HM MAN ch 12: inpatient care Flashcards
what is the primary reason for prescribing rest as a therapeutic measure for medical patients?
to prevent further damage to the body or body part when the normal demand of use exceeds the aility to respond.
what are six common complications that occure as a result of prolonged bed rest?
1) circulatory problems
2) repiratory problems
3) GI Problems
4) Urinary tract problems
5) muscularskeltal problems
6) psychological problems
what is the first step in prevention of complications of prolonged bed rest?
awarness of potential hazards
every surgical patient goes though what four phases?
pre op
operative
recovery
post op
which form is used as the request for administartion of anesthesia?
SF 522
who are the three people who must sign a SF 522?
physician
patient
staff member who serves as a witness
what are two of the major factors to consider at the operative phase?
positioning and anesthesia
what are seven examples of regional anesthesia?
topical anesthesia local blocks nerve blocks spinal blocks epidural saddle blocks caudal blocks
__ blocks consist of inecting the agen into the sacral canal.
caudal
__ blocks consist of injecting the agent into the dural sac at the third and fouth lumbar space.
saddle
how many stages of general anesthesia are there?
4
what is stage one of general anesthesia?
induction
at what stage of general anesthesia is the patient’s sense of hearing increased and responses to noises are intensified?
stage one
what is stage two of general anesthesia?
excitement
at what stage of general anesthesia do the vital signs show evidence of physiological stimulation?
stage two
at what stage of general anesthesia may the patient respond violentally to very little stimulation?
two
what is stage three of general anesthesia called?
the surgical or operative stage
what is stage four of general anestheia called?
toxic or danger stage
How will the majority of orthopedic patients not requiring surgical intervention be manages?
bed rest
immobilization
rehab
how is orthopedic pain commonly described?
sore and aching
what is the ultmate goal when forming the orthopedic patient’s care plan?
rehabilitation
what are the nine basic materials/things needed to apply a cast?
webril or cotton bunting plaster of paris a bucket or basin a water source protective linen gloves a working surface a cast saw seating for PT and HM
a short arm cast extends between what areas?
base of the metacarpal-phalangeal joints of the hand to one inch below the antecubital space.
generally the wris is in what position in a shor arm cast?
neutral or staight
what are the two ways that a cast may be removed?
soaking in warm vinegar-wather solution until is dissolves
cutting it
what are three types of assistive divices to walking?
canes
walkers
crutches
canes can unload the lower limb weight by bearing up to what percent of the PTs body weght?
25%
what are three examples of canes?
C-cane
Functinal grip cane
quad cane
which side do you use a cane?
unaffected side
how is a cane meassured for fitting?
from the wrist to the floor
what are the two basic types of crutches?
axillary
forarm
what are the five types of walkers?
standard
Wheeled or rolling
reciprocal
one handed
how are walkers fitted?
place the front of the walker 12 inces in from of the patient.
what are the five stages of death?
denial anger bargaining depression acceptance
Joint commission has identified four major types of accidents that continually occure to patients. what are they?
falls
electrical shocks
physical and chemical burns
fire and explosions
When filling a bottle the water temp must never exceed how many degrees?
125*F
