muscles involved: UE ROM restrictions for 6 weeks
no abduction or flexion above 90
incision

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20
Q

Transplant

A

verbalize PPE
early mobilization; if medically stable 2-7 days for ROM
MAP 60-70 mmhg

21
Q

Kidney transplant

A

PPE
MAP 60-70 mmHg
incision
BP above 110mmHg

22
Q

Liver transplant

A
PPE
MAP 60-70 mmHg
deep breathing for lung collapse
incision
Biluribin .04
23
Q

ORIF

A

NWB

incision

24
Q

Burn

A
PPE
no shearing
vitals
skin graft: 2-7 days until healed
incision
25
Q

Amputation

A

incision
dehiscence and edema
blance

26
Q

Diabetes

A
100-250 BGS
250: check ketones
300: unsafe to exercise
feet
when did you last eat
27
Q

Bariatic

A

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

28
Q

Anaestesia

A

Egress Test
vitals
DVT, nausea
skin integrity

29
Q

Hgb less than 8

A

ADL/ no exercise

30
Q

Hgb 8-10

A

ADL/ light exercise and aerobics; 1-2 pounds

31
Q

Hbg over 10

A

exercise and resisive

32
Q

Hct less than 25

A

hold exercise

33
Q

Hct 25-35

A

light exercise and resistance (1-2 pounds)

34
Q

Hct over 35

A

exercise and resistance

35
Q

Platelets less than 10,000

A

hold exercise

36
Q

Platelets 10,000-20,000

A

light exercises

37
Q

Platelets over 20,000

A

exercise and resistance

38
Q

CRF Aerobic duration

A

20 mins, maybe 5-10 mins, 2-3 x times a day

39
Q

CRF Aerobic intensity

A

40-60% of HRR

40
Q

CRF Aerobic Frequency

A

3-5 days per week

41
Q

CRF Resistive Duration

A

1-2 sets of 8-12 reps of 8-10 exercises

42
Q

CRF Resistive Duration for deconditioned

A

1 set w/ increased repetitions of 12-15 for endurance

43
Q

CRF Intensity

A

60-70% of 1 RM

44
Q

CRF Intensity Duration for deconditioned

A

decreased resistance to 30% of 1 RM

45
Q

CRF Resistive Frequency

A

2-3 days/week with 48 hours between

46
Q

CRF Resistive Frequency fatigue

A

increased recovery sessions

47
Q

CRF Flexibilty Duration

A

4 reps of 10-30 second hold of slow static stretches, focusing on cancer treatment deficits or functional needs of the patient

48
Q

CRF Flexibility Frequency

A

greater than 2 days a week